• Medical Director Medicaid

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical more
    Humana (01/18/26)
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  • Medical Director - IP Claims…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Jefferson City, MO)
    …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (11/15/25)
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  • Behavioral Health Medical Director

    Humana (Jefferson City, MO)
    …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
    Humana (01/13/26)
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  • Grievances and Appeals Corporate Medical

    Humana (Jefferson City, MO)
    …part of our caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about the ... factors and determining the best course of action. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness… more
    Humana (01/18/26)
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  • Medical Director - Commercial

    Elevance Health (St. Louis, MO)
    ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... MST is fine). Weekend rotation coverage 5-6 weekends a year.** The ** Medical Director - Commercial** will be part of the Central Region team responsible for… more
    Elevance Health (01/14/26)
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  • Field Medical Director , Cardiology

    Evolent (Jefferson City, MO)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (12/31/25)
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  • Field Medical Director

    Evolent (Jefferson City, MO)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (12/18/25)
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  • Field Medical Director - Vascular…

    Evolent (Jefferson City, MO)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (01/08/26)
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