• PCO Medical Director - UM - Full…

    CenterWell (Providence, RI)
    **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 ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Providence, RI)
    **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 (10/25/25)
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  • Associate Respite Medical Director

    Boston Health Care for the Homeless Program (Boston, MA)
    …week, Monday - Friday Union: None Union Name: None Patient Facing: Yes The Associate Medical Director of Medical Respite, in close collaboration with the ... Medical Director , is responsible for the daily clinical operations of...to medical respite; working closely with the Medical Director , Director and Associate… more
    Boston Health Care for the Homeless Program (11/25/25)
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  • Medical Director , Nat'l OP Medicare

    Humana (Providence, RI)
    …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 (12/13/25)
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  • Medical Director - OneHome

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (11/27/25)
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  • OneHome - Medical Director - Part…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
    Humana (11/27/25)
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  • Medical Director of Primary Care

    Fenway Health (Boston, MA)
    Medical Director of Primary Care Boston, MA (http://maps.google.com/maps?q=1340+Boylston+St+Boston+MA+USA+02215) * Medical Job Type Full-time Description ... Reporting to the Chief Medical Officer (CMO), the Medical Director of Primary Care (MDPC) provides strategic and clinical leadership for the delivery of… more
    Fenway Health (10/21/25)
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  • Behavioral Health Medical Director

    Generations Family Health Center (Putnam, CT)
    …Shift Day Education Level Doctorate Category Health Care Description Behavioral Health Medical Director / Psychiatrist (MD/DO) Generations Family Health Center, ... Health Center: https://genhealth.org/our-community/ Location: Putnam & Willimantic, CT Behavioral Health Medical Director / Psychiatrist Role: + Responsible for… more
    Generations Family Health Center (10/16/25)
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  • Medical Director -Payment Integrity

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (12/11/25)
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  • Medical Director - IP Claims…

    Humana (Providence, RI)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (12/11/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Providence, RI)
    …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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
    Humana (11/15/25)
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  • Primary Care Medical Director

    Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
    …right here in Central Massachusetts! Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director will provide leadership and ... all aspects of Kennedy Community Health's Framingham MA primary care clinic. The Medical Director will spend part of their time overseeing the Provider staff as… more
    Edward M. Kennedy Community Health Center, Inc. (12/12/25)
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  • Associate / Medical Director

    Parexel (Providence, RI)
    …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 some of the best and brightest in the industry and assist our clients in… more
    Parexel (10/11/25)
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  • Field Medical Director , Cardiology

    Evolent (Providence, RI)
    …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 (11/14/25)
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  • Field Medical Director

    Evolent (Providence, RI)
    …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 (10/29/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Providence, RI)
    **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 to complex issues where the analysis of situations or data requires a case by case… more
    Humana (12/03/25)
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  • Field Medical Director - Vascular…

    Evolent (Providence, RI)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (10/10/25)
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  • Medical Director - Ophthalmology

    Parexel (Providence, RI)
    …Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to ... role can be based remo** t **ely in the US or Canada.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience… more
    Parexel (11/23/25)
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  • Medical Director - APP

    Edward M. Kennedy Community Health Center, Inc. (Framingham, MA)
    …right here in Central Massachusetts! Summary of opportunity: Reporting to the Chief Medical Officer, the Medical Director -APP will provide leadership and ... aspects of Kennedy Community Health's Framingham MA primary care clinic. The Medical Director -APP will spend part of their time overseeing the Provider staff as… more
    Edward M. Kennedy Community Health Center, Inc. (12/12/25)
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  • Behavioral Health Services Regional Medical

    Advocates (Framingham, MA)
    …that values the ideas and contributions of our staff. The Behavioral Health Regional Medical Director (RMD) is a leadership and clinical role within Advocates' ... Behavioral Health Services Division. The RMD serves as Medical Director for the clinics of an assigned region. The RMD, in conjunction with and at the direction… more
    Advocates (11/15/25)
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