- The Cigna Group (Bloomfield, CT)
- …as a clinical educator and consultant to utilization management , case management , network, contracting, pharmacy, and service operations ( claims ). This is an ... results:** + Performs benefit-driven medical necessity reviews for coverage, case management , and claims resolution, using benefit plan information, applicable… more
- Ankura (Phoenix, AZ)
- …client relationship manager and technical expert on high-profile construction disputes, claims , and litigation matters Value Proposition: This role is based in ... development Requirements: + Bachelor's degree in Engineering, Architecture, Construction Management , or related field from an accredited institution; Advanced degree… more
- Air National Guard Units (Duluth, MN)
- …hired. Responsibilities Major Duties: This is not an all-inclusive list A DIRECTOR OF INSPECTIONS (T5), GS-1801-12, 1. Plans, organizes, resources, and directs the ... will be presented and explained during the commander's inspection management board (CIMB) and may be added into the...provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide… more
- Evolent (Atlanta, GA)
- …of our specialty programs and administrative platform. **Role Overview** The Senior Director role on Client Analytics will lead the development and execution of ... diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including prior authorisation data… more
- Robert Half Technology (Princeton, NJ)
- …A global biopharmaceutical company with a growing US presence is seeking a Director of Pricing Policy and Analytics to lead pricing policy evaluation and build ... analysis, scenario modeling, and value-based pricing strategy development. Use claims data and forecasting tools to inform data-backed reimbursement strategies.… more
- Organon & Co. (Plymouth Meeting, PA)
- **Job Description** **The Position** The Scientific Publications Director will support all aspects of global biomedical publications development, with minimal ... generation platforms. Also understands observational research, real world evidence, claims databases, health economics and outcomes research period soft skills… more
- Manulife (MA)
- …can further advance our underwriting expertise. We are seeking an Underwriting Director with a history of making sound underwriting decisions, building strong ... for targeted initiatives + Analyze underwriting data through various studies and claims experience if applicable + Prioritize project work, focusing on generating… more
- US Courts (Denver, CO)
- …announcement and application instructions, please visit: https://www.ca10.uscourts.gov/hr/jobs/ director -workplace-relations. Responsibilities The Director of ... workplace. The incumbent offers confidential and impartial guidance to employees, management , and judges on employment rights and related workplace conduct issues,… more
- Gilead Sciences, Inc. (Foster City, CA)
- …and engagement with GDSI/GSM leadership._ Market Research Partner with Senior Director , Integrated Insights and Global Strategic Marketing (GSM) leadership to define ... Marketing organizations and experience with pharmaceutical data sources eg, Patient claims , EMR/EHR, Lab Data, chart audits, etc. Experience in conducting commercial… more
- Takeda Pharmaceuticals (Boston, MA)
- …drive access to portfolio medicines through HTA assessments and life cycle management **How you will contribute:** Global Value Proposition: + Establish a ... LOC level Decision-making and Autonomy + Responsibility in line with Associate Director level position; independently lead HE projects and support the Global Health… more