- Humana (Austin, TX)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Waystar (Atlanta, GA)
- …with hands on experience in the financial and operational challenges facing the healthcare provider market. We are looking for someone who can lead game changing ... features into product releases. This professional self-starter will report to a Director , Product Management and work closely with key stakeholders in data science,… more
- Mount Sinai Health System (New York, NY)
- …in clinical, revenue cycle & encounter data models. Extensive knowledge of healthcare /medical data such as hospital/physician claims , utilization data, and ... Job Description Director of Revenue Intelligence -Patient Financial Services- Corporate...Masters preferred. 7 years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include… more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …will improve the lives of patients with life-threatening illnesses worldwide. The Director of Ethics and Compliance Training and Communications is responsible for ... within the Global Compliance Operations team and reports directly to the Senior Director , Global Head of Ethics and Compliance Training and Communications. The … more
- J&J Family of Companies (Spring House, PA)
- …and digital health Knowledge of Immunology and the regulatory landscape Experience with healthcare datasets, such as EHR, or insurance claims Preferred Skills: A ... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments...data mining and/or text mining Experience analyzing or handling healthcare data sets, including EHR, claims and… more
- Sanofi Group (Morristown, NJ)
- Job Title: Associate Director , Cross-portfolio Analytics - Vaccines Location: Morristown, NJ About the Job Ready to push the limits of what's possible? Join Sanofi ... from Sanofi hubs to optimize process excellence and efficiency The Associate Director , Cross-portfolio Analytics - Vaccines, will be responsible for the reporting… more
- Elevance Health (Wallingford, CT)
- …acumen strongly preferred. Prior experience with managed care, trend & healthcare analytics, provider networks, claims , finance, and operations strongly ... Business Strategy Plan Director (Business Stat Plan Dir) Location: This role...identification of potential cost of care savings opportunities through complex analytics, development of action plans, benefits and risk… more
- Otsuka America Pharmaceutical Inc. (Des Moines, IA)
- Job Summary Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health ... and nutraceutical products for the maintenance of everyday health. As an Associate Director , Biostatistician, you will be a champion of Otsuka's culture and values… more
- Otsuka America Pharmaceutical Inc. (Annapolis, MD)
- Job Description The Senior Director , Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeline and ... Market Access, or payer experience Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and… more
- Otsuka America Pharmaceutical Inc. (Hartford, CT)
- The Executive Director , US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of US market access ... contracting, reimbursement strategy, and payer marketing Strong understanding of the complex and rapidly evolving factors influencing US market access, including… more
- CVS Health (Frankfort, KY)
- …we do it all with heart, each and every day. Position Summary The Lead Director , Pharmacy Appeals will lead a team of 40+ colleagues in the management of pharmacy ... guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential Response… more
- J&J Family of Companies (Titusville, NJ)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,...seeking a highly skilled and motivated S cienti fic Director to join our RWE team. The successful candidate… more
- Evolent (Columbia, SC)
- …seamlessly with diverse teams and stakeholders. Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- United Therapeutics (Concord, NH)
- …to risk mitigation. You are data-driven and methodical, and able to translate complex compliance insights into clear, actionable next steps. With a natural curiosity ... compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and is… more
- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …other. It's this deep-rooted dedication that drives us to uncover answers to complex , underserved medical needs, so that patients can push past the limitations of ... enhance communication strategies, ensuring seamless and personalized interactions with healthcare professionals (HCPs) and key opinion leaders (KOLs). Job… more
- WCG Clinical (Raleigh, NC)
- Data Analytics & Insights (DAI) Product Solutions, Associate Director (Remote) General Information Location: Cary, NC, Remote Organization: ePharmaSolutions LLC Job ... and geographic location. JOB SUMMARY: The DAI Product Solutions Associate Director is a key leader responsible for advancing business-critical initiatives across… more
- Evolent (Atlanta, GA)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims Synthesize complex analyses into succinct presentations for communication to ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The… more
- Humana (Columbus, OH)
- …diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors ... on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks. Works under minimal… more
- Edwards Lifesciences (Naperville, IL)
- …platform as part of our goal to transform heart failure management. The Director , Marketing will manage upstream marketing activities with a focus on software ... messaging, positioning, pricing, and launch strategy Align product and platform claims and indications with market access and regulatory strategy Actively… more
- Sutter Health (Sacramento, CA)
- …advancement and upkeep of the risk financing portfolio for Sutter Health, manages all claims and litigation, and serves as an advisor to senior leadership on risk ... accepted in lieu of the required degree or diploma. Bachelor's: Business, Healthcare Administration/ Management, or related field TYPICAL EXPERIENCE: 12 years recent… more
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