• Remote Medical Director…

    Centene Corporation (Austin, TX)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
    Centene Corporation (01/06/26)
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  • Director , Home Health Grievances…

    CenterWell (Austin, TX)
    …compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, via phone ... caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal...required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to… more
    CenterWell (01/08/26)
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  • Grievances and Appeals Corporate…

    Humana (Austin, TX)
    …part of our caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about the ... and determining the best course of action. The Corporate Medical Director provides medical interpretation...protect member PHI / HIPAA information This is a remote position \#LI- Remote Travel: While this is… more
    Humana (01/18/26)
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  • Medical Director ( Appeals )

    Health Care Service Corporation (Richardson, TX)
    …development. **Job Summary** This Position Is Responsible For Assigned Aspects Of Medical Policies And Programs. Performs Medical Appeal Reviews And Interacts ... a specialty board approved by the American Board of Medical Specialties, National Board of Physicians and Surgeons, or...3 years Managed Care experience This is a Telecommute ( Remote ) role: Must reside withing 250 miles of the… more
    Health Care Service Corporation (12/12/25)
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  • Field Medical Director…

    Evolent (Austin, TX)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
    Evolent (12/18/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... of service should be authorized at the Initial and Appeals /Disputes level. All work occurs within a context of...to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of… more
    Humana (11/24/25)
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  • Medical Director -Payment Integrity

    Humana (Austin, TX)
    **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 (12/11/25)
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  • Medical Director - IP Claims…

    Humana (Austin, TX)
    **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 (12/11/25)
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  • Medical Director ( Medical…

    CVS Health (TX)
    …day. **Position Summary** Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a ... Fortune 6 company? This is a remote Work at Home position and can be located...anywhere in the United States. In this role as Medical Director MPO ( Medical Policy… more
    CVS Health (01/16/26)
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  • Director of Revenue Cycle - Specialty…

    Integrative Emergency Services (Dallas, TX)
    Integrative Emergency Services, LLC ("IES") is seeking a Director of Revenue Cycle - Specialty Services who will be responsible for the general supervision and ... but not limited to change capture, coding, billing, collections, denials, and appeals . + Serve as a liaison between specialty services and other departments,… more
    Integrative Emergency Services (01/06/26)
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