- Eisai, Inc (Nutley, NJ)
- …from you.JOB SUMMARY:As a member of the Data Analytics group, the Associate Director , Commercial Analytics is part of a high performing team that provides ... independently with limited supervision and feel comfortable working across a complex matrix environment including interaction with third party vendors and… more
- AIG (Jersey City, NJ)
- …we are reimagining the way we help customers to manage risk. Join us as a Complex Casualty Claims Director to play your part in that transformation. It's ... a valued member of the team.Join us as a Complex Casualty Claims Director to...high-quality claim handling in the Casualty - Complex Claims Unit. Files handled by this… more
- Travelers Insurance Company (Hartford, CT)
- …business outcomes. " The BI Actuarial Product team is looking to hire a Director of Actuarial and Analytics. This person will be the actuarial lead on specific ... Specialty coverages starting in Inland Marine, partnering heavily with...strategies. They will also manage more junior staff. The Director , Actuarial and Analytics is an analytic leadership role… more
- Rising Medical Solutions (Chicago, IL)
- …providing strategic direction for Rising's Specialty Services unit involving complex /large medical claims ; analyzing and optimizing bill review procedures ... As our Director of Specialty Bill Review Services,...an expert witness as required. + Research and answer complex questions regarding CPT, ICD-9, HCPC and other codes,… more
- Travelers Insurance Company (Hartford, CT)
- …and agents. This role supports the Business Insights Delivery needs of the Claim organization within Bond & Specialty Insurance. The Business Insights Delivery ... Claim leadership to monitor business results. As the Director , Business Insights Delivery, you will lead the strategic...fit long-term business partner roadmaps. You will build highly complex data stories and present to management to enable… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …adult veterans with complex chronic diseases and neuropsychiatric illnesses in complex legal and psychosocial environments. The Medical Director should be ... on moonlighting The Home Based Primary Care (HBPC) Medical Director serves as the physician member of the HBPC...and use of geriatric assessments, primary care management of complex chronic illnesses, ability to evaluate for decision making… more
- Humana (Columbus, OH)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + No current sanction from Federal or State… more
- Humana (Columbus, OH)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of...Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at… more
- Pfizer (Collegeville, PA)
- …contributor role.** + Technical evaluation of pharmaceutical industry data sources including claims , EHR, specialty pharmacy, sales, and customer master data. ... **ROLE SUMMARY** Pfizer seeks a highly skilled Director of Data Evaluation that has deep industry...Global across all Pfizer Biopharma business units: Primary Care, Specialty Care, and Oncology. Key accountabilities and partnerships include… more
- Veterans Affairs, Veterans Health Administration (Monterey, CA)
- …Medicine Service (EC&PMS) Home Based Primary Care program (HBPC) Medical Director provides clinical leadership through direction and coordination of medical care ... but are not limited to: Collaborates with the HBPC Program Director to provide leadership to the program. Coordinates comprehensive, interdisciplinary, medical… more
- Veterans Affairs, Veterans Health Administration (Boston, MA)
- …position in Boston, Massachusetts in vibrant and diverse clinics. The Medical Director is responsible for ensuring that excellent, high-quality care is provided to ... 50% administrative time. This person will be the Medical Director for the five VA Boston Community Based Outpatient...Based Outpatient Clinics. VA Primary Care Physicians manage a complex panel of patients in collaborative teams. Panel sizes… more
- CVS Health (Columbus, OH)
- …Summary: Primary Responsibilities: * Responsible for clinical oversight of DSNP/MMP complex populations (Duals Special Needs/MMP* Develop and lead clinical strategy ... management, reimbursement methods and treatment protocols for DSNP/MMP and other complex health populations to optimize risk adjustment, clinical quality, and care… more
- Pfizer (New York, NY)
- …to significantly enhance patients' treatment experience. With an approaching launch, the director will be responsible for playing a pivot role in development of ... the brand patient experience and education. The director will play an instrumental role in managing and...ideal candidate will bring strong marketing expertise, RD or specialty care experience, and a demonstrable ability to build… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- …of psychiatric assessment services and diagnoses mental disorders, particularly for complex or unusually difficult patients. Provide consultation to all staff in ... Attend regular meetings and coordinate with affiliate's psychiatry residency training director , medical student and osteopathy students' training directors. As the… more
- Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
- …for a full-time Rehabilitation and Extended (REC) Care Associate Medical Director - Internal Medicine Physician/Family Practice Physician/Geriatrician, for the REC ... 225-bed CLC provides comprehensive, interdisciplinary inpatient services for Veterans with complex and chronic, disabling disease. HBPC focuses on Veterans in… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director , Manufacturer Relations - Remote **Job Description Summary** The director ... etc. + Positions the growing and evolving value proposition of the Specialty Pharmacy for manufacturers and educates sales teams on positioning for finalist… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. Reviews claims involving complex , controversial, or unusual or new services in ... perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …of 3rd party data sources is required. This includes data from IQVIA, Symphony, Specialty Pharmacy, Payer Claims , SAP, HER, EMR, and other publicly available ... Director , US Commercial Data Harmonization & Governance Date:...Sales & Sales Operations, Forecasting & Insights, Patient Services, Specialty Pharmacy, Market Access, Generics & Biosimilars, Trade &… more
- Mindoula Health (LA)
- …the most complex and underserved behavioral health populations. The Program Director will build best in class teams to deliver a successful Population Health ... health management company that identifies, engages, and serves populations with complex behavioral health, medical, and social challenges across the continuum of… more
- Arvinas (New Haven, CT)
- …in manipulating and extracting insights from large longitudinal data sources, such as Claims , EMR, Specialty Pharmacy and other patient level data sets required. ... For more information, please visit www.arvinas.com . **Position Summary** This Associate Director of Sales Operations Analytics will be responsible for leading sales… more
