• Insmed Incorporated (Baton Rouge, LA)
    …of the field-based Field Access team, and will report to the Director , Field Access Managers. This is a non-supervisory position.ResponsibilitiesA key component of ... collaborative relationships with Patient Support Services, Field Sales, Channel Management , and Market Access colleagues to support patient access. Additional… more
    HireLifeScience (09/09/24)
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  • Medical Director Case

    CVS Health (Baton Rouge, LA)
    …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
    CVS Health (10/02/24)
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  • Territory Sales Manager

    Option Care Health (Baton Rouge, LA)
    …presentations within Option Care and externally with customers (ex. medical director , head of case management , executive c-suite individuals). **Travel ... **Job Description Summary:** Under the direction of the Regional Sales Director , Health Systems Solutions (RSD, HSS), manages the development and execution… more
    Option Care Health (09/25/24)
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  • Behavioral Health Medical Director

    Humana (Baton Rouge, LA)
    …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (08/07/24)
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  • Medical Director - South Central

    Humana (Baton Rouge, LA)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (09/27/24)
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  • Medical Director - Mid West Region

    Humana (Baton Rouge, LA)
    medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management more
    Humana (08/27/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Baton Rouge, LA)
    …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
    Evolent Health (09/10/24)
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  • Director , Regulatory Medical

    J&J Family of Companies (Baton Rouge, LA)
    Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
    J&J Family of Companies (09/17/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Baton Rouge, LA)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
    Highmark Health (09/24/24)
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  • Health Systems Oncology Medical Affairs…

    Merck (Baton Rouge, LA)
    …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… more
    Merck (09/27/24)
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  • Psychiatry- Field Medical Director

    Evolent Health (Baton Rouge, LA)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
    Evolent Health (09/20/24)
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  • Behavioral Health Medical Director

    Humana (Baton Rouge, LA)
    …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...experience post-training providing clinical services + Experience in utilization management review and case management more
    Humana (09/20/24)
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  • Executive Director , Global Medical

    Merck (Baton Rouge, LA)
    **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
    Merck (08/27/24)
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  • Medical Director - (Cardiology)

    CVS Health (Baton Rouge, LA)
    …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
    CVS Health (09/29/24)
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  • Medical Director (National Accounts)

    CVS Health (Baton Rouge, LA)
    …preferably resides in North Carolina and have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... evaluation of clinical/ medical programs and expand Aetna's medical management programs to address member needs...In addition you will oversee utilization review/quality assurance, directing case management . In this role you'll provide… more
    CVS Health (10/02/24)
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  • Medical Director - (Ortho/Total…

    CVS Health (Baton Rouge, LA)
    …**This is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a ... direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
    CVS Health (10/02/24)
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  • Medical Director , Medicaid (Remote…

    Highmark Health (Baton Rouge, LA)
    …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
    Highmark Health (08/23/24)
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  • Associate Director , Signal Detection…

    J&J Family of Companies (Baton Rouge, LA)
    …processing, reporting and evaluation of adverse events * Understanding in single case medical assessment, post-marketing aggregate adverse event data reviews, ... Associate Director , Signal Detection Scientist - 2406212640W **Description** Johnson...the US or UK may be considered on a case -by- case basis and if approved by the… more
    J&J Family of Companies (09/19/24)
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  • Director , Asset Management

    SitusAMC (Baton Rouge, LA)
    …is supervisory and has direct reports. This role is responsible for the overall management of multiple diverse asset management functions within Situs Asset ... with the ability to handle all transaction types without input from senior management . This position involves a high level of interaction and communication between … more
    SitusAMC (09/26/24)
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  • Director of Care Management - Aetna…

    CVS Health (Baton Rouge, LA)
    …solutions. + Knowledge of the regulations, standards, and policies which relate to medical management . Ability to communicate in a highly effective manner with ... of Louisiana (LCSW, LCPC, RN, LMFT) + Nationally recognized case management certification, or ability to obtain...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more
    CVS Health (10/02/24)
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