- Humana (Trenton, NJ)
- …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review ... 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)
- …an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise leader, ... a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people...to advancing the employment experience and vitality of the associate community. Through offerings anchored in a whole-person view… 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 ... must be able to start with 30-60 days of hire. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether… 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
- Terumo Medical Corporation (Somerset, NJ)
- …for patients. **Join us and help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** Senior Director , Human Resources (HR) ... Sr. Director , HR Strategy Date: Aug 9, 2025 Req...broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers… 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...Clinical Pharmacology + Exposure to Public Health, Population Health, analytics , and use of business metrics + Curiosity to… more
- Novo Nordisk (Plainsboro, NJ)
- …Are you ready to maximize your potential with us? The Position Assist Director of Institutional Contracts in managing the development and implementation of Inflation ... management, and modifications in the event of regulatory changes. Supports analytics , good faith inquiries, complaints, and post payment audits. Supports master… more
- Prime Healthcare (Passaic, NJ)
- …Prime Healthcare , which has been lauded as a "Top 15 Healthcare System" by Truven Health Analytics . For information, visitwww.smh-nj.com. Responsibilities ... Under the direction and authorization of the medical director and cardiopulmonary director /manager, the RCP I...certificate within 60 days of hire and maintain current.7. Associate Degree or Bachelor of Science degree preferred8. High… more
- J&J Family of Companies (Raritan, NJ)
- …Certified Information Security Management (CISM) certification is a plus. + Metrics, Data & Analytics certification is a plus + Associate Certified Analytics ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where...and visualization. The prospective candidate will partner with the Director of Cyber Metrics and Reporting to own and… more