- Humana (Washington, DC)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate ... diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- CareFirst (Baltimore, MD)
- …validation, new plan implementations, Prescription Drug Event and Coverage Determination, Appeals and Grievances analysis, policies, and procedures. Work with ... **Resp & Qualifications** **PURPOSE:** Responsible for all key aspects of Medicare Pharmacy operations including formulary and benefits administration and testing,… more