• Medical Director - Medicaid N.…

    Humana (Harrisburg, PA)
    **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 (Harrisburg, PA)
    **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 (10/30/25)
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  • Medical Director - Medicaid Team…

    Humana (Harrisburg, PA)
    **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 (10/28/25)
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  • OneHome - Medical Director - Part…

    Humana (Harrisburg, PA)
    **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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  • Regional Medical Director

    UPMC (Media, PA)
    …Behavioral Health (CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical ... network for the clinical needs of Community Care members. The Medical Director also participates in regional leadership policy decisions and strategic planning.… more
    UPMC (08/08/25)
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  • Medical Director - Claims Management

    Humana (Harrisburg, PA)
    **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 (11/01/25)
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  • Medical Director - Mid West Region

    Humana (Harrisburg, PA)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (09/16/25)
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  • Medical Director - Days - $24K Bonus

    Wellpath (Frackville, PA)
    …training, education, and point of care support. **How you make a difference** As a Medical Director , you will play a pivotal role in ensuring strict adherence to ... of medical services to the Regional or Corporate Medical Director , facilitating ongoing monitoring of service delivery and contract compliance. Your… more
    Wellpath (09/06/25)
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  • Assistant Medical Director , Gender…

    University of Pennsylvania (Philadelphia, PA)
    …of health and wellness programs and resources, and much more. Posted Job Title Assistant Medical Director , Gender & Sexual Health Job Profile Title Director ... C, Healthcare Job Description Summary Reporting to the Medical Director , the Assistant Medical Director , oversees gynecology, sexual health, and… more
    University of Pennsylvania (10/23/25)
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  • Medical Director

    Elevance Health (PA)
    ** Medical Director ** **Location:** **Virtual -** This role enables associates to work virtually full-time, with the exception of required in-person training ... employment, unless accommodation is granted as required by law. The ** Medical Director ** is responsible for the administration of physical and/or behavioral… more
    Elevance Health (10/29/25)
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