• Merck & Co. (North Wales, PA)
    Job DescriptionThe Associate Director Market Access will work closely with agency partners, internal brand colleagues, promotions, internal communications, ... indications and launch future key tumor indications. This role will report to the Director , Oncology Market Access.The Associate Director Market Access will… more
    HireLifeScience (08/29/24)
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  • Merck & Co. (North Wales, PA)
    Job DescriptionThe Associate Director , US Payer Marketing/ Oncology Market Access - Alliances will work closely with cross functional teams, alliance partners, ... report to the Director , Oncology Market Access - Orals & AlliancesThe Associate Director , US Payer Marketing/ Oncology Market Access will be responsible for… more
    HireLifeScience (08/22/24)
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  • Behavioral Health Medical Director

    Humana (Trenton, NJ)
    …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which… more
    Humana (08/07/24)
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  • Medical Director - National Medicare

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources, which...and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will… more
    Humana (08/29/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Trenton, NJ)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director reviews cases of diverse scope and complexity ranging...and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, and quality… more
    Humana (08/10/24)
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  • Associate Director US Oncology…

    Merck (North Wales, PA)
    **Job Description** The ** Associate Director ,** **US Payer Marketing/ Oncology Market Access - Alliances** will work closely with cross functional teams, ... report to the Director , Oncology Market Access - Orals & Alliances The Associate Director , US Payer Marketing/ Oncology Market Access will be responsible for… more
    Merck (08/22/24)
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  • Associate Director , US Oncology…

    Merck (North Wales, PA)
    **Job Description** The ** Associate Director Market Access** will work closely with agency partners, internal brand colleagues, promotions, internal ... to the Director , Oncology Market Access. The Associate Director Market Access will be responsible...partners and focus on customer segments (eg health plans, Medicare , Medicaid, federal, pharmacy, hospital, Group Purchasing Organization s,… more
    Merck (08/29/24)
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  • Associate Director Retail Pharmacy-…

    Penn Medicine (Philadelphia, PA)
    …our future each day. Are you living your life's work? Summary: + The Associate Director ("AD") will assist in the planning, development, coordination and ... Responsibilities: + Provide oversight and develop a strategic plan along with Director of Retail Pharmacy Operations for outpatient pharmacy services in all… more
    Penn Medicine (06/17/24)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
    Humana (08/27/24)
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  • Medical Director - Southeast Region

    Humana (Trenton, NJ)
    …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 ... requires an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (08/20/24)
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  • Medical Director - Acute Inpatient…

    Humana (Trenton, NJ)
    …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... 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
    Humana (08/27/24)
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  • Clinical Director - Registered Nurse

    Aveanna (Allentown, PA)
    Clinical Director - Registered Nurse ApplyRefer a FriendBack Job Details Requisition #: 197281 Location: Allentown, PA 18104 Category: Clinical Care and Support ... at $90,000.00 per year Position Details Position Overview The Clinical Director is responsible and accountable for managing all clinical operations. Responsibilities… more
    Aveanna (08/18/24)
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  • Director , Actuarial of Medicaid Pricing

    Humana (Trenton, NJ)
    …a part of our caring community and help us put health first** The Director , Actuarial of Medicaid Pricing provides actuarial support across a broad range of ... actuarial and business needs for specific product lines. The Director , Actuarial requires an in-depth understanding of how organization capabilities interrelate… more
    Humana (08/15/24)
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  • Director , Provider Activation

    Humana (Trenton, NJ)
    …a part of our caring community and help us put health first** The Director , Provider Activation is responsible for the end-to-end process of adding providers to ... increase productivity, and oversees execution of relevant initiatives. The Director , Provider Activation motivates, manages, and leads high-performance teams… more
    Humana (08/31/24)
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  • Histology Technical Supervisor at Penn Medicine

    Penn Medicine (Philadelphia, PA)
    …and administrative operations of their individual laboratory section(s); ensure compliance with institutional and laboratory policies and procedures; evaluate and ... performs staff evaluations. Responsibilities: + Technical Services: With Medical Director sets strategic direction of section; Approves/develops standard operation… more
    Penn Medicine (06/17/24)
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  • Technical Supervisor

    Penn Medicine (Berwyn, PA)
    …and administrative functions of their individual laboratory section(s); ensure compliance with institutional and laboratory policies and procedures; evaluate and ... functions with residents and Medical Laboratory Science Students. + **Regulatory Compliance ** : Works with the Division's Quality Assurance manager in functioning… more
    Penn Medicine (08/01/24)
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  • Radiology Supervisor - Nuclear Medicine - Full…

    Penn Medicine (Philadelphia, PA)
    …process per the CMS guidelines to ensure that PeriOperative Services is in compliance with Medicare reporting requirements and UPHS Office of Compliance2. ... you living your life's work? Summary: + In conjunction with Administrative Director of Operations, provides leadership, administrative support and management for the… more
    Penn Medicine (08/29/24)
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  • Senior Risk Adjustment Administration Professional

    Humana (Trenton, NJ)
    …coding, and provide feedback to physicians regarding documentation practices and compliance with state and federal regulations. + Cultivate effective partnerships in ... a matrix environment of coding educators, medical director , clinical and market operations. + Facilitate, track and trend for reporting to leadership and… more
    Humana (08/29/24)
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