• USMA Regional Medical Scientific Director

    Merck (Denver, CO)
    **Job Description** **Position Responsibilities** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and ... communication, and networking skills + A thorough comprehension of FDA, OIG, HIPAA , and other ethical guidelines, laws, and regulations relevant to the… more
    Merck (10/09/25)
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  • Virology (HIV) MSL / Regional Medical Scientific…

    Merck (Denver, CO)
    **Job Description** The Virology (HIV) Regional Medical Scientific Director is a credentialed (ie, MD, PhD, DNP, or PharmD) therapeutic and disease area expert who ... and society treatment guidelines, clinical research processes, FDA regulations, and OIG, HIPAA and other ethical guidelines, laws, and regulations relevant to the… more
    Merck (09/12/25)
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  • Part-Time Weekend Medical Director

    Highmark Health (Denver, CO)
    …the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In ... for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure… more
    Highmark Health (09/11/25)
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  • Director , Internal Audit - Insurance

    Humana (Denver, CO)
    …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
    Humana (10/01/25)
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  • Director , Patient Services and HUB

    Sumitomo Pharma (Denver, CO)
    …seeking a highly motivated and experienced individual for the position of ** Director , Patient Services** . Primary responsibilities include leading and developing a ... strategic framework for patient support services, aligned with brand imperatives. The Director has oversight of patient services operations and manages within the… more
    Sumitomo Pharma (08/15/25)
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  • Corporate Medical Director - Medicare…

    Humana (Denver, CO)
    …Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position. **Scheduled weekly hours** **:** ... 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.… more
    Humana (09/05/25)
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  • Associate Director Informatics

    CenterWell (Denver, CO)
    …of our caring community and help us put health first** The Associate Director , Informatics coordinates with other analytics, IT and business areas across the ... organizational capabilities intersect within and across departments. The **Associate Director , Informatics** will be responsible for supporting Patient Safety… more
    CenterWell (10/09/25)
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  • Director , Strategy Advancement

    Humana (Denver, CO)
    …this role. + A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote Travel: While this is a remote position, ... and help us put health first** Position Overview: The Director of Strategy Advancement for Associate Technology Experience (ATX)...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
    Humana (09/23/25)
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  • Associate Director WFM Capacity Planning

    CenterWell (Denver, CO)
    …part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing the long-range ... and can influence executive decision-making through data-driven insights. The Associate Director of WFM Capacity Planning is responsible for leading the end-to-end… more
    CenterWell (10/01/25)
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  • Medical Director - Medicare Grievances…

    Humana (Denver, CO)
    …+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information This is a remote position Travel: While this is a ... 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… more
    Humana (10/02/25)
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