• Director , Physician…

    Humana (Lincoln, NE)
    …health outcomes for some of our most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management ... physician leader for the newly-created role of Director , Physician Leadership . In this...for inpatient authorizations training medical director team to assist and facilitate… more
    Humana (07/18/25)
    - Related Jobs

  • Medical Director , MSK Surgery

    Evolent (Lincoln, NE)
    …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... review of service requests. Oversees the Surgery Field Medical Directors and interacts with leadership and...questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into… more
    Evolent (05/20/25)
    - Related Jobs

  • Medical Director - South Central

    Humana (Lincoln, NE)
    …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... caring community and help us put health first** The Medical Director actively uses their medical...microwave connection can be used only if approved by leadership + Associates who live and work from Home… more
    Humana (07/11/25)
    - Related Jobs

  • Field Medical Director , Cardiology

    Evolent (Lincoln, NE)
    …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 (07/02/25)
    - Related Jobs

  • Field Medical Director , MSK (Spine)…

    Evolent (Lincoln, NE)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (07/02/25)
    - Related Jobs

  • Field Medical Director , Oncology

    Evolent (Lincoln, NE)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (05/20/25)
    - Related Jobs

  • Senior Director , Medical Affairs

    Edwards Lifesciences (Lincoln, NE)
    Patients are at the heart of everything we do. As the Senior Director , THV Medical Affairs, you will drive strategy development, evidence generation initiatives, ... of the organization + Facilitating effective collaboration across senior leadership stakeholders, including clinical, regulatory, marketing, health economics and… more
    Edwards Lifesciences (07/12/25)
    - Related Jobs

  • Field Medical Director , MSK Surgery

    Evolent (Lincoln, NE)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (07/04/25)
    - Related Jobs

  • Medical Director (CT)

    Molina Healthcare (NE)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
    Molina Healthcare (07/11/25)
    - Related Jobs

  • Senior Medical Director (Medicare)

    Molina Healthcare (Bellevue, NE)
    …from government and accreditation regulators. + Directs the team in providing physician leadership and expertise in the performance of prior authorization, ... 3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management +… more
    Molina Healthcare (06/13/25)
    - Related Jobs