• Medical Director Specialty

    Molina Healthcare (Santa Fe, NM)
    **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
    Molina Healthcare (04/09/25)
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  • Director , Specialty Pharmacy…

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …Strategy and Patient Affordability We are seeking a highly skilled and motivated Director of Specialty Pharmacy Operations to lead and oversee the operations ... This position will be responsible for the Specialty Pharmacy operations for OAPI The position will...while ensuring alignment with the product's brand strategy. The Director will collaborate closely with cross-functional teams, including Brand… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Medical Director - Medicaid N.…

    Humana (Santa Fe, NM)
    **Become 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 work assignments involve moderately complex to complex issues...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
    Humana (05/14/25)
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  • Field Medical Director , MSK (Spine)…

    Evolent (Santa Fe, NM)
    …mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (05/21/25)
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  • Medical Director - National Medicare

    Humana (Santa Fe, NM)
    **Become 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 work assignments involve moderately complex to complex issues...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
    Humana (05/29/25)
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  • Medical Director - Care Plus…

    Humana (Santa Fe, NM)
    **Become 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 work assignments involve moderately complex to complex issues...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
    Humana (04/24/25)
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  • Field Medical Director , Cardiology

    Evolent (Santa Fe, NM)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (05/16/25)
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  • Medical Director - OneHome

    Humana (Santa Fe, NM)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation...Current and ongoing Board Certification of an approved ABMS Medical Specialty + A current and unrestricted… more
    Humana (05/31/25)
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  • Oncology Regional Medical Scientific…

    Merck (Santa Fe, NM)
    …our portfolio. We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating ... Candidates must reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD)… more
    Merck (06/03/25)
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  • Field Medical Director

    Evolent (Santa Fe, NM)
    …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (04/30/25)
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  • Medical Director - Medicare…

    Humana (Santa Fe, NM)
    …a part of 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...of assignment + Board Certified in an approved ABMS Medical Specialty + **Internal Medicine, Family Practice,… more
    Humana (04/24/25)
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  • Field Medical Director , Oncology

    Evolent (Santa Fe, NM)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to.... Current, unrestricted clinical license in medicine or required specialty . Obtaining and maintaining medical licenses… more
    Evolent (05/20/25)
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  • Field Medical Director , Radiology…

    Evolent (Santa Fe, NM)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
    Evolent (03/21/25)
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  • Medical Director - Medicare…

    Humana (Santa Fe, NM)
    …a part of our caring community and help 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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
    Humana (05/14/25)
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  • Medical Director

    Highmark Health (Santa Fe, NM)
    …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
    Highmark Health (05/07/25)
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  • Senior Manager, Specialty Pharmacy…

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …the Specialty Pharmacy operations for OAPI The position will report to Director , Specialty Pharmacy Operations We are seeking a detail-oriented and proactive ... Manager of Pharmacy Operations to support the operational execution of our new specialty pharmacy product launch. This role will be primarily focused on managing the… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Director , Business Development - RWD/E

    Cardinal Health (Santa Fe, NM)
    …Cardinal Health Insights and Engagements, a division of Cardinal Health Specialty Solutions, delivers comprehensive consulting, medical marketing and ... professional consulting engagements to pharmaceutical, biotechnology, medical device and medical diagnostic manufacturers in Specialty (with a large focus in… more
    Cardinal Health (05/30/25)
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  • Director , Global Clinical Development

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    …markets innovative products, with a focus on pharmaceutical products to meet unmet medical needs and nutraceutical products for the maintenance of everyday health We ... are seeking a Director , Global Clinical Development (GCD) who will be responsible...evaluation and clinical development of Rare, Metabolic Disease and Specialty Medicine products at different stages of development for… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (Santa Fe, NM)
    **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical research ... responsible for the evaluation and clinical development of Rheumatology, Immunology and Specialty Medicine products at different stages of development for a global… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Business Development…

    Cardinal Health (Santa Fe, NM)
    …consultants have provided expertise and guidance to help pharmaceutical, biotechnology and medical device companies get their products to market. Our regulatory and ... post-approval success in obtaining the greatest market share possible. The Director , Business Development with Cardinal Health Regulatory Sciences is a high-profile… more
    Cardinal Health (05/21/25)
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