- Humana (Lincoln, NE)
- …part of our caring community and help us put health first** The Associate Director - Value-based Specialty and Vendor Support role builds templates, standard ... to contract templates, language negotiations, processes, and resources. The Associate Director for Value-Based Specialty and Vendor Support's decisions are… more
- Humana (Lincoln, NE)
- …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...DO degree + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills with… more
- Humana (Lincoln, NE)
- **Become 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 work assignments involve moderately complex to complex issues...Current and ongoing Board Certification in an approved ABMS Medical Specialty + **A current and unrestricted… more
- Humana (Lincoln, NE)
- **Become 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 work assignments involve moderately complex to complex issues...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- Evolent (Lincoln, NE)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex...Current and ongoing Board Certification in an approved ABMS Medical Specialty + A current and unrestricted… more
- CVS Health (Lincoln, NE)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… more
- Evolent (Lincoln, NE)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Humana (Lincoln, NE)
- …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...of Osteopathy . **Board-certified in ABMS or ABPN recognized specialty ** **of Psychiatry** . A current and unrestricted license… more
- Molina Healthcare (Lincoln, NE)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Evolent (Lincoln, NE)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… more
- Evolent (Lincoln, NE)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... to drive meaningful change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in… more
- Highmark Health (Lincoln, NE)
- …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
- Pfizer (Lincoln, NE)
- **ROLE SUMMARY** The Field Medical Outcomes is a field medical colleague responsible for informing customer decision-making and improving population health ... through real-world data analytics, pharmacoeconomic analyses, outcomes evaluations and medical presentations. The role is responsible for educating customers on the… more
- Cardinal Health (Lincoln, NE)
- …& Operations Support Specialist contributes to Cardinal Health_** Reporting to the Director of Specialty Pharmacy Operations, the Specialty Pharmacy ... experience in helping hundreds of hospital, outpatient, clinic, and specialty pharmacies, we provide access to best practice strategies...benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more
- Organon & Co. (Lincoln, NE)
- …Networks_ : hospital outpatient pharmacy departments, as well as IDN-owned medical groups, specialty pharmacy, infusion centers, payer, and home-infusion. ... Treatment Facilities & Department of Corrections. + _Other_ : The National Director may assign additional accounts, such as: Specialty Pharmacies, associations,… more
- Prime Therapeutics (Lincoln, NE)
- …and drives every decision we make. **Job Posting Title** Trade Client Relations Director Sr **Job Description** The Trade Client Relations Senior Director is ... responsible for proactively bringing innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's...care to its members. The Trade Client Relations Senior Director has an in depth understanding of Prime's strategic… more
- Wolters Kluwer (Lincoln, NE)
- **Associate Director , Field Sales (Financial Services) - Remote R0047770 | Wolters Kluwer** **Job Description** ** ** The Associate Director , Field Sales directs ... is pivotal to the success of WK Compliance Solutions, which the Associate Director , Field Sales will be responsible for nurturing and maintaining by partnering with… more
- Merck (Lincoln, NE)
- …Global Medical Value Capabilities functional areas, and Regional Field Medical Leadership. The Global Scientific Training Associate Director must possess ... **Job Description** **The Global Scientific Training Associate Director is accountable for these core activities:** + Creation and delivery of timely, high quality,… more
- CVS Health (Lincoln, NE)
- …for pharmacies allowed in the network. + Drive clinical and cost interventions for medical and specialty pharmacy by leveraging data and analytics to make ... more personal, convenient and affordable. Aetna is seeking a Director of Network Pharmacy to lead Strategy and Performance...our communities. The Company offers a full range of medical , dental, and vision benefits. Eligible employees may enroll… more