• Medical Director - Medicare Appeals

    CVS Health (Hartford, CT)
    …care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. * This ... based anywhere in the US. Responsibilities of this Medical Director role are related to Medicare Appeals. * Direct...Utilization Management Strategy support * Collaborative work with Medicare Quality and Compliance on an ongoing basis… more
    CVS Health (09/04/25)
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  • Executive Director , Metabolism & Obesity

    Merck (South San Francisco, CA)
    **Job Description** The Executive Director of Metabolism & Obesity will be responsible for overseeing and facilitating the research in metabolic diseases & obesity ... data science, while focusing on uncovering novel biology that delivers high- quality drug discovery pipeline. We are a research-driven biopharmaceutical company. Our… more
    Merck (08/28/25)
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  • Director , HEOR Strategy Lead, Obesity

    AbbVie (Chicago, IL)
    …must be followed. For problems surrounded by complex rules and regulations, the Director must be able to direct compliance knowledgeably and expeditiously + ... etc.) audiences + Drives the design and aggressive execution of a high quality HEOR program supporting the therapeutic area strategy that effectively and efficiently… more
    AbbVie (08/14/25)
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  • Associate Director , Client Analytics

    Evolent (Raleigh, NC)
    …of our specialty programs and administrative platform. **Role Overview:** The Associate Director role on Client Analytics will support both internal tand external ... Lead advanced analyses of healthcare authorization, claims, membership data, and clinical outcomes to uncover cost drivers, utilization trends, and opportunities for… more
    Evolent (09/12/25)
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  • Director Pharmacy Business Services

    Bassett Healthcare (Cooperstown, NY)
    …enjoy the best quality of life possible. What you'll do The Director of Pharmacy Business Services, receiving general direction from the Chief Pharmacy Officer, ... development, long-range planning and project development. The incumbent will work with clinical and non- clinical staff members to optimize operational and cost… more
    Bassett Healthcare (09/10/25)
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  • OB/GYN - System Medical Director

    Mount Sinai Health System (New York, NY)
    …**The Mount Sinai Health System seeks an Obstetrics and Gynecology System Medical Director for its Ambulatory Services at Mount Sinai Hospital!** Founded in 1852, ... is a 1,134-bed, tertiary-care teaching facility acclaimed internationally for excellence in clinical care. In the US News & World Report 2021-22 "Best Hospitals"… more
    Mount Sinai Health System (08/29/25)
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  • Associate Director , Small Molecule…

    Otsuka America Pharmaceutical Inc. (Salem, OR)
    …Deep knowledge of the drug development lifecycle, including preclinical and clinical stages, regulatory requirements, and quality standards. **Competencies** ... **Associate Director , Small Molecule Analytical Development** + Lead and...implementation activities for drug substance and drug product ensuring compliance with relevant ICH and regulatory guidelines + Develop… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Associate Director - BRD Automation

    Lilly (Indianapolis, IN)
    …+ Reviews and approves deviations, change controls, and technical reports to ensure quality and compliance . + Serves as a strategic liaison between the ... (BRD) is responsible for the manufacture of drug substance (DS) to support clinical trials within the BRD portfolio. This includes the internal manufacture of… more
    Lilly (08/15/25)
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  • Sr. VP Medical Director

    Sedgwick (Oklahoma City, OK)
    …(1) to three (3) years utilization review experience and three (3) years clinical quality control. **Skills & Knowledge** + Knowledge of evidence-based ... ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding… more
    Sedgwick (09/16/25)
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  • Hospice Director

    HCA Healthcare (Greenwood Village, CO)
    …hired below midpoint of the range. **Introduction** We are seeking a Hospice Director with HealthONE Hospice & Family Care to promote growth and unlock ... may vary by location._** We are seeking a Hospice Director for our team to be an innovator. HCA...hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy.… more
    HCA Healthcare (09/19/25)
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