• Special Assistant to Sr. Deputy Director…

    State of Michigan (Lansing, MI)
    Special Assistant to Sr. Deputy Director of PPOS Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4959052) Apply  Special Assistant to Sr. ... Deputy Director of PPOS Location Lansing, MI Job Type Internship...as online resources and available data sets (ie, Medicaid Claims Data, LARA). Reaching out to interested Auto-HPSAs and… more
    State of Michigan (08/21/25)
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  • Regional Sales Director - HIV Treatment…

    Gilead Sciences, Inc. (Hackensack, NJ)
    …the lives of patients with life-threatening illnesses worldwide. The Regional Director , Sales HIV Treatment Upstate NY/NJ is responsible for representing Gilead's ... and a proven record of sales success via multiple award recognition. The Regional Director should have the ability to synthesize various market data sources to guide… more
    Gilead Sciences, Inc. (08/29/25)
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  • Director Medical Management

    DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
    Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management functions, ... with internal stakeholders including the Chief Medical Officer, Provider Relations, Claims , and IT to ensure seamless integration of medical management processes.… more
    DOCTORS HEALTHCARE PLANS, INC. (08/29/25)
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  • Lead Medical Director

    Blue KC (MO)
    …assistance** **Employee discount program** **Job Description Summary:** The Lead Medical Director actively uses their clinical training, experience, and judgement to ... of care, and/or requested site of service should be authorized. The Medical Director will apply various clinical policies, state and federal guidance, and contracts… more
    Blue KC (08/26/25)
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  • Director of Clinical Performance…

    Commonwealth Care Alliance (Boston, MA)
    013390 CCA-Clinical Performance **Position Summary:** The Director of Clinical Performance Improvement, reporting to the Sr Director , Clinical Operations and ... qualitative and quantitative data + Ability to analyze clinicial, claims , and financial data; draw conclusions, and make appropriate...an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal… more
    Commonwealth Care Alliance (08/22/25)
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  • Director , Utilization Management

    Alameda Health System (Oakland, CA)
    Director , Utilization Management + Oakland, CA + Highland General Hospital + SYS Utilization Management + Full Time - Day + Nursing + Req #:40826-30155 + FTE:1 + ... time off plans **Role Overview:** Alameda Health System is hiring! The Director of Utilization Management holds a critical role encompassing operational oversight,… more
    Alameda Health System (08/08/25)
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  • General Pediatrics-Quality and Safety…

    Geisinger (Wilkes-Barre, PA)
    …and best practice healthcare to children. . Quality and Safety Leadership: The Director will utilize protected time to lead outpatient pediatric quality and safety ... safety culture and ensuring adherence to best practices. The Director will access to multiple data bases that incorporate...assistance . Generous CME . Comprehensive benefits package . Claims made malpractice insurance and tail coverage . Robust… more
    Geisinger (07/11/25)
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  • Director of Benefits

    Children's Hospital Boston (Boston, MA)
    79803BRJob Posting Title: Director of BenefitsDepartment:Human ResourcesAutoReqId:79803BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:Human ... ResourcesJob Posting Description:Position Summary The Director of Benefits is responsible for the development, implementation, administration and management of the… more
    Children's Hospital Boston (06/19/25)
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  • Director , Research & Development

    New York Power Authority (White Plains, NY)
    Director , Research & Development Location: White Plains, US **Summary** Leads research, design, and development activities to improve NYPA's energy services. ... and invoice documentation relating to projects. Evaluate and approve all change order claims and payment invoices. Work as a team member with other engineers inside… more
    New York Power Authority (08/08/25)
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  • Assistant Medical Director

    Premera Blue Cross (WA)
    …our Healthsource blog: https://healthsource.premera.com/ . As an **Assistant Medical Director ** at Premera, you will provide benefit coverage determinations based ... or network structure. + Use clinical expertise to support claims review decisions, including level of care, pricing and...training as appropriate **What you will bring:** + Physicians license with an MD or DO degree. + Unrestricted… more
    Premera Blue Cross (07/30/25)
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