- CenterWell (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- 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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? **Position: Director of Operations CPUP** **Entity: Clinical Practices of the University of Pennsylvania ... for Advanced Medicine, 3400 Civic Center Blvd** **Hours: Full Time** **Summary:** The Director of Operations (DOO) plans, evaluates, and has the ability to move… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Datavant (Trenton, NJ)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... Connect** and **Aetion Evidence Platform** . These platforms deliver regulatory -grade real-world data (RWD) solutions through tokenization, data linkage, and… more
- 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 at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- 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 ... of 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
- Penn Medicine (Bala Cynwyd, PA)
- …Summary: + Reporting to the Associate Chief Operating Officer (ACOO), the Sr. Director of Regional Operations (DRO) is the regional ambulatory operations leader for ... Penn Specialty Practices (PPC/PSP) who partners with the Regional Medical Director in providing operational and financial direction and oversight, operations… more
- CenterWell (Trenton, NJ)
- …and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40 ... you to sit on-site at our Stockbridge, GA branch location.** The **Branch Director ** is accountable for managing the day-to-day branch operations to ensure the… more
- 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 ... of 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
- Honeywell (Hamilton, NJ)
- The Director of Growth, Life Sciences is a strategic leader responsible for accelerating revenue and market expansion within the life sciences sector in a SaaS ... domains, developing strategic partnerships, and executing targeted go-to-market initiatives, the Director will play a pivotal role in expanding geographic reach,… more
- CenterWell (Trenton, NJ)
- …community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following: ... operational efficiencies, quality of patient care, regulatory compliance, support of business development & patient base growth, achievement of key performance… more
- Humana (Trenton, NJ)
- …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 to complex issues...Humana policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources,… more
- RELX INC (Horsham, PA)
- About the Team: The Senior Director of Human Resources is the strategic HR leader for LexisNexis Intellectual Property (LNIP), a $265M global business unit with ... Intellectual Property) as well as a large federal contract. The Senior Director is accountable for ensuring that organizational design, talent strategy, culture, and… more
- American Water (Camden, NJ)
- …Fund (SRF) program, ensuring alignment with American Water's strategic goals and regulatory standards. * Assess the financial capacity of state subsidiary applicants ... step in the loan approval process. * Ensure full legal and regulatory compliance for all SRF-related financings, including documentation of public support and… more
- Oracle (Trenton, NJ)
- **Job Description** Oracle seeks a Senior Director of Security Architecture to lead enterprise-wide product security architecture for Oracle Cloud and Applications. ... Ops/SRE, Identity, Data, Privacy, and Compliance to mitigate risk, meet regulatory obligations, and improve resilience. + Establish KPIs/OKRs (risk reduction, review… more
- Wolters Kluwer (Trenton, NJ)
- …Consolidation & Reporting, CCH Tagetik has developed pre-packaged solutions addressing regulatory reporting requirements for ESG, Tax, Insurance & Banking. The ... **North American** team is seeking a ** Director of Solution Consulting, North America** to lead a...+ Track and report on key performance metrics (win rates , demo quality, utilization). + Optimize pre-sales processes and… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- **Description** We are seeking a strategic and results-driven National Director of Financial Planning & Analysis (FP&A) to join our team! Reporting to our Senior ... **In this Role, You will** + Establish financial goals, develop program/service rates , and collaborate with Leadership of Devereux's programs across our 11 state… more