• Medical Director - National Medicare

    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
    Humana (05/29/25)
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  • Medical Director - Care Plus - Florida

    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
    Humana (04/24/25)
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  • Director , Payer Contract Strategy…

    Bristol Myers Squibb (Princeton, NJ)
    …and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Director of Contract Strategy and Analytics manages a highly skilled and ... BMS financial targets. This role supports customers in the Commercial & Part D payers, IDNs, Specialty and Acute...best interests of BMS in delicate contract negotiations. The Director provides guidance and support in the analysis of… more
    Bristol Myers Squibb (05/26/25)
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  • Medical Director - OneHome

    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, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
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  • Executive Director , Product Development…

    Merck (Rahway, NJ)
    **Job Description** The Executive Director (Distinguished Scientist) has primary responsibility for the planning and directing of clinical research activities ... Atherosclerosis section of the Atherosclerosis & Metabolism therapeutic area. The Executive Director will manage and oversee the entire cycle of late stage clinical… more
    Merck (05/24/25)
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  • Client Engagement Director

    Ensono (Trenton, NJ)
    …andPassion. **About the role and what you'll be doing:** The Client Engagement Director is accountable for the growth of an Ensono client. The Client Engagement ... Director ultimately owns the client relationship and will identify...main point of contact at Ensono, responsible for the commercial relationship with the client and maximizing current service… more
    Ensono (05/17/25)
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  • Corporate Medical Director - Medicare…

    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...of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about contributing to… more
    Humana (04/24/25)
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  • Regional Director - HIV Prevention, Field…

    Gilead Sciences, Inc. (Jersey City, NJ)
    …in transforming patient care through groundbreaking therapies. As the **Regional Director - HIV Prevention, Field Activation Specialist - Northeast** , you'll ... + Ensure all field activities and team actions comply with Gilead's commercial compliance policies and applicable federal and state laws. Foster a culture… more
    Gilead Sciences, Inc. (05/16/25)
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  • Medical Director - Medicare Grievances…

    Humana (Trenton, NJ)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate about contributing to… more
    Humana (05/14/25)
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  • Sr. Director , Medical Affairs QA

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …centered around rare diseases and immune disorders. **JOB SUMMARY** The Senior Director , Head Medical affairs Quality Assurance in Global RD/PV QA is accountable ... QA RDPVQA, and oversees multiple levels of direct reports (Directors, Associate Directors, Managers, contractors as applicable) across the Global Quality teams… more
    Daiichi Sankyo Inc. (04/26/25)
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