• Medical Director -- Claims

    Humana (Carson City, NV)
    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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  • Medical Director - National Medicare…

    Humana (Carson City, NV)
    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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  • Medicare Grievances and Appeals Corporate…

    Humana (Carson City, NV)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/29/24)
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  • Lead Director , Network Management

    CVS Health (Carson City, NV)
    …health care more personal, convenient and affordable. **Position Summary** The Lead Director of value based contracting and business development is responsible for ... annual bid process. The position will work closely with the Engagement Management resources responsible for optimizing performance of our VBC agreements to ensure… more
    CVS Health (11/02/24)
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  • Director , Global Labeling Strategy Lead

    Takeda Pharmaceuticals (Carson City, NV)
    …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 (11/08/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Carson City, NV)
    …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
    Takeda Pharmaceuticals (10/16/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Carson City, NV)
    **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 (10/02/24)
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  • Senior Data Visualization Consultant - Remote

    Prime Therapeutics (Carson City, NV)
    …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 (11/08/24)
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  • Data Scientist- REMOTE

    Prime Therapeutics (Carson City, NV)
    …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
    Prime Therapeutics (11/01/24)
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  • Physician Compensation Analyst

    Intermountain Health (Carson City, NV)
    Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
    Intermountain Health (11/05/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Carson City, NV)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
    Intermountain Health (10/31/24)
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  • Senior Compliance Specialist

    Fujifilm (Carson City, NV)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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  • HR Spec (Mil)- G1 Records Manager

    Army National Guard Units (Carson City, NV)
    …of one of the following human resource programs: Enlisted Personnel Management (EPM), Standard Installation and Division Personnel System (SIDPERS), ect. ... or reports pertaining to military HR issues to assist in HR management decisions. Responds to correspondence (general, other agency, congressional, etc.) regarding… more
    Army National Guard Units (09/12/24)
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