• Medical Director -- Claims

    Humana (Trenton, NJ)
    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 - Florida

    Humana (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/29/24)
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  • Associate Director , AI for Medical

    J&J Family of Companies (Titusville, NJ)
    Associate Director , AI for Medical Data and Advanced Analytics - 2406214851W **Description** Johnson & Johnson Innovative Medicine is searching for an ... **Associate Director , AI for Medical Data and Advanced...priorities. **Competencies:** + Hands - on experience using healthcare claims datasets, electronic health records, and specialty pharmacy data… more
    J&J Family of Companies (09/26/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Trenton, NJ)
    …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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  • Early Pipeline Respiratory Medical

    Sanofi Group (Bridgewater, NJ)
    **Early Pipeline Respiratory Medical Director ** **About Sanofi** At Sanofi, we are committed to the growth of our people, connected in purpose by career, life, ... millions of patients around the world. **Job Responsibilities:** + The Early Pipeline Respiratory Medical Director reports to the Global Medical Head of… more
    Sanofi Group (09/14/24)
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  • Global Medical Director , Early…

    Sanofi Group (Bridgewater, NJ)
    …and gastrointestinal diseases. **Main Responsibilities:** The Early Pipeline Gastroenterology Associate Medical Director reports to the Global Medical ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
    Sanofi Group (09/14/24)
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  • Global Medical Immunology Pipeline…

    Sanofi Group (Bridgewater, NJ)
    …dermatologic, respiratory, and gastrointestinal diseases. **Main responsibilities:** + The Global Medical Director of Rheumatology, reports to the Global ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
    Sanofi Group (09/14/24)
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  • Associate Director , Outcomes Research…

    Taiho Oncology (Princeton, NJ)
    …Join our growing Medical Affair team in the role of Associate Director , Outcomes Research & RWE. Your expertise will play a pivotal role in advancing ... outcome research, applying methodology for evidence generation and program management . Position Summary: The Associate Director , Outcomes Research… more
    Taiho Oncology (09/05/24)
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  • Director , Contracting Operations - Job ID:…

    Ascendis Pharma (Princeton, NJ)
    …to be both strategic and tactical, demonstrating strong leadership, project management , and communication skills. As the Director , Contracting Operations, ... mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly… more
    Ascendis Pharma (10/10/24)
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  • Director , Diagnostics and Innovation

    Amicus Therapeutics (Princeton, NJ)
    Director , Diagnostics and Innovation Location Princeton, NJ Requisition ID 2279 # of openings 1 Apply Now ... (https://phh.tbe.taleo.net/phh04/ats/careers/v2/applyRequisition?org=AMICUS&cws=37&rid=1325) Director , Diagnostics and Innovation Amicus Therapeutics is a global,… more
    Amicus Therapeutics (09/20/24)
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  • Director , Consumer Analytics

    Sanofi Group (Bridgewater, NJ)
    **Job Title:** Director , Consumer Analytics **Location:** Cambridge OR Bridgewater **_About the job_** We are an innovative global healthcare company, committed to ... Sanofi hubs to optimize process excellence and efficiency The ** Director , Consumer Media Analytics NA** will be responsible for...Hub (ODH) across Sanofi NA. + Collaborate with Data Management & Digital teams to integrate and unify first-party,… more
    Sanofi Group (10/12/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Trenton, NJ)
    …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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  • Director , Scientific Communication, Global…

    Olympus Corporation of the Americas (Center Valley, PA)
    …**__** Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can ... other than @Olympus.com, it is likely not legitimate._ **Job Description** The Director Scientific Communications, Global Operations plays a central role in the… more
    Olympus Corporation of the Americas (10/17/24)
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  • Enterprise Risk Management Consultant

    WTW (Philadelphia, PA)
    …Risk and Broking** Segment. The business supports an integrated approach to risk management by advancing "the analytical broker". Simply put, our purpose is to ... reduce the likelihood of claims and reduce the cost of incidents when they...Role** We have an exciting opportunity as an Associate Director within our **North America Enterprise Risk Consulting** practice,… more
    WTW (10/02/24)
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  • Healthcare Compliance Manager

    Terumo Medical Corporation (Somerset, NJ)
    …08873 Company: Terumo Americas Holding, Inc. Department: TAH Legal Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...with heart_** **Job Summary** Healthcare Compliance Manager supports the Director - Healthcare Compliance on departmental initiatives in support… more
    Terumo Medical Corporation (08/08/24)
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  • Commercial Project Manager

    Stantec (Philadelphia, PA)
    …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... Claims /Risk mitigation. + Oversee and approve development and management of the Project Scope WBS. + Oversee and...Internal (PGC) Monthly Reports; issue following review with Design Director . + Responsible for the formulation of the Project… more
    Stantec (10/02/24)
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  • Account Executive IV

    AON (Philadelphia, PA)
    Managing Director , Account Executive IV - Philadelphia,PA Senior Account Executive We are looking for a senior leader who is responsible for the day-to-day, account ... management of Aon's relationships with assigned clients as their...to support clients in unusual circumstances such as large claims , etc. + Involves others across geographic (including international),… more
    AON (09/12/24)
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  • Associate I, Reimbursement Collections

    BAYADA Home Health Care (Pennsauken, NJ)
    …Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... from denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. +… more
    BAYADA Home Health Care (10/25/24)
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  • Associate I, Reimbursement Collections

    BAYADA Home Health Care (Pennsauken, NJ)
    …Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... from denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. +… more
    BAYADA Home Health Care (10/01/24)
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