• Physician Medical Director - LTSS

    Humana (Lansing, MI)
    …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... medical necessity of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex… more
    Humana (01/25/25)
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  • Medical Director - Medicaid N.…

    Humana (Lansing, MI)
    **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 (03/11/25)
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  • Medical Director - Care Plus

    Humana (Lansing, MI)
    **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 (03/06/25)
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  • Medical Director - National Medicare…

    Humana (Lansing, MI)
    …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 (03/11/25)
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  • Behavioral Health Medical Director

    Humana (Lansing, MI)
    …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
    Humana (02/15/25)
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  • Field Medical Director , Cardiology

    Evolent (Lansing, MI)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (02/14/25)
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  • Field Medical Director

    Evolent (Lansing, MI)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (01/30/25)
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  • Physician - Medical Director , Child…

    Corewell Health (Grand Rapids, MI)
    Physician - Medical Director , Child & Adolescent Psychiatrist - Helen DeVos Children's Hospital - Grand Rapids, MI The Corewell Health Helen DeVos Children's ... within a premier children's hospital. We are growing to add a Medical Director to lead our new 12-bed, state-of-the-art pediatric medical psychiatric… more
    Corewell Health (12/31/24)
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  • Physician Manager 20 - Medical

    State of Michigan (Grand Rapids, MI)
    Physician Manager 20 - Medical Director Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4848644) Apply  Physician Manager 20 - Medical ... about a career at MVH, please click here (https://www.youtube.com/watch?v=o92V-nOxaKs) . Serve as Medical Director for Michigan Veteran Homes at Grand Rapids, a… more
    State of Michigan (03/13/25)
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  • Medical Director - Medicare…

    Humana (Lansing, MI)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (03/13/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Grand Rapids, MI)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
    Molina Healthcare (02/06/25)
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  • Field Medical Director , Genetic…

    Evolent (Lansing, MI)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Genetic Testing you will be a key member of the utilization ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
    Evolent (02/18/25)
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  • Associate Medical Director

    Evolent (Lansing, MI)
    …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in **Performance… more
    Evolent (03/04/25)
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  • Physician - Medical Director

    Corewell Health (Grand Rapids, MI)
    Corewell Health is seeking to fill the position of Medical Director for Clinical & Social Care. The incumbent will collaborate with the Vice President for Health ... VP, Community Investments, this position will also collaborate with the Medical Director , Equitable Outcomes on the Quality Safety and Experience team.The ideal… more
    Corewell Health (01/23/25)
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  • Physician - Medical Director

    Corewell Health (Grand Rapids, MI)
    …serves the families of West Michigan along with outlying communities. As a medical director in our comprehensive pediatric neurosciences program, you will have ... the opportunity to partner with pediatric pain psychology to create a comprehensive clinic, including the diagnosis, treatment and management of pediatric headache patients. You will have the support from the Corewell Health Research Institute to initiate a… more
    Corewell Health (02/22/25)
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  • Regional Medical Scientific Director

    Merck (Lansing, MI)
    **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific Congress Support,… more
    Merck (03/05/25)
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  • Regional Medical Scientific Director

    Merck (Lansing, MI)
    **Job Description** The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... scientific exchange with leaders in the external medical and scientific community. RMSDs provide to Scientific Leaders...with national and regional SLs to ensure access to medical and scientific information on areas of therapeutic interest… more
    Merck (03/04/25)
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  • Hematology Regional Medical Scientific…

    Merck (Lansing, MI)
    **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any drug,… more
    Merck (03/04/25)
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  • Director , Medical Regulatory…

    Corewell Health (Grand Rapids, MI)
    Job Summary - Director , Medical Regulatory and Accreditation Collaborates with the VP and senior leadership of Priority Health's Medical Management and ... relate to Medical Management.Supports activities and processes related to the medical policy life cycle. Essential Functions - Director , Medical more
    Corewell Health (01/22/25)
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  • Global Medical Excellence Associate…

    Merck (Lansing, MI)
    **Job Description** **Role Summary:** + The Global Medical Excellence Associate Director (GMEAD) reports to the Sr Director , Global Medical Excellence ... in General and Specialty Medicine. + The GMEAD supports the Sr Director Global Medical Excellence in overseeing and driving Value and Implementation Medical more
    Merck (03/12/25)
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