- Eisai, Inc (Nutley, NJ)
- …from you.JOB SUMMARY:As a member of the Data Analytics group, the Associate Director , Commercial Analytics is part of a high performing team that provides ... independently with limited supervision and feel comfortable working across a complex matrix environment including interaction with third party vendors and… more
- Insmed Incorporated (Bridgewater, NJ)
- …an objective and proactive view of product and market performanceSupport the Director of Commercial Analytics with adhoc requests to prepare for launchPartner ... (mix of education and experience also considered)Rare disease / specialty / respiratory experience preferredProduct launch experience preferredBachelor's degree… more
- AIG (Jersey City, NJ)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Casualty Claims Director to play your part in that transformation. It's ... a valued member of the team.Join us as a Complex Casualty Claims Director to...high-quality claim handling in the Casualty - Complex Claims Unit. Files handled by this… more
- Travelers Insurance Company (Hartford, CT)
- …business outcomes. " The BI Actuarial Product team is looking to hire a Director of Actuarial and Analytics. This person will be the actuarial lead on specific ... Specialty coverages starting in Inland Marine, partnering heavily with...strategies. They will also manage more junior staff. The Director , Actuarial and Analytics is an analytic leadership role… more
- Rising Medical Solutions (Chicago, IL)
- …providing strategic direction for Rising's Specialty Services unit involving complex /large medical claims ; analyzing and optimizing bill review procedures ... As our Director of Specialty Bill Review Services,...an expert witness as required. + Research and answer complex questions regarding CPT, ICD-9, HCPC and other codes,… more
- Walmart (Bentonville, AR)
- Position Summary What you'll do **Job Description** The Senior Director of Food Product Compliance is responsible for mitigating risk and enabling regulatory ... Private Brands, National Brands, and third-party offers related to unsubstantiated claims , food packaging chemical regulations and other packaging requirements. This… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …adult veterans with complex chronic diseases and neuropsychiatric illnesses in complex legal and psychosocial environments. The Medical Director should be ... on moonlighting The Home Based Primary Care (HBPC) Medical Director serves as the physician member of the HBPC...and use of geriatric assessments, primary care management of complex chronic illnesses, ability to evaluate for decision making… more
- Travelers Insurance Company (St. Paul, MN)
- …and agents. This role supports the Business Insights Delivery needs of the Claim organization within Bond & Specialty Insurance. The Business Insights Delivery ... Claim leadership to monitor business results. As the Director , Business Insights Delivery, you will lead the strategic...fit long-term business partner roadmaps. You will build highly complex data stories and present to management to enable… more
- Humana (Columbus, OH)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + No current sanction from Federal or State… more
- Humana (Columbus, OH)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …Extended Care service line is looking to hire a Physician - Assistant Medical Director . This position is eligible for the Education Debt Reduction Program (EDRP), a ... for a full-time Rehabilitation and Extended (REC) Care Associate Medical Director - Internal Medicine Physician/Family Practice Physician/Geriatrician, for the REC… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is provided to ... 50% administrative time. This person will be the Medical Director for the five VA Boston Community Based Outpatient...Based Outpatient Clinics. VA Primary Care Physicians manage a complex panel of patients in collaborative teams. Panel sizes… more
- CVS Health (Columbus, OH)
- …Summary: Primary Responsibilities: * Responsible for clinical oversight of DSNP/MMP complex populations (Duals Special Needs/MMP* Develop and lead clinical strategy ... management, reimbursement methods and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality, and care… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …of psychiatric assessment services and diagnoses mental disorders, particularly for complex or unusually difficult patients. Provide consultation to all staff in ... Attend regular meetings and coordinate with affiliate's psychiatry residency training director , medical student and osteopathy students' training directors. As the… more
- Centene Corporation (Austin, TX)
- …to providers that would improve utilization and health care quality. Reviews claims involving complex , controversial, or unusual or new services in ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- House of Blues (Los Angeles, CA)
- …and appeals - involving bodily injury, premises liability, and/or other types of tort, complex , or specialty cases + Expertise in Title III of the Americans ... read on! THE ROLE Live Nation is seeking a highly qualified and experienced Director of Litigation, General Liability & Disability Access to join our legal team. In… more
- CVS Health (Springfield, IL)
- …Strategy team under the Pharmacy Benefits Management (PBM) business unit. The Director , Network Strategy will partner with senior executives on developing how we ... requiring partnership with advanced analytic and financial talent. The director will be a data-driven leader with the ability...be a data-driven leader with the ability to distill complex analyses and concepts into insights that are packaged… more
- Arvinas (New Haven, CT)
- …in manipulating and extracting insights from large longitudinal data sources, such as Claims , EMR, Specialty Pharmacy and other patient level data sets required. ... For more information, please visit www.arvinas.com . **Position Summary** This Associate Director of Sales Operations Analytics will be responsible for leading sales… more
- Humana (Columbus, OH)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- J&J Family of Companies (Horsham, PA)
- Associate Director , Market Access Insights & Analytics - 2406187314W **Description** Johnson and Johnson is recruiting for an Associate Director , Market Access ... Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less… more
