• Medical Director - Gulf South

    Humana (Nashville, TN)
    **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 (10/03/25)
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  • Medical Director - OneHome

    Humana (Nashville, TN)
    **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 (09/27/25)
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  • Medical Director

    HCA Healthcare (Nashville, TN)
    …of care in 21 states and the United Kingdom. We are looking for a Medical Director for our Work from Home team where excellence creates excellence. **Benefits** ... Do you want to be an influencer in healthcare? **Apply for our Medical Director role today!** **Job Summary and Qualifications** The Medical Director… more
    HCA Healthcare (09/27/25)
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  • Medical Director -Payment Integrity

    Humana (Nashville, TN)
    **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 (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Nashville, TN)
    **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 - Northeast Region

    Humana (Nashville, TN)
    **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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  • National Medical Director…

    CenterWell (Nashville, TN)
    …a 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 position ... 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 , Global…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …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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  • Medical Director -Dermatology…

    Elevance Health (Nashville, TN)
    ** Medical Director -Dermatology Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Medical Director -Dermatology Appeals** is responsible for the review of appeals for physical… more
    Elevance Health (10/01/25)
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  • Corporate Medical Director…

    Humana (Nashville, TN)
    …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 (09/05/25)
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