• Associate Director , Medical Affairs…

    Sumitomo Pharma (Pierre, SD)
    …. **Job Overview** The ** Associate Director , Medical ... more
    Sumitomo Pharma (03/08/25)
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  • Risk Adjustment Compliance Director

    Humana (Pierre, SD)
    …of our caring community and help us put health first** The Risk Adjustment Compliance Director ensures compliance with governmental requirements. The Risk ... more
    Humana (03/11/25)
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  • Associate Director , Prepay Payment…

    Humana (Pierre, SD)
    …a part of our caring community and help us put health first** The Associate Director , Prepay Payment Integrity uses technology and data mining, detects anomalies ... more
    Humana (03/08/25)
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  • Associate Medical Director

    Evolent (Pierre, SD)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** ... more
    Evolent (03/04/25)
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  • IPA Coding Associate Director

    CenterWell (Pierre, SD)
    …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... more
    CenterWell (03/06/25)
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  • D-SNP Compliance Director

    Humana (Pierre, SD)
    …indirect reports + Negotiates SMACs with state Medicaid agencies + Ensures compliance cross-functionally across the enterprise with all contract elements and drives ... more
    Humana (03/04/25)
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  • Physician Medical Director - LTSS

    Humana (Pierre, SD)
    …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... more
    Humana (01/25/25)
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  • Medical Director - Medicaid N. Central

    Humana (Pierre, SD)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... more
    Humana (03/11/25)
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  • Medical Director - Care Plus

    Humana (Pierre, SD)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... more
    Humana (03/06/25)
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  • Medical Director - Southeast Region

    Humana (Pierre, SD)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... more
    Humana (03/04/25)
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  • Medical Director - National Medicare Team

    Humana (Pierre, SD)
    …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... more
    Humana (03/11/25)
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  • Behavioral Health Medical Director

    Humana (Pierre, SD)
    …community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... more
    Humana (02/15/25)
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  • Director , Clinical IT Technologies

    Humana (Pierre, SD)
    …help us put health first** We are seeking an accomplished and dedicated Director of Clinical Technology Solutions to lead our Electronic Medical Records (EMR) ... more
    Humana (02/20/25)
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  • Medicare Grievances and Appeals Corporate Medical…

    Humana (Pierre, SD)
    …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... more
    Humana (01/07/25)
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  • Clinical Research Associate Manager…

    Merck (Pierre, SD)
    …monitoring in our clinical trials. Under the oversight of the Clinical Research Director (CRD) or Head of Site Management and Monitoring, the person is responsible ... more
    Merck (03/04/25)
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  • Senior Principal Biostatistician

    Edwards Lifesciences (Pierre, SD)
    …their span of influence/control ​The Sr Manager, Biostatistics Level is lateral to Associate Director , Biostatistics (" Associate Director Biostatistics") ... more
    Edwards Lifesciences (01/27/25)
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  • Commercial Surety Regional Leader

    Zurich NA (Pierre, SD)
    …at a Level 7 (Senior Regional VP) or Level 8 (Territory Underwriting Director ). The hiring manager will determine the appropriate level based upon the selected ... more
    Zurich NA (02/08/25)
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  • Senior Pharmacist

    Highmark Health (Pierre, SD)
    …and disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on ... more
    Highmark Health (02/21/25)
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  • AVP or VP Underwriting Manager - Group Captives

    Zurich NA (Pierre, SD)
    …Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate Degree and 5 or more years of experience in the Underwriting or ... more
    Zurich NA (02/12/25)
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