• PCO Medical Director - UM - Part…

    CenterWell (Madison, WI)
    **Become 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...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Madison, WI)
    **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 , Nat'l OP Medicare

    Humana (Madison, WI)
    …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 to complex issues where the analysis of situations or data requires an in-depth… more
    Humana (12/13/25)
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  • OneHome - Medical Director - Part…

    Humana (Madison, WI)
    **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 (11/27/25)
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  • Medical Director - OneHome

    Humana (Madison, WI)
    **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 (11/27/25)
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  • Director - Medical Director

    Aspirus Ironwood Hospital (Wausau, WI)
    …join us as we demonstrate those values Every. Single. Day. Aspirus Health Plan is seeking a Director - Medical Director to join our team in Wausau, WI! The ... Medical Director is responsible for conducting day-to-day medical ...and maintenance), and quality improvement (Medicare Stars, NCQA). The Medical Director ensures that Aspirus Health Plan… more
    Aspirus Ironwood Hospital (12/13/25)
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  • Medical Director - IP Claims…

    Humana (Madison, WI)
    **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 (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Madison, WI)
    **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 (12/11/25)
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  • Hospice Medical Director

    Gentiva (Milwaukee, WI)
    …Transform Care through Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert ... substances. + Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare… more
    Gentiva (12/10/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Madison, WI)
    …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (11/15/25)
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