- NJ Transit (Newark, NJ)
- Assistant Director , Contracts & Claims Capital Programs Job Description: Move forward with us! At NJ TRANSIT, you'll be joining us in transforming the ... to make it all possible. Summary The Contracts and Claims Assistant Director is responsible for preparing,...+ Reviews, negotiates, and prepare written recommendations to Senior Management on potential claims prevention and conflict… more
- NJ Transit (Newark, NJ)
- …Claims Admin + Director Risk Management & Insurance + Director Claims Management Education, Experience and Qualifications: + Bachelor's Degree and ... up to the amount subject to the Board of Director approval amount, managing all claim reserves and determining...the insurance industry is required. + Knowledge of risk management claims and litigation procedures in New… more
- Ryder System (Trenton, NJ)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- Sanofi Group (Morristown, NJ)
- **Job title** : Global Medical Director , Evidence Generation - Insights and Strategy **Location:** Cambridge, MA, Morristown, NJ **About the Job** Sanofi's ... Evidence Generation Lead of the Next-Gen Immunology Franchise, the Medical Director will also be responsible for...expertise in developing RWE studies, as well as study management and publications. + Prior experience in claims… more
- CVS Health (Trenton, NJ)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … more
- 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 ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- 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
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …commitment to supporting access to treatment. We are looking for an **Associate** ** Director , Content Management ** as a member of the Content Management ... to deliver personalized customer journeys across channels. You will report to the Director , Omnichannel Content Management . This position is based in Princeton,… more
- Humana (Trenton, NJ)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Axis (New York, NY)
- …claims as well as the related coverage issues ensuring accurate and consistent claims management across impacted underwriting segments and lines of business + ... the selection process. AXIS is seeking a _Senior Claim Director , Specialty Complex_ _Claims_ to join our North America... skills + Experience practicing law as well as claims management (both directly managed and TPA… more
- Terumo Medical Corporation (Somerset, NJ)
- Director , Corporate Strategy, C&V Date: Mar 18, 2025 Req ID: 4536 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Corporate ... Strategy Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete,...we go next!** **_Advancing healthcare with heart_** **Job Summary** Director , Corporate Strategy - C&V leads multiple critical business… more
- Ascendis Pharma (Princeton, NJ)
- …ability to be both strategic and tactical, demonstrating strong leadership, project management , and communication skills. As the Associate Director , Rebate and ... Princeton, NJ three (3) days/week and will report directly to the Director , Contracting Operations. Key Responsibilities: + Contract Management : Maintain robust… more
- Ankura (New York, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... trade association guidance; and international compliance standards governing pharmaceutical and medical device operations. You will be joining a team of industry… more
- Novo Nordisk (Plainsboro, NJ)
- …necessary. Relationships Reports to head of Scientific Communications. Staff members of the Medical Promotional Review team report to the Director . Works with ... and other key internal cross-functional teams where (s)he provides strategic input. The Director represents Medical on PRB working group and Steering Committee… more
- Molina Healthcare (New York, NY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Director of Contract Compliance will oversee the contract compliance program, ensuring the organization's contracts, specifically related to ... contract compliance monitoring, risk identification, and issue resolution. The Director will collaborate with various internal departments, including legal, finance,… more
- NJ Transit (Newark, NJ)
- Assistant Director , Procurement Compliance Procurement & Support Services Job Description: Move forward with us! At NJ TRANSIT, you'll join us in transforming the ... a commitment to excellence to make it all possible. Summary Assistant Director , Procurement Compliance The NJ TRANSIT Procurement & Logistics Department is… more
- Gap Inc. (New York, NY)
- …learn fast, create with audacity and lead boldly? Join our team. **About the Role** The Director of Real Estate is a key member of the Portfolio Management team ... responsible for all existing real estate asset management , procurement of new store growth among major landlord portfolios, and support of the development of a long… more
- City of New York (New York, NY)
- …for the Director of Disability Retirement Services: Leadership and Management : Oversee the Medical Operations teams comprising 21 team members, ... process while driving transformative improvements in service delivery including case management . The Director will champion a results-oriented approach,… more
- Project Renewal, Inc. (New York, NY)
- …Homeless Services and the Department of Health and Mental Hygiene. Comprehensive psychiatric, medical , and case management services are provided to men who are ... Program Director Shelter- Fort Washington, 651 West 168th St,...limited to the following activities: Overall responsibility for day-to-day management of a 200-bed shelter for homeless men, with… more