- 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
- 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
- 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
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and ... planning support for business segments or the company at large. The Director , Medicaid Trend Mitigation Strategy requires an in-depth understanding of how… 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
- 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)
- **Job Title:** Director , Consumer Analytics **Location:** Cambridge OR Bridgewater **_About the job_** We are an innovative global healthcare company, committed ... Sanofi hubs to optimize process excellence and efficiency The ** Director , Consumer Media Analytics NA** will be responsible for...IQVIA NPA & NSP) + Longitudinal HCP & patient-level claims (eg, IQVIA, Symphony, Komodo, etc.) + Specialty pharmacy… 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
- 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 ... 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
- Prime Therapeutics (Trenton, NJ)
- … queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to work ... or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic insight to… more
- Prime Therapeutics (Trenton, NJ)
- …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- Prime Therapeutics (Trenton, NJ)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (Trenton, NJ)
- …management such as GitHub + Prior PBM experience or experience working with medical claims , pharmacy claims , and/or healthcare data + Experience in the ... Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize...based upon large data sets and/or experience working with complex queries + 2 years of experience working with… more
- Mathematica (Trenton, NJ)
- …and practical knowledge of health data (eg commercial, Medicare, Medicaid, or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Haleon (Warren, NJ)
- …Manager, Centrum** will work closely with the Senior Global Marketing Director to deliver global brand strategy, communications, media connections strategy, and ... earned), shopper toolkit, D-comm FCP asset suite, Experience & visual brand language, claims hierarchy + Ensure that there is an integrated consumer, shopper and… more
- Prime Therapeutics (Trenton, NJ)
- …The Senior Business Integration Consultant is responsible for leading multiple complex small to mid-sized client and/or product implementations, projects, analysis, ... and external leaders + Ability and desire to drive solutions for complex business needs (including operational and technical aspects) + Familiarity with project… more