Clinical Director Position

4 days ago


Lincoln, Nebraska, United States Humana Full time

As a Medical Director at Humana, you will be responsible for leading our team of healthcare professionals and providing medical interpretation and determinations. Key responsibilities include:

  • Leading a team of healthcare professionals
  • Providing medical interpretation and determinations
  • Supporting and collaborating with team members

Required qualifications include:

  • MD or DO degree
  • 5+ years of direct clinical patient care experience post residency or fellowship
  • Current and ongoing Board Certification in an approved ABMS Medical Specialty

Preferred qualifications include:

  • Knowledge of the managed care industry
  • Experience with national guidelines such as NCD/LCD, MCG or InterQual
  • Advanced degree such as an MBA, MHA, MPH


  • Lincoln, Nebraska, United States Evolent Full time

    Job DescriptionWe are seeking a skilled and experienced Field Medical Director, Radiology, to join our team. As a key member of the utilization management team, you will play a crucial role in making a meaningful difference in patients' lives through non-clinical contributions.The ideal candidate will have strong clinical, management, communication, and...

  • Clinical Director

    2 hours ago


    Lincoln, Nebraska, United States Aspen Dental Full time

    Unlock Your Potential:Achieve unparalleled success as a Clinical Director at Aspen Dental, where you'll lead a patient-centric team and assume responsibility for the highest standards of dental practice ethics and professionalism.Key Responsibilities:Conduct comprehensive full-mouth exams, diagnose dental conditions, and provide treatment planning options....


  • Lincoln, Nebraska, United States Evolent Full time

    Evolent is a healthcare company that partners with health plans and providers to improve patient outcomes. As a Field Medical Director, Radiology, you will play a key role in our utilization management team, working closely with physicians and staff to ensure high-quality care.The ideal candidate will have strong clinical and communication skills, as well as...


  • Lincoln, Nebraska, United States Humana Full time

    About the Job:We are looking for a seasoned Medical Director to join our team at Humana. As a Medical Director, you will play a key role in reviewing health claims and providing medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals.Responsibilities:Review health claims and provide medical...


  • Lincoln, Nebraska, United States Wexford Health Full time

    Job Description Job Description To Apply for this Job Click Here POSITION: Regional Medical Director - Central ILSCHEDULE: Full-Time FACILITY: Central ILLOCATION: Remote (30-50%travel, based in Illinois)A Job Should be MORE than just a paycheck.Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30...

  • Medical Director

    1 hour ago


    Lincoln, Nebraska, United States CVS Health Full time

    CVS Health Medical Director - Commercial Appeals in Lincoln, NebraskaAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital...


  • Lincoln, Nebraska, United States Emerald Nursing & Rehab Lancaster Full time

    Emerald Nursing & Rehab Lancaster - SummaryThe Director of Rehab manages all activities of the Rehab & Wellness Department including clinical assessments, record keeping, compliance with treatment plans, case management, customer service, compliance with State licensure requirements and facility policies and procedures.  Provides direct patient care in...

  • Medical Director

    7 days ago


    Lincoln, Nebraska, United States Evolent Full time

    Evolent Medical Director- (MD/DO) Job SummaryWe partner with health plans and providers to drive better outcomes for individuals with complex health conditions. This role requires collaboration across specialties and primary care, aiming to connect the fragmented healthcare system and ensure people receive compassionate care.Our employees enjoy a healthy...

  • Clinical Consultant

    6 days ago


    Lincoln, Nebraska, United States Evolent Full time

    Join Evolent's Team as a Physician Medical DirectorWe're seeking a talented individual to join our team as a Physician Medical Director. In this role, you'll be a key member of the utilization management team, working to drive better health outcomes for individuals with complex health needs.About Our TeamWe value collaboration, continuous learning, and...


  • Lincoln, Nebraska, United States Morph Enterprise Full time

    Job Title: Pharmacy DirectorLocation: Lincoln, Nebraska, United StatesPosition Summary:We are seeking an experienced Pharmacy Director to lead and manage the Pharmacy Department for our direct client, overseeing clinical and administrative operations across all sites. This role will ensure the delivery of high-quality pharmaceutical care and coordinate...


  • Lincoln, Nebraska, United States Morph Enterprise Full time

    Job Title: Pharmacy DirectorLocation: Lincoln, Nebraska, United StatesPosition Summary:We are seeking an experienced Pharmacy Director to lead and manage the Pharmacy Department for our direct client, overseeing clinical and administrative operations across all sites. This role will ensure the delivery of high-quality pharmaceutical care and coordinate...


  • Lincoln, Nebraska, United States Centene Full time

    **Overview of the Position:**This is an exciting opportunity to join Centene's Medical Management/Health Services team as a clinical professional. As a key member of our team, you will assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for our business unit.


  • Lincoln, Nebraska, United States Humana Full time

    What We're Looking ForWe seek a highly skilled and experienced Medical Director who can effectively lead our team in providing high-quality care to our members. The ideal candidate will possess a strong medical background, excellent communication skills, and the ability to work independently with minimal direction.A current and unrestricted license in at...


  • Lincoln, Nebraska, United States Allergan Full time

    About the RoleThis position requires an individual with exceptional leadership competencies, including delivering business results while positioning AbbVie for long-term success, persistent and resilient, finding ways to move good ideas forward, acting respectfully yet courageously, connecting unrelated concepts, generating original ideas, influencing...

  • Medical Director

    1 week ago


    Lincoln, Nebraska, United States Humana Full time

    Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )Humana Medical Director - Care Plus - Florida in Lincoln, NebraskaBecome a part of our caring community and help us put health firstThe Medical Director relies on...

  • Medical Director

    2 days ago


    Lincoln, Nebraska, United States Wexford Health Full time

    Job Description Job Description To Apply for this Job Click Here Wexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly two decades, Wexford Health has...

  • Medical Director

    7 days ago


    Lincoln, Nebraska, United States Humana Full time

    Humana Medical Director - Mid West Region Lincoln, Nebraska Apply NowBecome a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All...

  • Medical Director

    1 week ago


    Lincoln, Nebraska, United States Theoria Medical Full time

    2 days ago Be among the first 25 applicantsDirect message the job poster from Theoria MedicalCompensation: Up to $400,000 annually + monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Always Supported: NP/PA support at all locations, always.Pre-Screened Patient Interactions:...

  • Medical Director

    1 week ago


    Lincoln, Nebraska, United States Theoria Medical Full time

    5 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from Theoria MedicalCompensation: Up to $400,000 annually + monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Always Supported: NP/PA support...

  • IT Director

    4 weeks ago


    Lincoln, Nebraska, United States Insight Global Full time

    Must Haves:Bachelor's Degree or equivalent experience10+ years of experience in information technology, specifically within Product development, management, or ownership5+ years of experience holding a director-level or above positionThe ability to actively and effectively speak on Product Development and its industry trendsKnowledgeable in both back-end and...