• Medical Director -- Claims

    Humana (Phoenix, AZ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **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
    Humana (05/08/25)
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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 - 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 , Medical Affairs Congress…

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    ** Director , Medical Affairs Congress Strategy and Execution** The Director , Medical Affairs Congress Strategy and Execution, plays a pivotal role in ... and elevate our overall GMA objectives. **Position Overview** Reporting to the Senior Director of Medical Affairs Excellence & Operations, this role will… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Global Medical

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    The Director , Global Medical Publications will support Otsuka in leading and developing an overall scientific communication strategy for publications and ... congresses, and will work closely with the Global Medical Affairs Teams, Clinical Teams, Global Value & Real-World Evidence Teams, and Publications Management more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Medical Director Specialty…

    Molina Healthcare (Phoenix, AZ)
    **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +...claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees… more
    Molina Healthcare (04/09/25)
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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 (Medicare)

    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 (05/02/25)
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  • Medical Director - Medicare…

    Humana (Phoenix, AZ)
    …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
    Humana (05/14/25)
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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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  • VP/Senior Director of Revenue Cycle…

    Adecco US, Inc. (Mesa, AZ)
    We are currently looking to bring on a **VP/Senior Director of Revenue Cycle Management ** for our top tier Behavior Health Facilities. This would be a full time, ... equivalent experience + Knowledge of ICD-10, Revenue Codes and CPT codes, claims processing, billing and insurance regulations, medical terminology, insurance… more
    Adecco US, Inc. (05/07/25)
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  • VP/Sr Director of Revenue Cycle…

    Adecco US, Inc. (Mesa, AZ)
    We are seeking a **VP/Senior Director of Revenue Cycle Management ** for our top tier Behavior Health Facilities. If you are looking for a **full-time, remote** ... equivalent experience + Knowledge of ICD-10, Revenue Codes and CPT codes, claims processing, billing and insurance regulations, medical terminology, insurance… more
    Adecco US, Inc. (05/07/25)
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  • Sr Director , Performance Suite Analytics

    Evolent (Phoenix, AZ)
    …health outcomes and a more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected for this role will be part ... and its customers in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client onboarding and implementation,… more
    Evolent (05/02/25)
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  • Director , Consumer Marketing, ADHD

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    The Director of CNS Consumer Marketing will be responsible for leading the consumer marketing efforts for two CNS brands. This role will be responsible for managing ... individual will also have two direct reports, an Associate Director and Senior Product manager, with the potential to...marketing + 2+ years dedicated to consumer marketing including management of a broadcast DTC program. + Experience with… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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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 , Creative Services

    Otsuka America Pharmaceutical Inc. (Phoenix, AZ)
    …and medical review requirements. + Implement workflow and project management tools to optimize creative requests, approvals, and revisions. **Collaboration & ... **Position Summary** The Director , In-House Creative Services will lead the development,...materials. This position will oversee the strategy, execution, and management of creative services, which may include an internal… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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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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