- Merck & Co. (North Wales, PA)
- Job DescriptionThe Associate Director Market Access will work closely with agency partners, internal brand colleagues, promotions, internal communications, pricing, ... and launch future key tumor indications. This role will report to the Director , Oncology Market Access.The Associate Director Market Access will be responsible… more
- 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, ... indications for oral and infused medicines. This role will report to the Director , Oncology Market Access - Orals & AlliancesThe Associate Director , US… more
- Insmed Incorporated (Philadelphia, PA)
- …of the field-based Field Access team, and will report to the Director , Field Access Managers. This is a non-supervisory position.ResponsibilitiesA key component of ... launch experience preferred Experience navigating payer reimbursement process, preferably Medicare Part D (pharmacy benefit design and coverage policy) Experience… 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 ... materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of… more
- Humana (Trenton, NJ)
- …our caring 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...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Humana (Trenton, NJ)
- …a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… 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 ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all… 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CVS Health (Trenton, NJ)
- …**Position Summary** CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified ... clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director ( Medical Affairs) will report into… 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 ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- CVS Health (Trenton, NJ)
- …and behavioral health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the ... related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located...Two (2) + years of experience in managed care ( Medicare and/or Medicaid) Experience with managed care ( Medicare… more
- CenterWell (Trenton, NJ)
- …under the PCO's Chief Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: + Lead ... caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic...and promote age-friendly care + Maintain current knowledge of pharmacy/ medical trends within ambulatory/primary care and Medicare … more
- CVS Health (Trenton, NJ)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... and services for aligned plan's members. Position Description: Aetna Medicare Duals Center of Excellence is searching for a...the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider… more
- Elevance Health (Wilmington, DE)
- **Reporting and Analytics Director ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will live within ... KY, Wilmington, DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director ** is responsible for high-priority analytical projects for the Medicare … more
- Merck (North Wales, PA)
- **Job Description** The **Associate Director ,** **US Payer Marketing/ Oncology Market Access - Alliances** will work closely with cross functional teams, alliance ... and infused medicines. This role will report to the Director , Oncology Market Access - Orals & Alliances The...Management Teams, Center for Observational and Real-world Evidence (CORE), Medical Affairs, etc.). This role will focus on collaborating… more
- 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
- Penn Medicine (Bala Cynwyd, PA)
- …leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across ... Hospice- 150 Monument Road** **Hours: Per Departmental Needs** Summary: + The Director , Penn Partners in Care (PPiC) skillfully and strategically leads care… more
- Merck (North Wales, PA)
- **Job Description** The **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 be… more
- Trinity Health (Philadelphia, PA)
- …implement, and monitor the annual Quality Improvement (QI) Plan in collaboration with the Medical Director . + Ensure compliance with CMS regulations and manage ... **Employment Type:** Full time **Shift:** **Description:** ** Director of Quality Improvement and Compliance** **Ministry Name:...Medicare Part D fraud, waste, and abuse programs. +… more
- Prime Therapeutics (Trenton, NJ)
- …legislative/oversight bodies (eg, URAC-Utilization Review Accreditation Commission, CMS-Centers for Medicare & Medicaid Services, NCQA- National Committee for ... passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary**… more
