• Medical Director - Florida

    Humana (Providence, RI)
    **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 (07/29/25)
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  • Medical Director - South Carolina SE…

    Humana (Providence, RI)
    **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...requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical more
    Humana (07/22/25)
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  • Medical Director - OneHome

    Humana (Providence, RI)
    **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 (07/15/25)
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  • Medical Director - Mid West Region

    Humana (Providence, RI)
    **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 (05/14/25)
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  • Behavioral Health Medical Director

    Generations Family Health Center (Putnam, CT)
    Behavioral Health Medical Director (Psychiatrist) Job Details Level Management Job Location GEN Putnam - Putnam, CT Secondary Job Location(s) Undisclosed Remote ... Undisclosed Job Shift Day Job Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Generations Family Health Center, Inc.… more
    Generations Family Health Center (07/18/25)
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  • Medical Director - NorthEast Region

    Humana (Providence, RI)
    **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 provides medical interpretation… more
    Humana (07/25/25)
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  • Medical Director , MSK Surgery

    Evolent (Providence, RI)
    …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of the Medical ... development of questions. + Reviews statistical sample of cases for Field Medical Director audits and makes recommendations into the types of cases to review.… more
    Evolent (05/20/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Providence, RI)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs, CNS Early Assets will be responsible… more
    Otsuka America Pharmaceutical Inc. (07/16/25)
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  • Primary Care Medical Director

    Edward M. Kennedy Community Health Center, Inc. (Milford, MA)
    …in helping people live healthier lives. Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and ... all aspects of Kennedy Community Health's Milford MA primary care clinic. The Medical Director will spend part of their time overseeing the Provider staff as… more
    Edward M. Kennedy Community Health Center, Inc. (05/23/25)
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  • Medical Director - Medicare…

    Humana (Providence, RI)
    …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 scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (07/23/25)
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