- Humana (Des Moines, IA)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CenterWell (Des Moines, IA)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
- Humana (Des Moines, IA)
- …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 (Des Moines, IA)
- …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
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical … more
- CVS Health (Des Moines, IA)
- …cover urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and ... services to its membership. Aetna is looking for a medical director to be part of a...licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health… more
- Merck (Des Moines, IA)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert ... about any drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- **Job Summary** The Senior Director , Mature Assets Lead within the CNS medical business unit (BU) is a critical role responsible for shaping the strategic ... to balance competing priorities. This position reports directly to the Executive Director , CNS Medical BU Lead. **Job Description** **Key Responsibilities… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- The Associate Director , Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and ... through deep scientific understanding and collaborative partnerships. The Associate Director partners closely with global and regional cross-functional stakeholders… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- The Senior Director , Medical Affairs Solutions & Analytics provides oversight and spearheads Global Medical Affairs (GMA) business enablement and analytic ... efficient Medical Affairs operations as needed, including Medical customer relationship management , insights management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Molina Healthcare (Des Moines, IA)
- …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
- Humana (Des Moines, IA)
- …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... plan for the relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and cross-functional teams (eg,… more
- Primary Health Care (Des Moines, IA)
- As a Revenue Cycle Director , you will serve as the primary lead for PHC's billing and collections processes to increase cash flow and reduce patient accounts ... receivable. The Revenue Cycle Director works collaboratively with the Patient Services ...PHC's training opportunities including: PHC University, Emerging Leaders, and medical and dental assistant training programs. What You Will… more
- Sumitomo Pharma (Des Moines, IA)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Commercial Data Management ** . This high impact role requires a ... technically skilled person to support our growing Commercial Data Management (CDM) function, serving as a key liaison between...(Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- The Associate Director , Strategic Planning & Operations will support the assets of varying lifecycle stages in the relevant therapeutic area portfolio. This role is ... in driving operational excellence and innovation within our Global Medical Affairs organization, with a specific focus on the...are in place. This position reports directly into the Director , Strategic Planning Lead, who in turn reports into… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Health, Nephrology, Immunology, and Rare Disease. This role reports directly to the Director , Federal Government Affairs and located in the Washington, DC area. The… more
- Molina Healthcare (Des Moines, IA)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as ... JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and ...services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- **_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
- Sedgwick (Des Moines, IA)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... care. Preferred experience in: client services, clinical operations, and or workers comp claims ** . To determine account management strategies related to client… more