- Conduent (Hamilton, NJ)
- …be part of a culture where individuality is noticed and valued every day. The ** Medicaid Service Delivery Director ** is a strategic leader responsible ... to ensure service excellence, operational efficiency, and customer satisfaction. The Medicaid Service Delivery Director plays a critical role in… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....services, requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...services, requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...whether requested services, level of care, and/or site of service should be authorized. All work occurs within a… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and… more
- Evolent (Trenton, NJ)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life...inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). + Ensures delivery of excellent customer service resulting in a positive ... to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination… more