- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Providence, RI)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Providence, RI)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Evolent Health (Providence, RI)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve complex ... and modeling for value-based care arrangements with government and commercial payors, including medical expenses, risk scores, benchmark/premiums, attribution, and… more
- Merck (Providence, RI)
- …our Channel Partner satisfaction. This field-based role reports to the Associate Director , Channel Operations. **Key responsibilities may include, but ... scope of this role is to partner with US Commercial Leaders and the business by assisting in the...short-term business strategies in the Channel, managing Channel Partner contracts , and communicating with both internal and external stakeholders… more
- Merck (Providence, RI)
- …and escalates performance issues and training needs to CRA (Clinical Research Associate ) manager and/or functional vendor and internal management as needed. + ... as needed different challenges and issues to TA Head/CRD Clinical Research Director /CCQM Country Clinical Quality Manager and or CTT Clinical Trial Team (as… more