• National Medical Director…

    Elevance Health (Smithfield, RI)
    …Benefits Management is looking to hire a ** National Solution Medical Director for a set of Post Acute Care Solutions.** This high-performing individual ... contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions Clinical Product Line, overseeing… more
    Elevance Health (05/16/24)
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  • Medical Director - North Central…

    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 (Staff Geriatrician or Physician with Ten (10) Years...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (04/25/24)
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  • 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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
    Humana (05/17/24)
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  • Medical Director - Southeast 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 ... 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 (05/10/24)
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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 ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
    Humana (04/12/24)
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  • Home Solutions Medical Director…

    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 episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
    Humana (05/11/24)
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  • Behavioral Health Medical Director…

    Humana (Providence, RI)
    …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... for project components, and work is performed without direction. The Behavioral Health Medical Director actively uses their medical background, experience,… more
    Humana (04/09/24)
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  • Health Systems Oncology Medical Affairs…

    Merck (Providence, RI)
    …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... the territory. **Role Summary** + The Health Systems Oncology Medical Affairs Director (HSO MAD) is a...relevant strategic planning + Attends and supports scientific and medical meetings and prepares post -meeting deliverables **Required**… more
    Merck (05/18/24)
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  • National Director , Clinical…

    CenterWell (Providence, RI)
    …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead ... caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic...subject matter expert (SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer,… more
    CenterWell (04/28/24)
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  • National Director , Transitional…

    CenterWell (Providence, RI)
    **Become a part of our caring community and help us put health first** ** National ** ** Director of Transitional Care and High-Risk Patient Management** The ... Director of Transitional Care and High-Risk Patient Management (TCM...consistent with PCO Strategic Initiatives. * Formulate and achieve national objectives, goals, and strategies (clinical, economic), integrate practice… more
    CenterWell (05/03/24)
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