• Medical Director -- Claims

    Humana (Topeka, KS)
    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 (10/29/24)
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  • Insurance Call Center Claims

    Mass Markets (Wichita, KS)
    …trusted partner in the industry. We are seeking an experienced Insurance Call Center Claims Director experienced in Property and Casualty and Life insurance to ... will professionally represent the company and its customers. Other Director Qualifications Include: + Requires 10+ years of insurance...and Life insurance programs and a proven track record claims management + Bachelor's Degree in … more
    Mass Markets (01/09/25)
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  • Medical Director - Florida

    Humana (Topeka, KS)
    …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 (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Topeka, KS)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , HIV Medical Affairs - NYC…

    Merck (Topeka, KS)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Director , Risk Management

    Western Digital (Topeka, KS)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
    Western Digital (12/27/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Topeka, KS)
    …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
    Humana (01/07/25)
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  • Market Director of Safety Emergency…

    HCA Healthcare (Wichita, KS)
    …safety. Assists in the administration of the property loss prevention and claims management program. Continually improves processes and services throughout the ... the United Kingdom. We are looking for a Market Director of Safety for our Wesley Medical ...management . Serves as the Safety Officer for Wesley Medical Center and other Wesley owned facilities and for… more
    HCA Healthcare (12/31/24)
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  • Oncology Regional Medical Scientific…

    Merck (Topeka, KS)
    …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
    Merck (01/10/25)
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  • Director , US Benefits

    Cardinal Health (Topeka, KS)
    …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
    Cardinal Health (01/11/25)
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  • Director , Medicaid Trend Mitigation…

    Humana (Topeka, KS)
    …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
    Humana (01/08/25)
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  • Director of Operations

    Mass Markets (Wichita, KS)
    …of our physical contact center locations. SALARY Commensurate - POSITION RESPONSIBILITIES Director of Operations are responsible for the management and ... a trusted partner in the industry. As a BPO Director of Operations in a rapidly growing industry, you...and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims more
    Mass Markets (10/25/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Topeka, KS)
    **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
    HomeSafe Alliance (12/21/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Topeka, KS)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
    Baylor Scott & White Health (12/21/24)
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  • Associate Director Data Science, US…

    Merck (Topeka, KS)
    …deliver measurable impact in commercial pharma landscape. + Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive mindset ... **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater… more
    Merck (01/14/25)
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  • BPO Insurance Licensing Director

    Mass Markets (Wichita, KS)
    …Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, ... in the industry. We are seeking an experienced BPO Insurance Licensing Director to support Property and Casualty business process outsourcing accounts. In this… more
    Mass Markets (01/09/25)
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  • Clinical Risk Management Coordinator RN

    AdventHealth (Shawnee, KS)
    …in Shawnee Mission, Kansas. **The role you'll contribute:** The Clinical Risk Management Coordinator works with the Administrative Director of Quality, Risk ... you need for you and your family:** + Vision, Medical & Dental Benefits from Day One + Student...several risk mitigation programs. Manages all enterprise risk insurance claims in collaboration w/ AHS Risk Management more
    AdventHealth (11/21/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Topeka, KS)
    **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
    HomeSafe Alliance (01/01/25)
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  • Certified Medical Assistant (CMA)…

    Erickson Living (Overland Park, KS)
    …with external health care facilities to support the EHWC Nurse Practitioner with claims management for work-related injuries. + Supports the EHWC NP with ... directed by the Nurse Practitioner. + Under the direction of the NP and Director , Operations, conduct audits of employee medical record including insurances, new… more
    Erickson Living (01/11/25)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Topeka, KS)
    …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... with business partners across client facing divisions, product/ project management , analytics, operations, and IT to enable data-driven strategic decisions.… more
    Prime Therapeutics (01/08/25)
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