• Daiichi Sankyo, Inc. (Bernards, NJ)
    …areas centered around rare diseases and immune disorders. Summary:The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for ... to access for patients across our portfolio of products. The Associate Director will develop, in partnership with other key stakeholders, innovative solutions for… more
    HireLifeScience (05/08/25)
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  • Novo Nordisk Inc. (WA)
    …potential? This role can sit in Plainsboro, NJ or Washington, DC. The Position The Director - US Tax, Trade, IP works on complex issues that will require an in-depth ... globally. Relationships Reports to the Market Access and Public Affairs Senior Director , Policy. Other internal relationships include a dotted line with Corporate… more
    HireLifeScience (06/03/25)
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  • Medical Director - Medicare

    Elevance Health (Independence, OH)
    **Medical Director - Medicare (Part-time)** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... must be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the administration of physical and/or behavioral health… more
    Elevance Health (05/17/25)
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  • Medicare Director of Sales

    CVS Health (Sacramento, CA)
    …**A Brief Overview** Provides strategic leadership and oversees sales operations within an organization by setting sales targets and goals, developing sales ... strategies and plans, managing a sales team, monitoring sales performance, building and maintaining customer relationships, and collaborating with other departments to drive revenue growth. Applies leadership skills, market knowledge, and sales expertise to… more
    CVS Health (06/04/25)
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  • Remote Medicare Medical Director

    Centene Corporation (Jefferson City, MO)
    …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies to improve quality… more
    Centene Corporation (05/18/25)
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  • Medical Director - Medicare Appeals

    CVS Health (Hartford, CT)
    …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Part C Medicare Appeals. This position is ... cross train for regulated appeals. * Provide support to Medicare appeal nurses * Provide after hours and weekend...72 hour turn around time * Collaborative work with Medicare Quality and Compliance on an ongoing basis *… more
    CVS Health (06/03/25)
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  • Corporate Medical Director

    Humana (Topeka, KS)
    …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Medical Director - Medicare

    Humana (Sacramento, CA)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (05/14/25)
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  • Medical Director - National Medicare

    Humana (Jackson, MS)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/29/25)
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  • Lead Director Sales - Medicare

    CVS Health (Austin, TX)
    …for highly motivated individual to manage our Telesales vendor relationships as a Lead Director of Sales Support. The position will lead a team who will manage our ... with a high level of focus on selling Aetna's Medicare products. + Oversee and lead daily operations of...years in sales leadership role(s) preferably in Telesales and/or Medicare programs. 5+ years of managing individual contributors and… more
    CVS Health (06/04/25)
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  • Medicare Broker Account Executive…

    Excellus BlueCross BlueShield (Rochester, NY)
    …encourage you to apply! Job Description: Summary: Under the general direction of the Director of Medicare Sales, the Medicare Broker Account Executive ... and manages assigned external agents for the sales and retention of Individual Medicare products. Develops new methods to increase sales and enhance Health Plan's … more
    Excellus BlueCross BlueShield (05/20/25)
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  • Medicare MAP Advisor

    Centers Plan for Healthy Living (Staten Island, NY)
    Medicare or Sales experience SCOPE INFORMATION # Direct Reports: Director of Medicare Marketing Physical Requirements: The physical requirements described ... they need for healthy living. JOB SUMMARY : The Medicare MAP Advisor- Will promote and sale MAP and... MAP Advisor- Will promote and sale MAP and Medicare Line of Business, maintains relationships, services our existing… more
    Centers Plan for Healthy Living (04/15/25)
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  • Medical Director (Medical Affairs)

    CVS Health (Springfield, IL)
    Director UM decisions. If specifically assigned to one business segment (ie, Medicare clients), each director will become sufficiently skilled in various UM ... CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote based, work from home opportunity. The… more
    CVS Health (04/20/25)
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  • Medical Director (Medical Policy…

    CVS Health (Springfield, IL)
    …pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise ... Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next...in the United States. In this role as Medical Director MPO (Medical Policy & Operations) you will be… more
    CVS Health (05/20/25)
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  • Director , Government Contracts (Medicaid/…

    Molina Healthcare (Hattiesburg, MS)
    …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... Department mandated laws and rulings. * Comprehensive knowledge of Medicaid, Medicare , and Marketplace policies and programs. + Compliance experience - Medicaid… more
    Molina Healthcare (06/01/25)
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  • Home Health Master Social Worker MSW PRN

    Aveanna Healthcare (Naples, FL)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
    Aveanna Healthcare (05/30/25)
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  • Home Health Licensed Social Worker MSW Part Time…

    Aveanna Healthcare (Sauk City, WI)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... at least one year medical social work experience As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
    Aveanna Healthcare (05/29/25)
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  • Home Health Master Social Worker MSW PRN

    Aveanna Healthcare (Pompano Beach, FL)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
    Aveanna Healthcare (05/19/25)
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  • Home Health Licensed Clinical Social Worker LCSW…

    Aveanna Healthcare (Fayetteville, NC)
    …the client's physician, therapists or other care givers. + Provide input to the Medicare Director regarding the need for formulation or modification of agency ... year medical social work experience + Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in… more
    Aveanna Healthcare (05/14/25)
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  • Director of Finance Government…

    UTMB Health (Galveston, TX)
    Director of Finance Government Reimbursement ( Medicare , Medicaid) - Government Reimbursement **Galveston, Texas, United States** Executive - Business ... accounting, business, or related field. and ten (10) years Medicare and Medicaid reimbursement experience, with at least six...accounting or business and/or a CPA. + Experience with Medicare IME, DGME, DSH and Organ Acquisition reimbursement and… more
    UTMB Health (03/29/25)
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