• National Medical Director…

    CenterWell (Salem, OR)
    …part of our caring community and help us put health first** The National Medical Director for Home -Based Care Programs is a key clinical leadership ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
    CenterWell (10/02/25)
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  • Medical Director - OneHome

    Humana (Salem, OR)
    **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… more
    Humana (09/27/25)
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  • Corporate Medical Director…

    Humana (Salem, OR)
    …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...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (09/05/25)
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  • Medical Director - Gulf South

    Humana (Salem, OR)
    **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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (10/03/25)
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  • Medical Director - Medicare…

    Humana (Salem, OR)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid… more
    Humana (10/02/25)
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  • Medical Director -Payment Integrity

    Humana (Salem, OR)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Salem, OR)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
    Humana (09/16/25)
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  • Medical Director - Northeast Region

    Humana (Salem, OR)
    **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...provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and… more
    Humana (07/25/25)
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  • Field Medical Director , Cardiology

    Evolent (Salem, OR)
    …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 (10/01/25)
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  • Field Medical Director…

    Evolent (Salem, OR)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (07/30/25)
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