- Humana (Honolulu, HI)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **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 (Honolulu, HI)
- …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
- Hawaii Pacific Health (Honolulu, HI)
- …losses arising from occurrences that could have been averted with appropriate risk management measures. As the Director , you will oversee the functions and ... training, as well as internal peer equity. Starting Hourly Rate: 93.50 **Position** Director , Corporate Insurance - Risk Management **Category** Management … more
- Humana (Honolulu, HI)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Merck (Honolulu, HI)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Honolulu, HI)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- Centene Corporation (Honolulu, HI)
- …everything for our 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization ... functions for the health plan business units. + Provides medical leadership for utilization management activities and...improve the quality and cost of care. + Reviews claims involving complex, controversial, or unusual or new services… more
- HomeSafe Alliance (Honolulu, HI)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
- Takeda Pharmaceuticals (Honolulu, HI)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- HomeSafe Alliance (Honolulu, HI)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Allied Universal (Honolulu, HI)
- …HR responsibilities within a branch office. + Oversee employee relations and claims management activities throughout the designated area, assuring that ... will reflect in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan, employee assistance programs,… more
- Mathematica (Honolulu, HI)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Evolent (Honolulu, HI)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
- Hawaii Pacific Health (Honolulu, HI)
- …services in collaboration with the managed care services department including referral management , patient steerage, and claims auditing. Under the general ... a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the… more
- Hilton (Honolulu, HI)
- …doing?** As a Human Resources Manager, you would be responsible for assisting the Director in the overall management and administration of the Human Resources ... by Hawaii's landscape\. The ideal candidate will have previous Human Resources Management experience, working knowledge of all local state employment laws, along… more
- Defense Threat Reduction Agency (Pearl Harbor, HI)
- …as focal point by providing support and input into program planning, management , review, and oversight of specific Research and Development programs related to ... QUALIFY? You MUST provide transcripts or other documentation to support your educational claims . All materials must be submitted by the closing date of the… more