• Eisai, Inc (Nutley, NJ)
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for...health economics and outcomes research strategies, and timelines with medical affairs, marketing, managed markets and global value and… more
    HireLifeScience (09/09/25)
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  • Insmed Incorporated (NJ)
    …outcomes studies and clinical trial endpoint selection, disease natural history, medical claims and electronic health records, database analyses, economic ... and for the future of science, we're in. Are you?About the Role:The Senior Director , HEOR is a strategic leader responsible for the development and execution HEOR… more
    HireLifeScience (09/09/25)
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  • Eisai, Inc (Cincinnati, OH)
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... oral markets with approved indications, helping targeted customers, such as Medical Oncologists, Hematologists, Endocrinologists, and nurses, etc. learn about the… more
    HireLifeScience (11/14/25)
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  • Medical Director - OP Claims

    Humana (Juneau, AK)
    …Typically reports to Lead depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (11/24/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Boston, MA)
    …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Indianapolis, IN)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (10/25/25)
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  • Operations & Mgmt Consultant Mgr - SES

    MyFlorida (Orlando, FL)
    OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Date: Nov 17, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... Requisition No: 865168 Agency: Business and Professional Regulations Working Title: OPERATIONS & MGMT CONSULTANT MGR - SES - 79010568 Pay Plan: SES Position Number:… more
    MyFlorida (11/21/25)
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  • LPN-Utilization Mgmt Reviewer - Case…

    Guthrie (Cortland, NY)
    …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. + Serves ... Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination,...requirements and to assist in ensuring generation of clean claims in a timely manner + Securing authorization as… more
    Guthrie (10/28/25)
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  • Insurance Specialist II - Corporate Patient AR…

    Guthrie (Sayre, PA)
    …Leads any payer specific external claim audit activity, worked in combination with Management , Compliance, Medical Records and Clinical Operations. 9. Serves as ... Insurance Billing Specialists I and related support staff. Works closely with Director , Manager, Supervisor and Application Analyst on day to day priorities and… more
    Guthrie (11/19/25)
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  • Manager, Prime Contract Mgmt

    Fluor (Greenville, SC)
    …and resolution of claims * Work with Construction, Engineering, Supply Chain Management , Legal, and Insurance and Risk Management to assist in facilitating ... Defense and the Intelligence Community. **Job Description** This position assists in the management of prime contracts in conjunction with the Project Director more
    Fluor (10/01/25)
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