• Associate Director - Value-Based…

    Humana (Phoenix, AZ)
    …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 (03/04/25)
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  • Physician Medical Director - LTSS

    Humana (Phoenix, AZ)
    …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 (01/25/25)
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  • Medical Director - Medicaid N.…

    Humana (Phoenix, AZ)
    **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 (03/11/25)
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  • Medical Director - Care Plus…

    Humana (Phoenix, AZ)
    **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
    Humana (03/18/25)
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  • Field Medical Director , Cardiology

    Evolent (Phoenix, AZ)
    …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
    Evolent (02/14/25)
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  • Medical Director - National Medicare…

    Humana (Phoenix, AZ)
    …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
    Humana (03/11/25)
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  • Field Medical Director

    Evolent (Phoenix, AZ)
    …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
    Evolent (01/30/25)
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  • Behavioral Health Medical Director

    Humana (Phoenix, AZ)
    …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
    Humana (02/15/25)
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  • Medical Director - Evernorth Care…

    The Cigna Group (Peoria, AZ)
    ** MEDICAL DIRECTOR - North West Region (Sun City/Sun City West/Paseo/Arrowhead)** This position combines clinical practice of primary care 40-60% with change ... agent/leadership duties 40-60% The Medical Director will...patients deemed to fall within the scope of his/her specialty (Family Medicine or Internal Medicine.) + Diagnoses and… more
    The Cigna Group (03/18/25)
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  • Senior Director Finance Banner…

    Banner Health (Phoenix, AZ)
    …that is expanding into new service lines and growing existing service lines. Banner Medical Group is a multi- specialty medical group serving Banner Health ... planning the future of Banner Health. As the Senior Director of Finance, you will bring your leadership experience...critical role in the community where you practice. Banner Medical Group provides both primary and specialty more
    Banner Health (03/19/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Phoenix, AZ)
    …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
    Molina Healthcare (02/06/25)
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  • Field Medical Director , Radiology…

    Evolent (Phoenix, AZ)
    …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 (03/21/25)
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  • Associate Director RN Medical Neuro…

    Banner Health (Glendale, AZ)
    …important parts of Critical Care and Neurosciences at Banner Health. As an **Associate Director RN for Medical Neuro ICU,** you will be leading a high-quality ... health care transformation, planning the future of Banner Health. Join our Medical /Neuro-surgical Intensive Care Unit at Banner Thunderbird Medical Center and… more
    Banner Health (03/20/25)
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  • Associate Medical Director

    Evolent (Phoenix, AZ)
    …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
    Evolent (03/04/25)
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  • Medical Director - Regulated…

    CVS Health (Phoenix, AZ)
    …remote based (work at home) based anywhere in the US.** Responsibilities of this Medical Director role are related to Regulated Medicare Appeals: * Direct daily ... license without encumbrances * Board Certified in ABMS Recognized Specialty **Preferred Qualifications** Medical Management - Medicare Complaints, Grievance… more
    CVS Health (03/13/25)
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  • Medical Director

    Highmark Health (Phoenix, AZ)
    …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
    Highmark Health (03/20/25)
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  • Specialty Pharmacy Accreditation…

    Cardinal Health (Phoenix, AZ)
    …& 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
    Cardinal Health (02/20/25)
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  • Associate Director RN Endoscopy

    Banner Health (Phoenix, AZ)
    …beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with the University of Arizona College of Medicine ... **Work Shift:** Day **Job Category:** Nursing **Banner - University Medical Center Phoenix named to a list of 100...interventions with enhanced visualization and control. As an **Associate Director of Nursing** , you will be joining a… more
    Banner Health (03/04/25)
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  • Clinical Gastroenterology Fellowship Program…

    Dignity Health (Phoenix, AZ)
    …Fellowship Program Director and General Gastroenterology Physician** Dignity Health Medical Group - AZ | Creighton University School of Medicine - Phoenix ... physician leader to serve as the **Gastroenterology Fellowship Program Director .** The Program Director of the Gastroenterology...Committee + Current medical licensure and appropriate medical staff appointment + Specialty expertise and… more
    Dignity Health (02/19/25)
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  • Trade Client Relations Director Sr

    Prime Therapeutics (Phoenix, AZ)
    …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
    Prime Therapeutics (03/04/25)
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