EmploymentCrossing Jobs

Actuarial Director - USA-TX-San Antonio

Sun, 21 Mar 2021 00:00:00 CDT

Description The Director, Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions...

Commercial Medical Director - Work At Home - USA-TX-San Antonio

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

DPCS - USA-TX-San Antonio

Thu, 24 Feb 2022 00:00:00 CST

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POSITION SUMMARY: The Patient Care Services Director fills an executive position with overall clinical and management responsibility; serves as liaison to and conduit between ...

Director, Pharmacy Workforce Management - USA-TX-San Antonio

Thu, 17 Mar 2022 00:00:00 CDT

Description The Director, Workforce Management applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decisi...

Medical Director - Medicare Pharmacy Appeals - USA-TX-San Antonio

Fri, 01 Apr 2022 00:00:00 CDT

Job Information Humana Medical Director - Medicare Pharmacy Appeals in San Antonio Texas Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical ...

Behavioral Health Lead Medical Director - USA-TX-San Antonio

Wed, 06 Apr 2022 00:00:00 CDT

Description The Lead Behavioral Health Medical Director oversees the work of 2 Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member popul...

Commercial Medical Director - National Team - Work From Home - USA-TX-San Antonio

Thu, 28 Jul 2022 00:00:00 CDT

AVP, Health Equity & Community Engagement Business Operations and Market Integration - USA-TX-San Antonio

Thu, 01 Sep 2022 00:00:00 CDT

Description The Associate VP, AVP, Health Equity & Community Engagement Business Operations and Market Integration leader develops the organization's strategic direction and coordination of health ca...

Medical Director-KY Medicaid - USA-TX-San Antonio

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Director, Product Management - USA-TX-San Antonio

Mon, 17 Apr 2023 00:00:00 CDT

Description The Director, Product Management conceives of, develops, delivers, and manages products for customer use. The Director, Product Management requires an in-depth understanding of how organi...

Associate VP, Digital Health Services - USA-TX-San Antonio

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

Medical Director - Behavioral Health - Tricare - USA-TX-San Antonio

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Behavioral Health Medical Director - Tricare - USA-TX-San Antonio

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-TX-San Antonio

Thu, 18 May 2023 00:00:00 CDT

Associate VP, Digital Experience - Self-Service - USA-TX-San Antonio

Tue, 30 May 2023 00:00:00 CDT