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 where the analysis of situations or data requires an in-depth evaluation of variable factors. The 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 work occurs with a context of regulatory compliance, and...  more ->

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 where the analysis of situations or data requires an in-depth evaluation of variable factors. The 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 work occurs with a context of regulatory compliance, and...  more ->

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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage...  more ->

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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage...  more ->

Become a part of our caring community and help us put health first 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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference...  more ->

Become a part of our caring community and help us put health first 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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference...  more ->

Become a part of our caring community and help us put health first 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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference...  more ->

Become a part of our caring community and help us put health first 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 make determinations whether requested services, level of care, and/or site of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other reference...  more ->

Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan UM Medical Director...  more ->

Company Highmark Inc. Job Description JOB SUMMARY This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This includes the writing of clinical criteria based on research, engagement of clinical and non-clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding based off policy criteria falls within...  more ->

Medical Director - Gastroenterology Specialty Location: Remote - United States/Travel: 15-20% About This Opportunity Parexel is seeking an exceptional Medical Director with specialized expertise in Gastroenterology to join our Medical Sciences team. This is an outstanding opportunity for a physician looking to leverage their clinical expertise in the dynamic field of clinical drug development. As a medical expert and strategic partner, you'll play a pivotal role in advancing therapeutic innovations while building meaningful relationships with pharmaceutical sponsors and contributing to...  more ->

Parexel is in the business of improving the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new treatments. From clinical trials to regulatory, consulting, and market access, our therapeutic, technical, and functional ability is underpinned by a deep conviction in what we do. We believe in our values, Patients First, Quality, Respect, Empowerment & Accountability. Parexel is looking for a Medical Director with a very strong background in Ophthalmology to join our Global Medical Sciences...  more ->

Overview GSK is seeking a highly skilled Senior Medical Director, Clinical Development, for an Advanced Pipeline Unit (APU) Hepatology group to provide clinical and scientific leadership for potential new, established and emerging indications for assets in clinical development with a strong focus on steatotic liver disease (SLD), including alcohol-associated liver disease (ALD). You will work with project teams to plan and ensure delivery of clinical research and development activities and establish efficient collaboration throughout all stages of development. You will report to the Senior...  more ->

Site Name: USA - Pennsylvania - Upper Providence, GSK HQ, UK - Hertfordshire - Stevenage, USA - Massachusetts - Waltham Posted Date: Jan 22 2026 GSK is seeking a highly skilled Senior Medical Director, Clinical Development, for an Advanced Pipeline Unit (APU) Hepatology group to provide clinical and scientific leadership for potential new, established and emerging indications for assets in clinical development with a strong focus on steatotic liver disease (SLD), including alcohol-associated liver disease (ALD). You will work with project teams to plan and ensure delivery of clinical research...  more ->

Site Name: USA - Pennsylvania - Upper Providence, GSK HQ, UK - Hertfordshire - Stevenage, USA - Massachusetts - Waltham Posted Date: Jan 22 2026 GSK is seeking a highly skilled Senior Medical Director, Clinical Development, for an Advanced Pipeline Unit (APU) Hepatology group to provide clinical and scientific leadership for potential new, established and emerging indications for assets in clinical development with a strong focus on steatotic liver disease (SLD), including alcohol-associated liver disease (ALD). You will work with project teams to plan and ensure delivery of clinical research...  more ->

Job description Site Name: USA - Pennsylvania - Upper Providence, GSK HQ, UK - Hertfordshire - Stevenage, USA - Massachusetts - Waltham Posted Date: Jan 22 2026 GSK is seeking a highly skilled Senior Medical Director, Clinical Development, for an Advanced Pipeline Unit (APU) Hepatology group to provide clinical and scientific leadership for potential new, established and emerging indications for assets in clinical development with a strong focus on steatotic liver disease (SLD), including alcohol-associated liver disease (ALD). You will work with project teams to plan and ensure delivery of...  more ->

Opportunity Overview As Medical Director in North America Medical Affairs, you will be a strategic thought partner providing expert medical leadership and launch excellence, leading Medical Affairs strategy, content development, KOL education programs, and support our cross-functional field teams for North America. As a key member of the North America Medical team, reporting to the Senior Medical Director, North America, you will be accountable for advancing Rhythm's scientific leadership in Rare Neuroendocrine Diseases including hypothalamic Obesity and other pipeline indications. You will...  more ->

Opportunity Overview As Medical Director in North America Medical Affairs, you will be a strategic thought partner providing expert medical leadership and launch excellence, leading Medical Affairs strategy, content development, KOL education programs, and support our cross-functional field teams for North America. As a key member of the North America Medical team, reporting to the Senior Medical Director, North America, you will be accountable for advancing Rhythm's scientific leadership in Rare Neuroendocrine Diseases including hypothalamic Obesity and other pipeline indications. You will...  more ->

Job Summary The Medical Director, Rare Disease is a critical role responsible for shaping the strategic processes and planning for assets in across phases of development within the Rare Disease portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Rare Disease Medical Business Unit (BU) Lead. Job Description Key Responsibilities Include: Medical Strategy & Narrative...  more ->

Job Summary The Medical Director, Rare Disease is a critical role responsible for shaping the strategic processes and planning for assets in across phases of development within the Rare Disease portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Rare Disease Medical Business Unit (BU) Lead. Job Description Key Responsibilities Include: Medical Strategy & Narrative...  more ->