- Humana (Trenton, NJ)
- …to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to complex ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… 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
- Merck (Rahway, NJ)
- …to manage clinical development projects; and + Assist the Executive Director / Associate Vice President in ensuring that appropriate corporate personnel are ... and dedicated colleagues while developing and expanding your career. The Senior Clinical Director (Sr. Principal Scientist) has primary responsibility for the… more
- Humana (Trenton, NJ)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... 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… more
- Grifols Shared Services North America, Inc (Atlantic City, NJ)
- …more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct ... (MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, and… 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 provides medical interpretation and decisions about the appropriateness of services… 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...CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Director , HR Strategy Date: Aug 9, 2025 Req ID: 4847 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TMC Human Resources Terumo ... industry. TMC places a premium on providing customers with world-class products, training and education programs that drive clear economic value, better clinical… more
- RWJBarnabas Health (Long Branch, NJ)
- …skills and professional experience. Job Overview: Works with the Chief Academic Officer, Director of Clinical Trials and the Clinical Research staff ... Assistant Director , Institutional Review Board - Long Branch, NJReq...and ethical principles essential to the review process; provide training and advice to faculty, staff, and student researchers… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more