- 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
- VNS Health (Manhattan, NY)
- …(TPA) and other internal departments, including marketing and enrollment, provider network management , medical management , claims , and customer ... OverviewManages the configuration and maintenance of the claims system used to administer operations of current...Health insurance plan for you and your loved ones, Medical , Dental, Vision, Life and Disability + Employer-matched retirement… 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
- Conviva (Trenton, NJ)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by… 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
- Mount Sinai Health System (New York, NY)
- …of new staff. 8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s). 9. Works collaboratively with patient ... **Job Description** The Director for the Risk Management and...hospital operations to include experience in a hospital or medical center dealing with regulatory issues. + Experience with… more
- Merck (Trenton, NJ)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… 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
- Western Digital (Trenton, NJ)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… 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
- Humana (Trenton, NJ)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Sanofi Group (Bridgewater, NJ)
- **Global Medical Director , Early Pipeline Respiratory, Global Medical Immunology** **About Sanofi** At Sanofi, we are committed to the growth of our people, ... millions of patients around the world. **Job Responsibilities:** + The Early Pipeline Respiratory Medical Director reports to the Global Medical Head of… more
- 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 (Bridgewater, NJ)
- …chronic dermatologic, respiratory, and gastrointestinal diseases. **Position Summary** + The Global Medical Director of Dermatology, reports to the Global ... will closely collaborate with cross-functional teams, develop, and execute asset medical plans, support lifecycle management activities, and integrate… more
- Brennan Center for Justice (New York, NY)
- …contact for insurance company and provides requested information for the settlement of claims and payment of claimant's medical expenses incurred from injury. ... and justice in the United States, is seeking a highly skilled and experienced Director of Human Resources (HR) to support the Chief Human Resources Officer (CHRO) in… more
- 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
- 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
- Unilever (New York, NY)
- Director , Product Development (NYC) New York,NY HOURGLASS COSMETICS - DIRECTOR , PRODUCT DEVELOPMENT (NYC) Connected by creativity and driven by purpose. ... and commitment to innovation, high performance and luxury position. The Director , Product Development owns the end-to-end development process, proactively engaging… more
- AON (New York, NY)
- Aon Is looking for a Managing Director , Risk & Insurance Due Diligence in the New York region of Aon's M&A and Transaction Advisory Solutions practice. We currently ... + Analyze and provide technical input on insurance coverage, claims history, insurance-related collateral, insurance-related financial expense, surety bonds and… more
- City of New York (New York, NY)
- …- Provide direct supervision to issues relating to social services, facilities management , transportation, access to medical services, food services, special ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTRATIVE DIRECTOR OF SOCIAL SERVICES CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR… more