- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Humana (Trenton, NJ)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- VNS Health (Manhattan, NY)
- OverviewManages the configuration and maintenance of the claims system used to administer operations of current and new business for VNS Health Plan products. ... reports, recommendations, and updates/revisions to address existing and potential claims system issues. Works under general direction. Compensation Range:$98,200.00… more
- City of New York (New York, NY)
- … Director of OHSSA. This position will also serve as the inaugural Director of Healthcare Accountability, leading strategy and implementation for Local Law ... the Agency's Chief Medical Officer. The BEHS is the healthcare systems bureau of DOHMH. Our mission is to...routinely update their interpretation in accordance with a highly complex , rapidly evolving regulatory environment. - Stay informed of… more
- Humana (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Conviva (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Humana (Trenton, NJ)
- …relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides medical interpretation and… more
- Taiho Oncology (Princeton, NJ)
- …to support value proposition of Taiho's products + Analyze real-world healthcare data, including claims data, electronic health records/electronic medical ... Associate Director , Outcomes Research & Real World Evidence Princeton,...earn and maintain the confidence of patients, the global healthcare community, collaborators and partners, and each other. Together,… more
- Mount Sinai Health System (New York, NY)
- …Nursing/ Healthcare related field. + 10 years minimum experience as a Director of clinical/ healthcare risk management and hospital operations to include ... **Job Description** The Director for the Risk Management and Patient Safety...8. Collaborates with the professional liability carrier and oversees claims management with the carrier(s). 9. Works collaboratively with… more
- EPAM Systems (New York, NY)
- …- go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit, ... and technology solution expertise. You'll drive the shaping and delivery of complex solutions, working with cross-functional teams in both business and technology.… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… 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, ... Sanofi Specialty Care is part of a leading global healthcare company that is dedicated to improving health, and...world. **Job Responsibilities:** + The Early Pipeline Respiratory Medical Director reports to the Global Medical Head of Immunology… more
- Mount Sinai Health System (New York, NY)
- …behalf of Mount Sinai Human Resources partners, the Pharmacy Benefits Program Director is responsible to provide service support, reporting, pricing, and/or other ... stakeholders and other external vendors. The Pharmacy Benefits Program Director serves as the primary pharmacy benefits subject matter...required. + Minimum of 6 years experience in the healthcare industry, with focus on Pharmacy Health Plan or… more
- Axtria, Inc. (Berkeley Heights, NJ)
- …revolutionize the commercialization journey, driving sales growth and enhancing patient healthcare outcomes. Committed to impacting millions of lives positively, our ... sector, consistently recognized for our growth and technological advancements. As a Director , you will lead high-impact client engagements within the healthcare … more
- Helsinn Therapeutics (US), Inc. (Iselin, NJ)
- Director of Compliance Compliance Iselin, New Jersey Apply Description Responsibilities + Responsible for overseeing all elements of Helsinn's comprehensive ... managing all compliance matters pertaining to the US organization and working on complex compliance matters that impact the success of the company's products and/or… more
- IQVIA (Warren, NJ)
- …and support of IQVIA (TM) information assets - national, sub-national. patient claims data, channel & specialty offerings across multiple internal and external ... all IQVIA's information assets delivered to the client organization. + Manages complex , large accounts across multiple stakeholders. + Develops a strategic and… more
- Sanofi Group (Bridgewater, NJ)
- **About the Job** We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood ... diseases. **Main Responsibilities:** The Early Pipeline Gastroenterology Associate Medical Director reports to the Global Medical Head of Immunology and… more
- Sanofi Group (Bridgewater, NJ)
- **About the Job** We are an innovative global healthcare company, committed to transforming the lives of people with immune challenges, rare diseases and blood ... respiratory, and gastrointestinal diseases. **Position Summary** + The Global Medical Director of Dermatology, reports to the Global Medical Head of Immunology… more
- J&J Family of Companies (Titusville, NJ)
- Johnson & Johnson Innovative Medicine is recruiting for Senior Director , R&D Data Science and Digital Health, Real-World Evidence and Advanced Analytics Johnson & ... are poised to serve the broad needs of the healthcare market - from patients to practitioners and from...for prioritized use cases. Also, drive large strategic and complex projects to achieve the intended impact in a… more
- City of New York (New York, NY)
- …most impacted NYC communities. CHECW addresses inequity across community and healthcare systems in partnership with community, faith-based, and health care ... Agency's Chief Medical Officer. The Bureau of Equitable Health Systems (BEHS) is the healthcare systems bureau of DOHMH. Our mission is to apply policy evidence, and… more