• Senior Director , Claims

    Banner Health (Phoenix, AZ)
    …and a minimum of five to seven years medical professional liability management experience, either as in-house claims professional or outside counsel. Must ... Mgmt **Work Shift:** Day **Job Category:** Legal The **Senior Director , Claims & Litigation Counsel** will provide...leadership experience with healthcare risk management , quality management , in house liability claims management more
    Banner Health (06/07/25)
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  • Medical Director - Medicaid N.…

    Humana (Phoenix, AZ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (05/14/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Medical Director - Florida

    Humana (Phoenix, AZ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (06/05/25)
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  • Medical Director - Care Plus…

    Humana (Phoenix, AZ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (04/24/25)
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  • Director , Field Reimbursement…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    Director of Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director of Field ... advanced degree preferred Key Competencies + Strategic leadership and team management + Patient-centric approach to healthcare delivery + Operational excellence and… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Senior Director , Clinical Risk…

    Banner Health (Phoenix, AZ)
    …professional clinical degree and experience with healthcare professional liability claims management . Additional related education and/or experience preferred. ... Rel **Work Shift:** Day **Job Category:** Risk, Quality and Safety The **Senior Director , Clinical Risk Management & Patient Relations** will provide strategic… more
    Banner Health (05/21/25)
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  • Corporate Medical Director

    Humana (Phoenix, AZ)
    …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
    Humana (04/24/25)
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  • Director , Global Clinical Development

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Experience with the… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Complete understanding of… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Phoenix, AZ)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
    Molina Healthcare (06/06/25)
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  • Director , Provider Contracting Network…

    The Cigna Group (Scottsdale, AZ)
    …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical ... with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management ** serves as...position. + Creates and manages initiatives that improve total medical cost and quality. + Drives change with external… more
    The Cigna Group (04/09/25)
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  • Lead Director , Health Services

    CVS Health (Phoenix, AZ)
    …professionals. **Required Skills** + Strong understanding of the healthcare industry, including medical management , claims processing, and provider networks. ... is responsible for ensuring the accuracy and compliance of medical claims , which involves applying various editing...guidelines to ensure proper coding and payment. The lead director manages a team of claim editors, develops and… more
    CVS Health (06/07/25)
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  • Associate Director , Channel Strategy…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    **Associate Director , Channel Strategy and Patient Affordability** The Associate Director , Channel Strategy and Patient Affordability reports to the Executive ... Director , Channel Strategy and Patient Affordability. The Associate ...business review development experience + Experience working in matrix management structure with project management , coordination and… more
    Otsuka America Pharmaceutical Inc. (05/29/25)
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  • Senior Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Specialty Pharmacy Operations

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …Specialty Pharmacy operations for OAPI The position will report to the Executive Director , Channel Strategy and Patient Affordability We are seeking a highly skilled ... and motivated Director of Specialty Pharmacy Operations to lead and oversee...with cross-functional teams, including Brand Marketing, Sales, Patient Access, Medical Affairs, and Regulatory, to integrate pharmacy operations seamlessly… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Associate Director , Established Brands…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Associate Director , Brand & Sales…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    The Associate Director , Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director , Sales & Marketing Analytics should be able to...IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Senior Director , Federal Government…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    We are seeking a Senior Director , Federal Government Affairs to lead our US federal government engagement in Washington, DC. This position reports to the Vice ... leader, and a member of the Government Affairs Leadership Team, the Senior Director of the Federal Government Affairs will play an integral role in developing… more
    Otsuka America Pharmaceutical Inc. (04/19/25)
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  • Director , US Market Access Strategy…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health. As ... a Director , US Market Access Strategy and Innovation you will...and future lifecycle stages + Support the development and management of a clear US Market Access future landscape… more
    Otsuka America Pharmaceutical Inc. (05/31/25)
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