• AVP, Utilization Review & Pharmacy

    Zurich NA (San Juan, PR)
    …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
    Zurich NA (05/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (San Juan, PR)
    …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
    Humana (05/14/25)
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  • Lead Director , AI Solutions Design

    CVS Health (San Juan, PR)
    …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
    CVS Health (05/17/25)
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