• Medical Director - Medical

    CVS Health (Sacramento, CA)
    …**Position Summary** CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board ... development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will...desired * Proficiency in MS Office Suite **Education** * MD or DO, Current and Active Board Certification in… more
    CVS Health (11/22/24)
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  • Medical Director - OneHome/Home…

    Humana (Sacramento, CA)
    …+ Support Home Solutions as needed + Other activities as assigned by the managing Medical Director \#physiciancareers **Scheduled Weekly Hours** 40 **Pay ... help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS...your skills to make an impact** Required Qualifications + MD or DO degree + Current and ongoing board… more
    Humana (12/21/24)
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  • Medical Director - Florida

    Humana (Sacramento, CA)
    **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...MONDAY - FRIDAY. SOME WEEKENDS REQUIRED.** **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (12/14/24)
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  • Reviewing Medical Director

    Conviva (Sacramento, CA)
    **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...your skills to make an impact** **Required Qualifications** + MD or DO degree. + 5+ years of direct… more
    Conviva (12/11/24)
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  • Medical Director - South Central

    Humana (Sacramento, CA)
    **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...your skills to make an impact** Required Qualifications. + MD or DO degree + 5+ years of direct… more
    Humana (11/08/24)
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  • Medical Director - National Medicare…

    Humana (Sacramento, CA)
    …directed. May participate on project teams or organizational committees. Reports to a Lead Medical Director . **Required Qualifications** + MD or DO degree + ... part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for… more
    Humana (11/08/24)
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  • Medical Director ( MD /DO)

    Wellpath (Woodland, CA)
    …training, education, and point of care support. **How you make a difference** As a Medical Director , you will be responsible for providing medical oversight ... of services is provided to the Regional or Corporate Medical Director or designee to monitor services...the State. **Additional Details** Must be licensed as an MD or DO in the State of California. This… more
    Wellpath (12/10/24)
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  • Medical Director - Mid West Region

    Humana (Sacramento, CA)
    **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 reviewing of all...your skills to make an impact** **Required Qualifications** + MD or DO degree + 5+ years of direct… more
    Humana (10/29/24)
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  • Medical Director - Medical

    CVS Health (Sacramento, CA)
    …**Position Summary** Aetna, a CVS Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with ... anywhere in the United States. In this role as Medical Director MPO ( Medical Policy...Strong communication skills both written and verbal. **Education** * MD or DO, Board Certification in an ABMS recognized… more
    CVS Health (11/22/24)
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  • Medical Director - Commercial…

    CVS Health (Sacramento, CA)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
    CVS Health (11/14/24)
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  • Field Medical Director , Cardiology

    Evolent (Sacramento, CA)
    …utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...(NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is… more
    Evolent (11/15/24)
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  • Remote Child & Adolescent Behavioral…

    Centene Corporation (Sacramento, CA)
    …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
    Centene Corporation (10/26/24)
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  • Corporate Medical Director

    Humana (Sacramento, CA)
    …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 Medical Director works on problems of diverse scope and complexity...your skills to make an impact** **Required Qualifications** + MD or DO degree + A current and unrestricted… more
    Humana (11/27/24)
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  • Senior Medical Director

    Takeda Pharmaceuticals (Sacramento, CA)
    …knowledge. **Job Description** **About the role:** Join Takeda as a Senior Medical Director , Pharmacovigilance in Gastrointestinal and Inflammation (GI2). You ... the Takeda Safety Board and similar forums. The Senior Medical Director will be a key player...fosters a community of continual learning. **Minimum Requirements/Qualifications:** + Medical Degree ( MD ) required or internationally recognized… more
    Takeda Pharmaceuticals (10/18/24)
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  • Medical Director - (Cardiology)

    CVS Health (Sacramento, CA)
    …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...and Health Care Industry. * Active and current state medical license without encumbrances * MD or… more
    CVS Health (12/28/24)
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  • Field Medical Director -Pulmonology

    Evolent (Sacramento, CA)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
    Evolent (12/09/24)
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  • Medical Director - Behavioral Health

    CVS Health (Sacramento, CA)
    …**This is a remote based (work from home) role.** In this role has Medical Director (Behavioral Health) you will: * Provide comprehensive behavioral health care ... *Child/Adolescent Board Cert **Education** * Active and current state medical license without encumbrances MD or DO. **Pay Range** The typical pay range for… more
    CVS Health (12/11/24)
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  • Medical Director - Medicare Appeals

    CVS Health (Sacramento, CA)
    …a remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Medicare Appeals: * Direct daily work on ... Health Care Delivery System eg, Clinical Practice or Health Care Industry * Medical License ( MD ) or (DO) * An Active state medical license without… more
    CVS Health (10/31/24)
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  • Oncology Regional Medical Scientific…

    Merck (Sacramento, CA)
    …This person _must_ reside in the territory. **Role Summary** + The Oncology Regional Medical Scientific Director - Head & Neck Cancers/Melanoma is a credentialed ... (ie, PhD, PharmD, DNP, MD ) oncology expert who engages in bidirectional exchange of...questions about company products. The work of an Regional Medical Scientific Director is aligned to: Scientific… more
    Merck (12/24/24)
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  • Oncology Regional Medical Scientific…

    Merck (Sacramento, CA)
    **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...position covers the following states - Eastern PA, DE, MD . Applicants must reside within the assigned territory +… more
    Merck (12/12/24)
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