Remote Medical Director, Utilization
2 weeks ago
A healthcare company is seeking a Medical Director to utilize their medical expertise for determining patient services authorization. Responsibilities include medical evaluations, compliance with regulations, and collaboration with healthcare teams while focusing on Medicare and Medicaid populations. Candidates must hold an MD or DO degree and possess strong communication and analytical skills. This remote position requires occasional travel for training, offers competitive pay between $223,800 - $313,100 annually, and supports workplace wellness with comprehensive benefits.
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Remote Medical Director: IP
2 weeks ago
Honolulu, United States Humana Inc Full timeA leading health services company based in the United States seeks a Medical Director. The role involves providing medical interpretations, managing utilization of care, and collaborating with external healthcare providers. Applicants should hold an MD or DO degree with over 5 years of experience in clinical settings. The position is remote, requiring...
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Remote Medicaid Medical Director — Utilization
2 weeks ago
Honolulu, United States Humana Inc Full timeA national healthcare services organization is looking for a Medical Director to evaluate health claims and support care management. The ideal candidate will have an MD or DO degree with over 5 years of clinical experience. Responsibilities include providing medical determinations, collaborating with internal teams, and engaging in compliance with health...
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Honolulu, United States Remote Staffing Full timeDirector, Client Development, Capital One Ad Solutions - Telecom Partnerships (Remote)Capital One Shopping is looking for a Director Strategic Client Manager to join the Partnerships Team. You'll be responsible for partnering with our top merchants to help them succeed leveraging Capital One Shopping's suite of solutions. In this client-facing role, the team...
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Team Lead East
3 weeks ago
Honolulu, United States Remote Staffing Full timeRegional Medical Scientific Senior Director Team LeadThe Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, management, and full accountability for a regional, field-based team of Regional Medical Scientific Directors (RMSD) and their prioritized deliverables. The RMSD TL...
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Medical Director
2 weeks ago
Honolulu, United States Optum Full timeOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...
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Remote Medical Director, Pharmacy Appeals
2 weeks ago
Honolulu, United States Humana Inc Full timeA leading healthcare company is seeking a Medical Director to review Medicare drug appeals and ensure optimal value based care. The candidate will collaborate with clinical staff and provide insights on regulatory compliance. Required qualifications include an MD or DO degree, significant clinical experience, and a valid medical license. The position offers...
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Medical Director
1 week ago
Honolulu, United States Optum Full timeMedical Director – Clinical Advocacy and Support – Remote West Coast or Hawaii Preferred Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they...
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Remote Medical Director, Clinical Advocacy
1 week ago
Honolulu, United States Optum Full timeA healthcare organization seeks a Medical Director to lead clinical advocacy and support, focusing on enhancing health outcomes. This role involves overseeing clinical coverage, collaborating with a multidisciplinary team, and ensuring cost-effective care for members. Candidates should have an M.D. or D.O., appropriate licensure, and substantial clinical...
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Provider Appeals
2 weeks ago
Honolulu, United States Remote Staffing Full timeProvider Appeals & Grievances Specialist (Remote)This is a remote position open to any qualified applicant that lives in the United States. We are seeking a dedicated Provider Appeals & Grievance Specialist with 1 to 2 years of experience to join our team. The ideal candidate will have strong technical skills in MS Excel, knowledge/navigation skills for...
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Associate Director
3 weeks ago
Honolulu, United States Remote Staffing Full timeCampaign Lead For Indo-Pacific CommandCollins Aerospace, an RTX company, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace is advancing the Connected Battlespace across the joint force. We are seeking a Campaign Lead to drive customer engagement and campaign execution for the...