• Associate Medical Director…

    Elevance Health (Las Vegas, NV)
    …Operations Associate Medical Director ** **Carelon Medical Benefits Management** ** Post Acute Care Benefit Utilization Management** **Schedule:** ... member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in...care for the people we serve._ The **Clinical Operations Associate Medical Director ** is responsible… more
    Elevance Health (12/04/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Carson City, NV)
    **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...hospitals. The clinical scenarios predominantly arise from inpatient or post -acute care environments. There are discussions with external physicians… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Carson City, NV)
    …participation in care management. The clinical scenarios arise from outpatient, inpatient or post -acute care environments. The Medical Director will have ... caring community and help us put health first** The Medical Director relies on medical ...+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience… more
    Humana (10/25/25)
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  • Medical Director - Medicaid (remote)

    Humana (Carson City, NV)
    **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...management. The clinical scenarios predominantly arise from inpatient or post -acute care environments. Has discussions with external physicians by… more
    Humana (12/07/25)
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  • Medical Director -Payment Integrity

    Humana (Carson City, NV)
    …Information** Typically reports to a Lead Medical Director . The Medical Director conducts post -service, inpatient care reviews for accurate billing ... caring community and help us put health first** The Medical Director actively uses their medical...associates. The clinical scenarios predominantly arise from inpatient or post -acute care environments. A remote possibility exists of doing… more
    Humana (12/11/25)
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  • Regulatory Affairs Associate…

    GRAIL (Carson City, NV)
    …Affairs team in preparing submissions such as PMAs, 510(k)s, post -approval reports, annual reports, export certificates, establishment registrations, and device ... development, clinical affairs, quality, or program management within the IVD, medical device, or pharmaceutical industries. + Regulatory affairs and IVD device… more
    GRAIL (12/03/25)
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  • Medical Director - OneHome

    Humana (Carson City, NV)
    **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...+ 5+ years of direct clinical patient care experience post residency or fellowship + No sanctions from Federal… more
    Humana (11/27/25)
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  • Medical Director - IP Claims…

    Humana (Carson City, NV)
    **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Carson City, NV)
    …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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience… more
    Humana (11/15/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Carson City, NV)
    **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...+ 5+ years of direct clinical patient care experience post residency or fellowship, preferably including some experience related… more
    Humana (12/03/25)
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