- Highmark Health (Trenton, NJ)
- …Inc. **Job Description :** **JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and ... **ESSENTIAL RESPONSIBILITIES** + Full-cycle ownership of commercial and Medicare Advantage medical policy creation process including writing clinical criteria… more
- Elevance Health (New York, NY)
- …decisions. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. + Determine ... **Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This...which may include AIM Appropriateness Guidelines, client-specific health plan medical policy , well established evidenced based guidelines,… more
- Novo Nordisk (Plainsboro, NJ)
- …lives for a living. Are you ready to make a difference? The Position The Medical Director serves as the subject matter expert for our products and related ... Leaders (KOLs), Healthcare Professionals (HCPs), and other stakeholders. The Medical Director will also assist the Senior...also offers time off pursuant to its sick time policy , flex-able vacation policy , and parental leave… more
- Humana (Trenton, NJ)
- **Become 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 work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Ascendis Pharma (Princeton, NJ)
- …globally, in the US, Germany & Austria, with plans for rapid expansion. As our new Director of Pricing Policy and Analytics, you will be evaluating the impact of ... policy on pricing and developing an advanced analytics arm...largest affiliate. You will report directly to the Sr. Director , Pricing & Contracting Strategy and be based in… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Mallinckrodt Pharmaceuticals (Bridgewater, NJ)
- Job Title Senior Medical Director - Rheumatology Requisition JR000015351 Senior Medical Director - Rheumatology (Open) Location Bridgewater, NJ ... Additional Locations Job Description Summary The Senior Medical Director , Rheumatology, will serve as a critical member of the Global Medical Affairs team.… more
- Humana (Trenton, NJ)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals ... (Part D & B). The Medical director work assignments involve moderately complex...value based care in accordance with Medicare and Humana policy . All work occurs within a context of regulatory… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Medical Affairs Operations- Medical Staff Services -Full-Time -Days (Remote)** _Our flexible remote opportunities offer an ... balance as well as decrease annual commuting expenses_ The Director , Medical Affairs Operations, serves as a...with the hospital staff bylaws rules & regulations, hospital policy and procedure, NY State regulations, Joint Commission and… more
- Elevance Health (New York, NY)
- …+ Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Minimum Requirements:** + ... **Clinical Operations Medical Director ** ** Medical Oncology**...necessity of requests using guidelines and client-specific health plan medical policy . + Conduct peer-to-peer discussions with… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …legally protected basis. All interested persons are encouraged to apply at all levels. The Medical Director of the NYU Student Health Center will play a pivotal ... an Equal Opportunity Employer and is committed to a policy of equal treatment and opportunity in every aspect...care, operational efficiency, and innovation in student health. The Medical Director serves as the lead physician… more
- Elevance Health (Woodbridge, NJ)
- …+ Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. **Mimimum Requirements:** + ... **Clinical Operations Medical Director ** **Carelon Medical ...onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable… more
- City of New York (New York, NY)
- …publications, continuous training. - Working collaboratively with Bureau staff, including the Medical Director for Reproductive Health, directors of other units ... healthy while serving New Yorkers. - Work From Home Policy : Depending on your position, you may be able...of Equal Employment Opportunity, at ###@health.nyc.gov or ###. AGENCY MEDICAL DIRECTOR - 5304A Qualifications 1. Possession… more
- Abbott (Princeton, NJ)
- …at national and regional commercial health plans to educate stakeholders, influence medical policy development, and expand patient access to Abbott's ... accounts. + **External Stakeholder Advocacy** : Engage with physicians, administrators, policy analysts, and medical directors to promote favorable coverage… more
- Sumitomo Pharma (Trenton, NJ)
- …seeking a dynamic, highly motivated, and experienced individual for the position of ** Medical Director , Clinical Development - Oncology** . The medical ... of the overall product development plan, based on strong medical and scientific principles, knowledge of compliance and regulatory...in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays… more
- City of New York (New York, NY)
- …engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES WILL INCLUDE BUT ... testing, return to duty exams, handles employee referrals for medical /psychological conditions, training and management. -Assess, plan, implement, evaluate, and… more
- Regeneron Pharmaceuticals (Warren, NJ)
- As a Director , Medical Affairs Publications you will play a strategic role providing expertise for development, management and dissemination of our aligned ... by leading to consensus * Ability to cultivate and maintain relationships with leading medical /scientific experts. To be considered you are to have 10+ years in … more