- Amgen (Washington, DC)
- …team. Join us and transform the lives of patients while transforming your career. ** Medical Director , US Medical Lead** **What you will do** Let's ... Let's change the world. In this vital role you will support implementation of US medical Strategies. Supporting the development and execution of US product … more
- Highmark Health (Washington, DC)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...and all users. If you would like to contact us regarding the accessibility of our website or need… more
- CenterWell (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. ... The Medical Director , Primary Care work assignments involve moderately complex to...program, business travel and accident. Application Deadline: 12-31-2025 **About us ** About Conviva Senior Primary Care: Conviva Senior Primary… more
- Humana (Washington, DC)
- **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...insurance and many other opportunities. Application Deadline: 12-31-2025 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for ... services. The Medical Director work assignments involve moderately complex...insurance and many other opportunities. Application Deadline: 01-31-2026 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more
- Humana (Washington, DC)
- …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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...and willing to obtain license, as required, for various states in region of assignment + 5+ years of… more
- Humana (Washington, DC)
- …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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...and willing to obtain license, as required, for various states in region of assignment** + **5+ years of… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... knowledge in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of...from home opportunity. Candidates may live anywhere in the US and work forty hours per week. Required Qualifications… more
- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... 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 (Washington, DC)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...insurance and many other opportunities. Application Deadline: 12-31-2025 **About us ** Humana Inc. (NYSE: HUM) is committed to putting… more