• Medical Director - Claims

    Humana (San Juan, PR)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **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 (11/01/25)
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  • PCO Medical Director - UM - Part…

    CenterWell (San Juan, PR)
    …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 (San Juan, PR)
    …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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  • Medical Director - National UM Team…

    Humana (San Juan, PR)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (11/07/25)
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  • Medical Director - Medicare…

    Humana (San Juan, PR)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (11/06/25)
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  • Executive Director , Sales and Marketing,…

    Otsuka America Pharmaceutical Inc. (San Juan, PR)
    …our focus to ultra-rare neurological conditions. **Job Summary** The Executive Director , Sales and Marketing, Neurology Rare Disease will be responsible for ... or exceeding Net Sales, Operating Income, and engagement targets. The Executive Director , Sales and Marketing, Neurology Rare Disease will also ensure successful… more
    Otsuka America Pharmaceutical Inc. (11/12/25)
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  • Associate Director , Federal Government…

    Otsuka America Pharmaceutical Inc. (San Juan, PR)
    **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... Health, Nephrology, Immunology, and Rare Disease. This role reports directly to the Director , Federal Government Affairs and located in the Washington, DC area. The… more
    Otsuka America Pharmaceutical Inc. (11/06/25)
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  • Director , Clinical Programs

    Sedgwick (San Juan, PR)
    …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... care. Preferred experience in: client services, clinical operations, and or workers comp claims ** . To determine account management strategies related to client… more
    Sedgwick (11/06/25)
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  • Director , Global Value Evidence Operations

    Otsuka America Pharmaceutical Inc. (San Juan, PR)
    **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
    Otsuka America Pharmaceutical Inc. (09/13/25)
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  • Director , HCP Marketing Lead

    Otsuka America Pharmaceutical Inc. (San Juan, PR)
    …HCPs. The Director will work cross-functionally with sales, market access, medical affairs, and commercial operations to align on strategic priorities and ensure ... **Position Summary** The Director , HCP Marketing Lead guides the healthcare provider...engagement. + **KOL Engagement & Speaker Programs:** Partner with medical and sales teams toidentifyand engage key opinion leaders… more
    Otsuka America Pharmaceutical Inc. (11/01/25)
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