- Humana (Raleigh, NC)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... requires a case by case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and… more
- Centene Corporation (Raleigh, NC)
- … medical and pharmacy consultants for reviewing complex cases and medical necessity appeals . Participates in provider network development and new market ... benefits including a fresh perspective on workplace flexibility. **We're Hiring: Full time Medical Director in North Carolina.** Centene Corporation is a leading… more