- Elevance Health (Grand Prairie, TX)
- …resides within a commutable distance from an office._** The **Business Strategy Plan Director - MedEx ( Medical Expense) Management ** is responsible for ... managing the development and implementation of medical expense management initiatives for assigned Carelon...negotiates for human capital resources, and partners with care management , network, claims & operational teams, IT,… more
- Centene Corporation (Austin, TX)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Molina Healthcare (San Antonio, TX)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Humana (Austin, TX)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Guardian Life (Plano, TX)
- …experience is preferred + A thorough understanding of the dental insurance industry, claims management experience, and a substantive knowledge of CDT, policy, ... The **Dental Director ** will be responsible for ensuring that professional...compliant with applicable state regulations. You will ensure that claims , referrals, appeals, and grievances meet state specific regulations,… more
- United Therapeutics (Austin, TX)
- …compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and ... is responsible for leading the Department's risk management activities. The Senior Corporate Compliance Director will develop the auditing and monitoring… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Complete understanding of… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …consistency, and compliance. This position reports directly to the Senior Director , CNS Medical Communications Lead. **Job Description** **Key Responsibilities ... plan for the relevant therapeutic area portfolio, in partnership with the Senior Director , Medical Communications Lead, CNS Lead, and cross-functional teams (eg,… more
- Otsuka America Pharmaceutical Inc. (Austin, TX)
- …overarching customer engagement strategy on current and future engagement platforms, aligning medical /business objectives. + **Platform Management ** : Lead the ... **Job Overview:** The Director , Customer Engagement Platforms (CEP) will be responsible...engagement platforms, starting with, but not limited to, Otsuka's Medical Affairs Disease State Engagement platforms (PsychU, PsychUsim, ADPKDsim,… more
- Sumitomo Pharma (Austin, TX)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Commercial Data Management ** . This high impact role requires a ... technically skilled person to support our growing Commercial Data Management (CDM) function, serving as a key liaison between...(Salesforce, Veeva), syndicated data (IQVIA & Symphony sales and claims data, MMIT) The base salary range for this… more