• Associate Director

    Otsuka America Pharmaceutical Inc. (Dover, DE)
    …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Associate Director for Student…

    University of Pennsylvania (Philadelphia, PA)
    …wealth of health and wellness programs and resources, and much more. Posted Job Title Associate Director for Student Engagement Job Profile Title Associate ... Professional Student Assembly (GAPSA). Job Description Position SummaryReporting to the Executive Director (ED), the Associate Director for Student… more
    University of Pennsylvania (05/04/25)
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  • Associate Director , Software…

    Humana (Dover, DE)
    …a part of our caring community and help us put health first** The Associate Director , Software Engineering leads software development application team based on ... business requirements. The Associate Director , Software Engineering requires a solid...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (06/10/25)
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  • Associate Director , Business…

    Humana (Dover, DE)
    …Description Humana's Insurance IT organization is seeking an experienced and strategic Associate Director , Technology Solutions to lead technology efforts within ... processes, and enterprise data management is highly preferred. The Associate Director , Technology Solutions acts as a...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (06/07/25)
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  • Associate Director , Channel…

    Otsuka America Pharmaceutical Inc. (Dover, DE)
    The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • IPA Coding Associate Director

    CenterWell (Dover, DE)
    …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
    CenterWell (04/24/25)
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  • Associate Director - Medical Science…

    Lilly (Philadelphia, PA)
    …entry (VEEVA, Sharepoint, Microsoft Office, Pub Med, expense reports, etc.), continual compliance of all procedural requirements of the role (ie good documentation ... its sole discretion and Lilly's compensation practices and guidelines will apply regarding the details of any promotion or transfer of Lilly employees. \#WeAreLilly more
    Lilly (06/09/25)
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  • Medical Director - Medicaid N. Central

    Humana (Dover, DE)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (05/14/25)
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  • Medical Director - OneHome

    Humana (Dover, DE)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Medical Director - Mid West Region

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (05/14/25)
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  • Medical Director - Care Plus - Florida

    Humana (Dover, DE)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (04/24/25)
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  • Before and After School Assistant Director

    Healthy Kids Programs (Quinton, NJ)
    …School JOB CONSISTS OF: + Stellar Supporter:The Assistant Director assists the Site Director with ensuring the program remains in compliance set by the state ... Before and After School Assistant Director Quinton, NJ (http://maps.google.com/maps?q=PO+Box+365+Quinton+NJ+USA+08072) Job Type Part-time Description...of New Jersey. + Guiding Compliance :Ensure that both staff and program adhere to OCFS… more
    Healthy Kids Programs (06/06/25)
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  • Medical Director -Payment Integrity

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
    Humana (06/06/25)
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  • National Utilization Management Director

    Humana (Dover, DE)
    …community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for development, ... clinical practices and processes for clinical community within the enterprise. The Director , Clinical Strategy and Practice requires an in-depth understanding of how… more
    Humana (06/06/25)
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  • Medical Director - Medicare Grievances…

    Humana (Dover, DE)
    …our caring community and help us 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...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
    Humana (04/24/25)
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  • Director , Grievance and Appeals

    Humana (Dover, DE)
    …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
    Humana (05/30/25)
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  • Director , Strategy Advancement, Risk…

    Humana (Dover, DE)
    …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
    Humana (05/29/25)
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  • Director , Payor Agnostic Account…

    CenterWell (Dover, DE)
    …a part of our caring community and help us put health first** The Director , Account Management is responsible for growing membership within existing accounts and for ... directly managing business relationships with client accounts. The Director , Account Management requires an in-depth understanding of how organization capabilities… more
    CenterWell (06/06/25)
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  • Regional Director - HIV Prevention, Field…

    Gilead Sciences, Inc. (Philadelphia, PA)
    …in transforming patient care through groundbreaking therapies. As the **Regional Director - HIV Prevention, Field Activation Specialist - Northeast** , you'll ... knowledge sharing and cooperation across the team and ecosystem organization. ** Compliance and Integrity/ Compliance and Legal Adherence:** + Ensure all… more
    Gilead Sciences, Inc. (05/16/25)
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  • Director , Drug Trend and Pipeline…

    CenterWell (Dover, DE)
    **Become a part of our caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
    CenterWell (06/05/25)
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