• Medical Director -- Claims

    Humana (Trenton, NJ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (12/14/24)
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  • Reviewing Medical Director

    Conviva (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by… more
    Conviva (12/11/24)
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  • Medical Director - National Medicare…

    Humana (Trenton, NJ)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    Merck (Trenton, NJ)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
    Merck (12/19/24)
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  • Corporate Medical Director

    Humana (Trenton, NJ)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/27/24)
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  • Associate Director , AI for Medical

    J&J Family of Companies (Titusville, NJ)
    Johnson & Johnson Innovative Medicine is searching for an Associate Director , AI for Medical Data and Advanced Analytics to drive the data and advanced analytics ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Associate Director , AI for Medical Data and Advanced Analytics will lead our… more
    J&J Family of Companies (12/12/24)
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  • Associate Director , Outcomes Research…

    Taiho Oncology (Princeton, NJ)
    …Join our growing Medical Affair team in the role of Associate Director , Outcomes Research & RWE. Your expertise will play a pivotal role in advancing ... outcome research, applying methodology for evidence generation and program management . Position Summary: The Associate Director , Outcomes Research… more
    Taiho Oncology (12/05/24)
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  • Director , Contracting Operations - Job ID:

    Ascendis Pharma (Princeton, NJ)
    …to be both strategic and tactical, demonstrating strong leadership, project management , and communication skills. As the Director , Contracting Operations, ... mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly… more
    Ascendis Pharma (12/10/24)
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  • Managing Director - Insurance Advisory…

    EPAM Systems (Newtown, PA)
    …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... - go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit,… more
    EPAM Systems (12/18/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Trenton, NJ)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • Director , Diagnostics and Innovation

    Amicus Therapeutics (Princeton, NJ)
    Director , Diagnostics and Innovation Location Princeton, NJ Requisition ID 2279 # of openings 1 Apply Now ... (https://phh.tbe.taleo.net/phh04/ats/careers/v2/applyRequisition?org=AMICUS&cws=37&rid=1325) Director , Diagnostics and Innovation Amicus Therapeutics is a global,… more
    Amicus Therapeutics (11/26/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Trenton, NJ)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White… more
    Baylor Scott & White Health (12/21/24)
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  • Associate Director - Research Partnerships

    Novo Nordisk (Plainsboro, NJ)
    About the Department The Clinical, Medical and Regulatory (CMR) department at Novo Nordisk is one of the most diverse and collaborative groups within the ... and developing and implementing regulatory strategies with the FDA to providing medical education and collecting data to support efficacy and new product… more
    Novo Nordisk (12/11/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Trenton, NJ)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Trenton, NJ)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
    HomeSafe Alliance (10/02/24)
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  • Healthcare Compliance Manager

    Terumo Medical Corporation (Somerset, NJ)
    …08873 Company: Terumo Americas Holding, Inc. Department: TAH Legal Terumo Medical Corporation (TMC) develops, manufactures, and markets a complete, solutions-based ... portfolio of high-quality medical devices used in a broad range of applications...with heart_** **Job Summary** Healthcare Compliance Manager supports the Director - Healthcare Compliance on departmental initiatives in support… more
    Terumo Medical Corporation (11/07/24)
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  • Coordinator, Intake Utilization Management

    Evolent (Trenton, NJ)
    …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
    Evolent (12/04/24)
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  • Coordinator, Utilization Management

    Evolent (Trenton, NJ)
    …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
    Evolent (12/24/24)
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  • Data Visualization Consultant - Remote

    Prime Therapeutics (Trenton, NJ)
    …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... **Responsibilities** + Under general supervision, analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
    Prime Therapeutics (12/19/24)
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