• 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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  • Behavioral Health Medical Director

    Humana (Raleigh, NC)
    …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 (11/11/25)
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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 - 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 (11/19/25)
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  • Medical Director - Nat'l UM IP (4x10…

    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 (11/07/25)
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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 (10/17/25)
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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 Aetna Duals Center…

    CVS Health (Raleigh, NC)
    …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... and providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The… more
    CVS Health (11/13/25)
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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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