- Humana (Honolulu, HI)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Marriott (Bethesda, MD)
- …Management **Bonus Eligible:** Y **Stock Package:** Y **JOB SUMMARY** The Senior Director , Benefits will lead the design, development, and execution of the company's ... top talent while supporting their physical, emotional and financial wellbeing. The Senior Director , Benefits will work closely with our US CHRO, HR partners and… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …to providers that would improve utilization and health care quality. Reviews claims involving complex , controversial, or unusual or new services in ... you to apply! Job Description: This position assists the Chief Medical Director to direct and coordinate the medical management, quality improvement and… more
- AbbVie (Florham Park, NJ)
- …LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Associate Director will bridge Market Access and Patient Services (MAPS) Team within ... diverse US portfolio. This role requires a strong grasp of healthcare policy, payer analytics, and strategy formulation within a collaborative, cross-functional… more
- Bristol Myers Squibb (Princeton, NJ)
- …is also responsible of performing the curation, transformation, and analysis of complex healthcare datasets to inform evidence generation, supporting developing ... us and make a difference. **Position Summary** The RWE Director is a key member of cross-functional teams and...field. + 3+ years of experience working with real-world healthcare data ( claims , EMR, registries, etc.). +… more
- Sanofi Group (Cambridge, MA)
- **Job Title:** Associate Director , Brand Analytics - Rare Disease (RD) **Location:** Cambridge, MA **About the Job** Ready to push the limits of what's possible? ... teams from Sanofi hubs to optimize process excellence and efficiency The **Associate Director , Brand Analytics - Rare Disease (RD)** will be responsible for the… more
- J&J Family of Companies (Irvine, CA)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- J&J Family of Companies (Santa Clara, CA)
- …relationships with WW key opinion leaders to inform on strategy + Drives value-based healthcare initiatives through key claims and a robust evidence strategy + ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- CVS Health (Baton Rouge, LA)
- …we do it all with heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- Oracle (Topeka, KS)
- …Senior Software Director to lead our AI engineering efforts across healthcare reimbursement, patient accounting, and revenue cycle management (RCM). This is a ... architecture and design of AI agents and multi-agent systems that orchestrate complex RCM workflows ( claims processing, charge capture, revenue integrity, denial… more