- Lilly (Indianapolis, IN)
- …are determined to make life better for people around the world. **Purpose:** The Case Management Medical Review Scientist is responsible for conducting ... to the position as necessary as defined in SOPs or as work evolves. A Case Management Medical Review Scientist is expected to meet the criteria as outlined… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. **Job Responsibilities:** The Sr. Director PV Case Management ICSR provides technical leadership for the ... as the primary liaison between cross functional teams including Case Management and Clinical Operations, Commercial teams, Medical Affairs, and Regulatory… more
- Humana (Indianapolis, IN)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Indianapolis, IN)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- CenterWell (Indianapolis, IN)
- …Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care ... **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… more
- Humana (Indianapolis, IN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Highmark Health (Indianapolis, IN)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Humana (Indianapolis, IN)
- **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Indianapolis, IN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Humana (Indianapolis, IN)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...or clinical group practice management + Utilization management experience in a medical management… more
- Elevance Health (Indianapolis, IN)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management /Utilization Review** ... Director ** is responsible for supporting the medical management staff ensuring timely and consistent...attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum… more
- Evolent (Indianapolis, IN)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- Elevance Health (Indianapolis, IN)
- **Appeals Medical Director - Indiana Medicaid** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... by law. Alternate locations may be considered. The **Appeals Medical Director ** is responsible for the appeal...aspects of a program. + May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers… more
- Elevance Health (Indianapolis, IN)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... increase effectiveness and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from… more
- Parexel (Indianapolis, IN)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- Ascension Health (Indianapolis, IN)
- **Details** + **Specialty:** Pediatrics + **Subspecialty Interest:** Neonatology - Medical Director + **Schedule:** Days in house 8am-5pm, Home call 5pm-8am with ... skilled Neonatologist to join our team in Lafayette as Medical Director ! + **EMR System:** EPIC +... diagnostic and treatment skills. Coordinates discharge planning with case management . + Recommends, participates in, and… more
- International Medical Group (Indianapolis, IN)
- …and/or high utilization of medical services and refer those identified for large case management . + Document information and status in case management ... when evaluating medical cases and confer with Medical Director when appropriate. + Communicate with...medical necessity as it relates to precertifications and case management . + Flexibility - must be… more
- State of Indiana (Indianapolis, IN)
- …Manage employee travel, time reporting and overtime to ensure maximum efficiency in case management and costs. + Establish and/or communicate and interpret ... Family Case Manager Supervisor Date Posted: Dec 10, 2025...well as provides training to new staff. + Identify management and organizational problems and provides training and development… more
- State of Indiana (Indianapolis, IN)
- GIS Director Date Posted: Dec 9, 2025 Requisition ID: 469344 Location: Indianapolis, IN, US, 46204 Work for Indiana Begin a fulfilling career with the State of ... GIS specialists. The position's focus is on ESRI and related geodatabase management tools. The systems maintained by this department facilitate the core mission… more