- Zurich NA (Olympia, WA)
- …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
- Humana (Olympia, WA)
- …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
- CenterWell (Olympia, WA)
- **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
- Centene Corporation (Olympia, WA)
- …with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. + Participates ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- CVS Health (Olympia, WA)
- …day. **Position Summary** CVS Health is seeking an experienced and innovative Director of AI Solutions Design to lead the development of artificial ... (preferably healthcare related), and the ability to drive impactful change. This Director will serve as the main point of contact/liaison for internal customers.… more
- Norstella (Olympia, WA)
- 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
- Travelers Insurance Company (Olympia, WA)
- …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
- CenterWell (Olympia, WA)
- …experience in home-based care functioning in a branch leadership (Branch Director /Administrator) or Clinical Manager role strongly preferred. + Management ... branch operations specific to market assigned, to ensure financial, clinical operations and quality, service and sales initiatives are...the assigned area. + May oversee backfill for Branch Director and fill-in when Branch Director role… more
- United Therapeutics (Olympia, WA)
- …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