• Merck & Co. (North Wales, PA)
    …develop solutions, tactics and resources to address the opportunities.Collaborating with Global Medical and Scientific Affairs (GMSA), US, Senior Director of ... Job DescriptionJob Description:The Associate Director , Marketing, HPV Scientific Strategy plays a critical...brands for a One Company approach.Collaborating with Program Leads, Medical Affairs and Global Expert Management &… more
    HireLifeScience (11/09/24)
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  • Merck & Co. (North Wales, PA)
    …The incumbent is expected to work cross-functionally with clinical development, medical affairs, biostatistics, market access, commercial and country affiliates and ... value evidence strategies for in-line and pipeline products. Obtain senior management approval of evidence generation plans. Provide outcomes research leadership on… more
    HireLifeScience (11/08/24)
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  • 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 ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
    Humana (10/29/24)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management more
    Humana (10/29/24)
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  • Medical Director - Home Health…

    Humana (Trenton, NJ)
    …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical more
    Humana (11/06/24)
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  • Medical Director -Musculoskeletal…

    Evolent Health (Trenton, NJ)
    …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
    Evolent Health (09/10/24)
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  • Director , Regulatory Medical

    J&J Family of Companies (Spring House, PA)
    Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
    J&J Family of Companies (11/07/24)
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  • Part-time/Remote Medical Director

    Highmark Health (Trenton, NJ)
    **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
    Highmark Health (09/24/24)
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  • Medical Director - Pharmacy Appeals

    Humana (Trenton, NJ)
    **Become 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...or clinical group practice management + Utilization management experience in a medical management more
    Humana (11/02/24)
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  • Senior Medical Director

    Spectrum Health Services (Philadelphia, PA)
    …+ Nurse Practitioner + Three years minimum managerial experience + FQHC experience preferred Keyword: Senior Medical Director From: Spectrum Health Services, Inc ... Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating...out of care. This requires working closely with the Director of Integrated Services, Case Managers, Clinicians,… more
    Spectrum Health Services (08/23/24)
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  • Medical Director - New Jersey Market

    CVS Health (Trenton, NJ)
    …NJ License without encumbrances or the ability to obtain a NJ License. In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
    CVS Health (10/12/24)
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  • Director Penn Partners in Care (Care…

    Penn Medicine (Bala Cynwyd, PA)
    …expertise, within a nursing or similar healthcare environment.3+ years Experience in care/ case management within a multidisciplinary team for patients with ... actively managing a percentage of our managed lives population. Additionally, the Director is responsible for our mental health co- management program (PIC)… more
    Penn Medicine (09/07/24)
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  • Veterinary Medical Director

    BluePearl (Conshohocken, PA)
    …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . As Medical Director you will partner in ... offer a competitive salary and relocation assistance. Your primary responsibilities as Medical Director include **upholding medical quality standards**… more
    BluePearl (11/03/24)
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  • Medical Director

    Highmark Health (Trenton, NJ)
    …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
    Highmark Health (10/23/24)
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  • Case Manager - MWRAP

    Southern New Jersey Perinatal Cooperative (Pennsauken, NJ)
    …The Case Manager conducts needs assessments and provides intensive case management , wraparound services, and recovery support for pregnant/postpartum women ... characteristics. The Cooperative offers a competitive benefit package: * Medical , Dental, Life Insurance * Id Theft & Legal...assessments that include life domains. * Provides and documents case management services in compliance with program… more
    Southern New Jersey Perinatal Cooperative (10/18/24)
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  • Conduct Associate Director

    University of Pennsylvania (Philadelphia, PA)
    …targeted educational outreach efforts that relate to their assigned areas. Duties related to case management include, but are not limited to, managing case ... wellness programs and resources, and much more. Posted Job Title Conduct Associate Director Job Profile Title Case Manager B Job Description Summary Principle… more
    University of Pennsylvania (10/27/24)
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  • Director of International Development

    University of Pennsylvania (Philadelphia, PA)
    …health and wellness programs and resources, and much more. Posted Job Title Director of International Development Job Profile Title Director C, Development, ... team and vested interests partners across the university, the Director of International Development is a key member of...will play an active role in the oversight and management of any volunteer structure and/or foundation in the… more
    University of Pennsylvania (10/27/24)
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  • Director , Asset Protection Strategy…

    Burlington (Burlington, NJ)
    …Route 130 North Burlington NJ US 08016 **Overview** Burlington is hiring a ** Director of Asset Protection Strategy and Analytics** to protect company assets and ... Analytics team. Reporting to the VP Shortage Control the Director of AP Strategy and Analytics is a key...optimize both supply and labor spend. + Offer business case writing expertise and lead the compilation and review… more
    Burlington (10/10/24)
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  • Registered Nurse - RN Case Manager…

    Gentiva (Hamilton, NJ)
    …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or ... Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
    Gentiva (11/05/24)
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  • Director , MedTech IBP Re-Ignite Leader

    J&J Family of Companies (Trenton, NJ)
    Director , MedTech IBP Re-Ignite Leader - 2406221361W **Description** J&J MedTech is recruiting for a Director , MedTech Re-Ignite IBP Leader located in Raritan, ... locations! Remote work options may be considered on a case -by- case basis and if approved by the...across Commercial, Commercial Finance, and Supply Chain. Champion change management efforts to ensure smooth adoption of the re-engineered… more
    J&J Family of Companies (11/06/24)
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