- Humana (Trenton, NJ)
- … contract negotiations + Support expansion and usage of theMerlin/iCertis contract management system includingcollaborating with enterprise partners to ensure ... first** The Director , Network Contracting and Support ( Director , Contract Tools, Education, Processes) supports successful...and influence others + 2+ years of strong project management skills with experience working on mid to large… more
- Evolent (Trenton, NJ)
- …**Be Doing:** + Lead and mentor a teamthat consists of Associate Director and Account Manager level associates,providingongoingdirection,feedbackand support + ... to identify opportunities for growth within health plan specialty management and Evolent. This Strategic Account Director ... with assigned clients as well as ensure ongoing contract performance through risk management activities including… more
- Humana (Trenton, NJ)
- … management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative relationships ... requirements, Humana policies, clinical standards, and (in some cases) contracts . The ideal candidate supports and collaborates with other...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- 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 in an ... 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 … more
- Humana (Trenton, NJ)
- …CMS requirements, Humana policies, clinical standards, and (in some cases) contracts . The Medical Director provides medical interpretation and decisions ... members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Burlington (Burlington, NJ)
- **Position Overview** Burlington is hiring a Director of IT Procurement to lead cross functional teams in developing sourcing strategies to support total spend ... management goals that align with company strategy, result in...customer satisfaction, and optimize costs and supplier relations. The Director will influence senior leaders in setting direction for… more
- Westminster Management (Florham Park, NJ)
- …Be best in class. Be Solution-Oriented. Be Accountable. Be caring. JOB SUMMARY The Director of Risk Management is responsible for designing and executing an ... reduction strategies, and facilitating solutions to risk related issues. RESPONSIBILITIES The Director of Risk Management receives general guidance and direction… more
- Compass Group, North America (Englewood Cliffs, NJ)
- …written and verbal + Ability to communicate on various levels to include management , client, customer and associate levels + Excellent financial, budgetary, ... Flik Hospitality Group **Position Title: DIRECTOR OF DINING SERVICES - NBCU** **Salary:** $85000... ensures client, customer service/satisfaction with efficient cost effective management that both meets and exceeds stated expectations. They… more
- Union County College (Cranford, NJ)
- …greater Union County region. It is the oldest of New Jerseys 19 Associate Degree Colleges, serving both career-minded and transfer-oriented students since 1933. The ... Commission on Higher Education. Many programs lead to the Associate in Arts, Science and Applied Science degrees. Campus:...General Description: Under the supervision of the Dean, the Director of the Nursing Program is responsible for the… more