• Part - Time Weekend Medical…

    Highmark Health (Jefferson City, MO)
    …:** Highmark Inc. **Job Description :** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
    Highmark Health (06/12/25)
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  • Medical Director - Florida

    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...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/29/25)
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  • Medical Director - South Carolina SE…

    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...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/22/25)
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  • Medical Director - OneHome

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/15/25)
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  • Medical Director - Mid West Region

    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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (05/14/25)
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  • Medical Director - NorthEast Region

    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...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (07/25/25)
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  • Medical Director

    Elevance Health (St. Louis, MO)
    ** Medical Director ** **Location:** This role enables associates to work virtually full- time , with the exception of required in-person training sessions, ... we will drive the future of health care. The ** Medical Director ** is responsible for the administration...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
    Elevance Health (07/30/25)
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  • Medical Director - Medicare…

    Humana (Jefferson City, MO)
    **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on problems of diverse...a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or… more
    Humana (07/23/25)
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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 ... state. Multiple opportunities for a flexible schedule and both part - time and full- time options available.**...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
    Evolent (07/30/25)
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  • Medical Director - Commercial

    Elevance Health (St. Louis, MO)
    …Weekend rotation coverage every 5-6 weeks.** **Candidates must be able to work East Coast time zone hours.** The ** Medical Director ** will be responsible for ... ** Medical Director - Commercial** Location: This role...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
    Elevance Health (07/25/25)
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