• Senior Director Clinical Account…

    Prime Therapeutics (Baton Rouge, LA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...client contacts, including information on the performance of the pharmacy program and the strategic account plan. + Identify,… more
    Prime Therapeutics (04/09/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Baton Rouge, LA)
    …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
    Zurich NA (05/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (Baton Rouge, LA)
    …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... 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 more
    Humana (05/14/25)
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  • Director , Drug Trend and Pipeline…

    CenterWell (Baton Rouge, LA)
    **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... to identify potential trend benders **Responsibilities** + Lead our medical and pharmacy drug trend and pipeline forecasting process including month over month,… more
    CenterWell (06/05/25)
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  • Divisional Director of Care Management,…

    CenterWell (Baton Rouge, LA)
    …years of Director experience preferred_ + _Though not required,_ _advanced clinical professional license strongly preferred such as RN, MSW/LCSW, NP, PA, MD/DO_ ... of our caring community and help us put health first** The Divisional Director is responsible for building a strong partnership with clinical -operational… more
    CenterWell (05/23/25)
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  • Oncology Regional Medical Scientific…

    Merck (Baton Rouge, LA)
    …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) oncology expert who… more
    Merck (06/03/25)
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  • Area Medical Director

    CenterWell (Lafayette, LA)
    …Maintain regular clinic hours for a percentage of FTE as determined with Regional Medical Director , as detailed on the clinical job description. + Serve as a ... and help us put health first** The Area Medical Director serves as a health-care professional and capable of...is also responsible for administrative oversight and outcomes for clinical providers designated to their area. Keeps a medical… more
    CenterWell (05/20/25)
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  • Medical Director - Behavioral Health

    Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
    …if there is a restriction that is allowed by a relevant jurisdiction, according to the medical director or clinical director , it is of the type that does not ... manage people + This role reports to this job: SENIOR MEDICAL DIRECTOR (MGR) + Necessary Contacts: department Managers, Authorization, Utilization Management, Case… more
    Blue Cross and Blue Shield of Louisiana (05/02/25)
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  • Trade Client Relations Director - Remote

    Prime Therapeutics (Baton Rouge, LA)
    …and drives every decision we make. **Job Posting Title** Trade Client Relations Director - Remote **Job Description** The Trade Client Relations Director is ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime… more
    Prime Therapeutics (04/17/25)
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  • Director , HEOR

    Norstella (Baton Rouge, LA)
    Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
    Norstella (05/08/25)
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  • Sr Director Rebate Analytics - Remote

    Prime Therapeutics (Baton Rouge, LA)
    …fuels our passion and drives every decision we make. **Job Posting Title** Sr Director Rebate Analytics - Remote **Job Description** The Senior Director Rebate ... track relative to client offering. + Collaborate effectively with Prime's Clinical , Client Engagement, Product Development, Marketing, Operations, and other internal… more
    Prime Therapeutics (06/05/25)
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  • Product Director

    Prime Therapeutics (Baton Rouge, LA)
    …our passion and drives every decision we make. **Job Posting Title** Product Director **Job Description** The Product Director is accountable for developing and ... + Ability to work well across cross-functional teams including clinical , network management, operations, specialty, client engagement, market segment services… more
    Prime Therapeutics (04/24/25)
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  • Product Director - State Public Sector…

    Prime Therapeutics (Baton Rouge, LA)
    …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on Prime's product roadmap across the Commercial, Government Programs… more
    Prime Therapeutics (04/22/25)
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  • Associate Director , Digital Health…

    Otsuka America Pharmaceutical Inc. (Baton Rouge, LA)
    …This is a high-autonomy, high-impact role that blends the best of on-label clinical education, access and reimbursement education, sales, and strategy - designed for ... health care. You will: + **Education with credibility and compassion:** Serve as a clinical expert on the Digital Products and the science of the disease state (eg.… more
    Otsuka America Pharmaceutical Inc. (06/04/25)
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  • VP & Medical Director

    Travelers Insurance Company (Baton Rouge, LA)
    …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
    Travelers Insurance Company (05/27/25)
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  • Director Of Nursing

    BrightSpring Health Services (Baton Rouge, LA)
    …monitoring both skilled and non-skilled healthcare services + Directly supervises clinical personnel + Providing clinical teaching and conducting performance ... first home visit (or comparable) of all new contracts with clinical component + Directly supervising the implementation, coordination, maintenance, evaluation, and… more
    BrightSpring Health Services (05/13/25)
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  • Clinical Manager, Home Health

    CenterWell (Baton Rouge, LA)
    …a part of our caring community and help us put health first** The ** Clinical Manager** coordinates and oversees all direct care patient services provided by ... clinical personnel. + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the… more
    CenterWell (05/08/25)
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  • Psychiatric Advanced Practice Provider (O-4/O-5…

    Immigration and Customs Enforcement (Jena, LA)
    …appointments, emergency, or urgent care visit. Consults with the Psychiatrist and/or Clinical Director for complex psychiatric patients and as required by ... Assistant - Certified (Psych-PA-C). The incumbent will report to the facility clinical director ; will establish a collaborative practice agreement with a… more
    Immigration and Customs Enforcement (04/02/25)
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  • Assistant Health Service Administrator (O-5…

    Immigration and Customs Enforcement (Alexandria, LA)
    …all applicable policies, accreditation standards, laws, and regulations. Collaborates with the RHA, Clinical Director , and Nurse Manager, as a function of the ... chair of the local leadership team (TRIAD) working in collaboration with the HSA, Clinical Director (CD) and Nurse Manager (NM). This is a supervisory position.… more
    Immigration and Customs Enforcement (05/24/25)
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  • Trade Relations Manager (Remote)

    United Therapeutics (Baton Rouge, LA)
    …Who you are You are well experienced in Trade, Biotech, and/or Specialty Pharmacy with a great understanding and appreciation of essential things like account ... foster Trade Relations between United Therapeutics Corporation ("UTC") and Specialty Pharmacy Distribution entities. This role will contribute to UT interaction with… more
    United Therapeutics (05/21/25)
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