- Highmark Health (Denver, CO)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions,… more
- Evolent (Denver, CO)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Humana (Denver, CO)
- …Solutions as needed + Other activities as assigned by the managing Medical Director Travel: While this is a remote position, occasional travel to Humana's ... 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… more
- CVS Health (Denver, CO)
- …the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical ... including post-graduate direct patient care experience specifically. Expands Aetna's medical management programs to address member needs across the continuum… more
- Merck (Denver, CO)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). + This MSL type role provides balanced, factual,… more
- State of Colorado (CO)
- DNR - Purchasing Agent III - Executive Director 's Office - Remote Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5055152) Apply DNR - ... Purchasing Agent III - Executive Director 's Office - Remote Salary $58,872.00 -...addition to offering rewarding, meaningful work, we offer: + Medical and Dental plans + Strong, flexible retirement plans… more
- Prime Therapeutics (Denver, CO)
- …Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology ... well as the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction… more
- Prime Therapeutics (Denver, CO)
- …every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy Senior ... in the State where the candidate resides + 10 years of work experience within medical and pharmacy drug management within a PBM or managed care organization + Must… more
- Humana (Denver, CO)
- …Services, IT, Information Security, Computer Science etc.); * 5 years of director + level work-experience in a highly diversified organization. Experience with a ... or other similar credentials preferred but not required if devsecops experience. Remote /WAH requirements: + WAH requirements: Must have the ability to provide a… more
- Otsuka America Pharmaceutical Inc. (Denver, CO)
- **Job Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team. This pivotal role will be responsible for ... degree and 15+ years of experience in a FDA regulated pharmaceutical and/or medical device industry environment + Strong knowledge of current global Good Clinical… more
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