- Humana (Trenton, NJ)
- …us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical authorizations to determine the ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Trenton, NJ)
- … Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... 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 … more
- Humana (Trenton, NJ)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... 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 … more
- Taiho Oncology (Princeton, NJ)
- Associate Director , PV Sciences Princeton, NJ, USA Req #444 Thursday, February 27, 2025 Looking for a chance to make a meaningful difference in the oncology space? ... Embark on a transformative journey with Taiho Oncology as an Associate Director in PV Sciences. At the forefront of pharmacovigilance innovation, we offer… more
- Merck (North Wales, PA)
- **Job Description** **Associate Director , Strategic Forecasting** The Associate Director , Strategic Forecasting Insights, will be responsible for developing ... Responsibilities:** + Working closely with with Strategic Forecasting Insights Director , determine appropriate forecast modeling approaches, tools, and techniques… more
- Highmark Health (Trenton, NJ)
- …Programs will include but not be limited to fee for service, pay -for-value programs, episode payments, prospective bundled payments, gain share and risk share ... or related areas + 4 years Research and strategic planning around emerging trends in reimbursement, network, and payment...payments), and provider / health plan quality programs (eg pay for performance) + 5 years Familiarity with the… more
- Cardinal Health (Trenton, NJ)
- …standards; and physician and coder education. This position will also support the Director with scheduling and audit planning , as well as the development and ... policies. **_Consultant, Ethics & Compliance (Audit)_** Reporting to the Compliance Director ( Director ), this position conducts audits to determine… more
- Elderwood (Point Pleasant, PA)
- …providing direct nursing care. Direct nursing care of residents encompasses planning , developing, organizing, implementing assessing, and evaluating the care of ... + Night Shift (6:45pm-7:15am) In addition to a competitive pay package that includes our NEW SHIFT PREMIUM, we...Registered Nurse (RN) (Pediatrics): + Actively participates in the planning and delivery of care to all assigned individuals.… more
- Hunterdon Health Care System (Flemington, NJ)
- + + Position Summary + Responsible for supervising, planning , organizing and coordinating the daily activities of the claims processing and accounts receivables for ... the ambulatory claims under the direction of the Director of the SBO. .Maintains an efficient billing process...Interface with and direct front end of the with physician offices to promote optimum patient point of service… more
- Elderwood (Point Pleasant, PA)
- …providing direct nursing care. Direct nursing care of residents encompasses planning , developing, organizing, implementing assessing, and evaluating the care of ... shifts): + Dayshift (6:45am-7:15pm) + Nightshift (6:45pm-7:15am) In addition to a competitive pay package that includes our NEW SHIFT PREMIUM, we offer: + Optimal… more
- Zufall Health Center (Plainsboro, NJ)
- …a clinical setting. The RN works in collaboration with the patient, family, physician /nurse practitioner and office staff within the team structure to ensure that ... health center policies. + Perform other duties as assigned. + Assume duties of Director of Nursing as assigned by the SVPNCO. Knowledge, Skills and Abilities +… more