- Premera Blue Cross (Mountlake Terrace, WA)
- …. We are seeking an experienced **MD** to join our team as an **Assistant Medical Director ( Utilization Management - Oncology)** . The AMD ... addition, they will support clinical programs (disease and case management ), as well as the review and adoption of...Board of Internal Medicine is preferred for the Assistant Medical Director with an Oncology focus. (Required)… more
- Novo Nordisk Inc. (Seattle, WA)
- About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
- Lundbeck (Chicago, IL)
- …corporate guidelines. ESSENTIAL FUNCTIONS Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior ... lives. Join us on our journey of growth!The territory for the Regional Payer Account Director Central includes the following states: TX, OK, KS, NE, SD, ND, MN, MO,… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Executive Director , Value & Implementation (V&I) Outcomes Research, position resides in the V&I organization, which includes Global Medical ... cross-functional teams is a critical part of this role. The Executive Director has scientific and budgetary oversight for all outcomes research activities conducted… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …will oversee program operations, compliance, vendor contracts and relationship management . AD will drive collaboration and alignment amongst all cross-functional ... privacy, compliance and legal. Relationships The position reports to the Director , Patient Solutions and Field Reimbursement. Closely partners closely with MAPA,… more
- Eisai, Inc (Nutley, NJ)
- …research activities and development of external communication materials. The Director facilitates coverage, reimbursement and appropriate utilization based ... At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides...your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …need them most, by creating an environment where innovation and chronic disease management drive optimal health outcomes. Are you ready to realize your potential? ... customers. Relationships This position reports into a Vice President or Sr. Director within the National Account Market Access Teams. Internally, this position has… more
- Insmed Incorporated (NJ)
- …and business partners. Through these relationships, the DCA will lead the account management efforts and support appropriate utilization of Insmed brands so that ... collaboratively with internal stakeholders including Patient Services, Market Access, Medical Account Management , Finance, Legal, Compliance, Marketing, and… more
- Novo Nordisk Inc. (Omaha, NE)
- … Director . Relationships Position reports to Field Director /Senior Field Director . Serves as organization spokesperson on advanced medical and technical ... About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk...policies, legal, regulatory, and compliance requirements Ensures effective administrative management of regional business as well as operational budgets… more
- Eisai, Inc (Boston, MA)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... effectively implement those plans at local level. Keep senior management updated on all key issues at account(s) in...marketplace within which they operate. Work closely with Medicaid Director and other cross-functional teams to review and analyze… more
- Commonwealth Care Alliance (Boston, MA)
- … Mgmt - Directs, coordinates and evaluates efficiency and productivity of utilization management functions for physical health services and long term ... a high quality team.collaboration with the broader clinical organization. - Ensures that utilization management processes are integrated with care management … more
- BlueCross BlueShield of Tennessee (Chattanooga, TN)
- …Compact Law\. _Experience_ + 5 years - progressive leadership experience in care management , utilization management , clinical operations, or health plan ... ** Director , Commercial Clinical Operations - Care Management...Nurse with BSN highly preferred\. Managed care experience with Utilization Management and Care Management … more
- Lundbeck (Chicago, IL)
- …guidelines. **ESSENTIAL FUNCTIONS** + Engages in account portfolio planning using utilization data, and knowledge of therapeutic class management behavior ... Regional Payer Account Director - Central Requisition ID: 7112 Location: Chicago,...+ Accredited Bachelor's Degree + 7+ years pharmaceutical, biopharma, medical device or healthcare industry experience + Experience creating… more
- Carnegie Mellon University (Pittsburgh, PA)
- …Provide analytical support and financial insight for audits, facilities projects, space utilization , grants management , and special projects. + Coordinate with ... areas to investigate and solve real-world problems. We are seeking a Director of Accounting Operations. This position provides strategic and operational leadership… more
- Commonwealth Care Alliance (Boston, MA)
- 021350 Clin Alli-Care Delivery Administration Position Summary: The Director , Behavioral Health Care Delivery is responsible for the strategy and leadership of CCA's ... outreach workers in all CCA Care Delivery programs with BH components.The Director will collaborate closely with the Care Delivery Leadership to oversee, develop… more
- Monte Nido (Villanova, PA)
- …the opportunity for people to realize their healthy selves. **Clinical Director ** **EDC - Pennsylvania** **Villanova, PA** **Monte Nido Philadelphia Day Treatment,** ... in group and individual therapy, benefit from Monte Nido's clinical, medical , psychiatric and nutritional expertise and experience real life challenges. We… more
- Battelle Memorial Institute (Columbus, OH)
- …and welcome all qualified individuals to apply. **Job Summary** The Sr. Director , Procurement is responsible for directing the procurement and subcontracts functions ... objectives within contractual agreements, required laws, and regulations. The Sr. Director role will be developing and implementing procurement strategies; managing… more
- Lyric (Newtown Square, PA)
- …inform Lyric's clients. + Familiarity with affordability, claims operations, payment integrity, utilization management , medical policy and/or benefit policy ... Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will… more
- Commonwealth Care Alliance (Boston, MA)
- …provider engagement, delegation partnerships, provider services, contracting, quality, compliance, medical management , and analytics teams to advance provider ... contracting, or network operations, including 3-5 years in a director or senior management role. - Experience... management tools. - Understanding of claims operations, utilization management , and quality programs as they… more
- Monte Nido (Clifton, VA)
- …the opportunity for people to realize their healthy selves. **Clinical Director ** **Clementine Twin Lakes** **Clifton, VA** **Clementine Twin Lakes,** located in ... a life that reflects their own unique individuality. We are seeking a **Clinical Director ** to join the **Monte Nido** team. The **Clinical Director ** is… more
