- Comcast (Philadelphia, PA)
- …Syndication group. The successful candidate will be responsible for the Experience practice domain on managed devices supporting partners throughout APAC. A ... role that does not have direct responsibility for supervision or performance management of staff. Please note that the successful candidate will be required… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- KPMG (Philadelphia, PA)
- …then consider a career in Advisory. KPMG is currently seeking a Specialist Director to join our Advisory Services practice . Responsibilities: + Act as ... contact for client and market interactions as the IAM Managed Services pre-sales Director including supporting internal stakeholders in client and prospect… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Conviva (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines… more
- Humana (Trenton, NJ)
- …Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Prefer Medical Oncology or Surgery specialties ... + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- United Therapeutics (Trenton, NJ)
- …diseases, and other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight ... global regulations and guidelines with regards to safety data collection, management and reporting for postmarketing ICSRs for efficiency, quality, and compliance… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial… more
- KPMG (Philadelphia, PA)
- **Business Title:** Solution Relationship Director - Indirect Tax Services **Requisition Number:** 119672 - 77 **Function:** Tax Services **Area of Interest:** ... as we are, join our team. KPMG is currently seeking a Solution Relationship Director to join the KPMG's Indirect Tax Services Team. Responsibilities: + Secure new… more
- Cardinal Health (Trenton, NJ)
- …patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and practice leaders that offers ... team is passionate about helping oncology practices navigate the future. The Director , Business Development is responsible for driving complex, consultative sales of… more
- Merit Systems Protection Board (Philadelphia, PA)
- Summary As the Regional Director you are responsible for managing a regional office of the US Merit Systems Protection Board and rendering administrative appeals ... agencies as the Equal Employment Opportunity Commission, the Office of Personnel Management , the Federal Labor Relations Authority, and the Office of Special… more
- Organon & Co. (Plymouth Meeting, PA)
- … by National GPOs) customers, Home Infusion Providers, LTC, National Practice Management Companies, Professional Societies and Infusion Center customers. ... Description** The primary responsibility of the GPO/LTC National Account Director (NAD) in Market Access & Account Management... Director (NAD) in Market Access & Account Management is to develop and manage business relationships with… more
- Publicis Groupe (Philadelphia, PA)
- …IT teams to design technical solutions + Contributing to the Technology Management practice and the Technology capability's continuous improvement activities by ... recommendations, full-stack software/platform development, quality assurance, business analysis, and managed services. We have strategic partnerships with the world's… more
- CSL Behring (King Of Prussia, PA)
- As a true expert in the responsible TA, the Executive Director , will lead the development and execution of Medical Affairs strategies and tactics in support of the ... necessary up to date understanding of the US medical practice to internal CSL Behring stakeholders and align this...& Pharmacovigilance (GCSP) and will serve on the Safety Management team for key US products. **Main Responsibilities and… more
- Highmark Health (Trenton, NJ)
- …**Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice ) **Preferred** + 1 year in Medical Management in a Health ... as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest...Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical… more
- AmeriHealth Caritas (Philadelphia, PA)
- …outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, ... and provides service coordination training curricula aligned with best practice .; Attends State Regulatory Meetings and Committee Workshops as...in a clinical setting + 5 to 10 years management and supervisory experience at a level consistent with… more
- Virtua Health (Mount Laurel, NJ)
- …external parties to ensure an outstanding customer experience. Consults with Lead Physicians, Director of Practice Management , Medical Directors and staff ... and oral reports and recommendations to leadership concerning the operations of the practice (s); presentations of best practices to management team Give input… more
- Evolent (Trenton, NJ)
- …ability to identify and seize opportunities to drive provider engagement and support practice change management is what sets you apart. Whether you're working ... to identify areas of improvement, training opportunities; execute plans to increase practice engagement * Successfully implement change management initiatives *… more
- Evolent (Trenton, NJ)
- …The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of clinical decisions. The ... the CCO will also have dotted line oversight over field medical director (FMD) operational responsibilities, provide strategic input into medical policy and advise… more