• PCO Medical Director - UM - Part…

    CenterWell (Raleigh, NC)
    **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...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical more
    CenterWell (11/06/25)
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  • Medical Director

    Genesis Healthcare (Pembroke, NC)
    …flexibility (no weekends or on call)! We are seeking a Fee-For-Service Attending Physician/ Medical Director for our Pembroke Center, located in Pembroke, NC. New ... grads are welcome to apply. This is a Dual Role Attending Physician/ Medical Director . It is clinical in nature. Must be BC/BE Internal Medicine or Family… more
    Genesis Healthcare (10/29/25)
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  • Medical Director - Medicaid N.…

    Humana (Raleigh, NC)
    **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 (10/25/25)
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  • Medical Director , Nat'l OP Medicare

    Humana (Raleigh, NC)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
    Humana (12/13/25)
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  • OneHome - Medical Director - Part…

    Humana (Raleigh, NC)
    **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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (11/27/25)
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  • Medical Director - OneHome

    Humana (Raleigh, NC)
    **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 ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (11/27/25)
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  • Medical Director , Physician…

    North Carolina Agriculture & Technical State Unive (Greensboro, NC)
    …at the rank of Clinical Associate Professor or above, and reports to the Program Director . The Medical Director supports the PA and actively participates in ... providing patient care as well as the ARC -PA Standards of accreditations. The Medical Director will also serve as an advocate for the program and a liaison to… more
    North Carolina Agriculture & Technical State Unive (09/19/25)
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  • Medical Director - IP Claims…

    Humana (Raleigh, NC)
    **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 (Raleigh, NC)
    **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 (Raleigh, NC)
    …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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