• US Medical Director, RSV Franchise…

    Sanofi Group (Morristown, NJ)
    …as subject matter expert on multi-disciplinary Review Committee (RC) meetings for medical review and approval of all materials and messaging intended for ... **Job title:** US Medical Director, RSV Franchise - Vaccines **Location:** Morristown,...Partner with R&D and Clinical Development teams to write, review , edit, and approve key regulatory documents + Engage… more
    Sanofi Group (09/02/25)
    - Related Jobs

  • Chief Medical Officer - Michigan

    Centene Corporation (Detroit, MI)
    …+ Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines. + Provide ... who changes everything for our 28 million members. **Position Purpose:** Provide medical oversight, expertise and leadership to ensure the delivery of cost… more
    Centene Corporation (08/28/25)
    - Related Jobs

  • Utilization Review Coordinator

    Behavioral Center of Michigan (Detroit, MI)
    …utilization management. Reviews patient recrods and evaluates patient progress. Performs continuing review on medical records and identification and need ... supports the operations of Samaritan Behavioral Center. The Utilization Review Coordinator reviews the patient's chart and records...both admission and continued stay + Conducting and reviewing medical records for medical necessity… more
    Behavioral Center of Michigan (08/23/25)
    - Related Jobs

  • Ops Medical Case Manager

    MyFlorida (Daytona Beach, FL)
    …Care recommendation, Significant Additional Needs requests, Skilled Nursing Exception Letters, medical review and Incident Management System reporting for ... Knowledge, Skills, And Abilities Knowledge of: + Case management and medical record reviews. + Individuals with development/intellectual disabilities preferred.… more
    MyFlorida (08/08/25)
    - Related Jobs

  • Sr. Director, Scientific & Medical…

    Taiho Oncology (Princeton, NJ)
    …financial planning with accountability and foresight. + Provide strategic oversight for the Medical Review Committee (MRC) and Promotional Review Committee ... or Hematology is highly preferred. + A strong track record of success working in Medical Affairs,...consider for employment qualified applicants with arrest and conviction records . The incumbent in this position may be required… more
    Taiho Oncology (08/09/25)
    - Related Jobs

  • Initial Review Pharmacy Technician - Remote

    Prime Therapeutics (Des Moines, IA)
    …Expert within the organization. + Conducts Program Integrity Audits including outreach and review of medical records to audit authenticity of provider ... The Initial Review Pharmacy Technician plays a key role in medical and pharmacy management initiatives critical to the company achieving revenue goals and… more
    Prime Therapeutics (09/04/25)
    - Related Jobs

  • Director, Medical Affairs Strategy…

    Sumitomo Pharma (Cheyenne, WY)
    …Initiated Study and Collaborative Research program. + Provide detailed and compliant medical review and approval of external resources, communications, and ... as appropriate. + Capable of translating brand goals and objectives into actionable medical and scientific strategies. + Proven track record of detailed,… more
    Sumitomo Pharma (07/30/25)
    - Related Jobs

  • Medical Coding Reviewer I

    Centene Corporation (Jefferson City, MO)
    …policies, regulatory codes, legislative directives, precedent, AMA and CMS code edit criterion + Review medical records to ensure billing is consistent with ... through a comprehensive review and analysis of medical claims, medical records , claims...medical record for appeals, adjustments and miscellaneous/unlisted code … more
    Centene Corporation (09/05/25)
    - Related Jobs

  • Clinical Review Nurse - Retrospective…

    Centene Corporation (Sacramento, CA)
    …compliance. + Performs a clinical review of post-care services by reviewing medical records against guidelines and clinical research criteria to determine if ... at the most efficient and effective level + Reviews medical records for medical necessity...of care issues, and if identified, refer to the Medical Director or provider for review and… more
    Centene Corporation (08/17/25)
    - Related Jobs

  • Quality Data Coordinator - Medical…

    BayCare Health System (Tampa, FL)
    …+ The Quality Data Coordinator - Medical Records coordinates medical record review with a multi-disciplinary team and distributes results ... for recommendations/actions. + Responsible to ensure quality of medical record health information by verifying the accuracy, consistency, and timeliness +… more
    BayCare Health System (08/03/25)
    - Related Jobs