• Medical Director - OneHome

    Humana (Trenton, NJ)
    …home health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... a 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… more
    Humana (05/31/25)
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  • Medical Director -Payment Integrity

    Humana (Trenton, NJ)
    …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... the courage to innovate **Additional Information** Typically reports to a Lead Medical Director . The Medical Director conducts post- service , inpatient care… more
    Humana (06/06/25)
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  • Executive Director , Global Medical…

    Organon & Co. (Jersey City, NJ)
    …Medical Services Lead has deep knowledge across all areas of Medical Services . This position reports into the Associate Vice President, International Medical ... **Job Description** **The Position** The Global Medical Services Lead is responsible for the creation, management...for the creation, management and oversight of the medical service strategy as well as the oversight and deployment… more
    Organon & Co. (04/25/25)
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  • National Utilization Management Director…

    Humana (Trenton, NJ)
    …community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid builds strategies for development, ... clinical practices and processes for clinical community within the enterprise. The Director , Clinical Strategy and Practice requires an in-depth understanding of how… more
    Humana (06/06/25)
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  • Client Engagement Director

    Ensono (Trenton, NJ)
    …of existing services + Striving for a mix of Ensono products and services vs. single service + Building key partnership and alliance relationships that ... role and what you'll be doing:** The Client Engagement Director is accountable for the growth of an Ensono...Service Delivery Management​ + Enabling and selling new services sales across the client's IT landscape​ + Understand… 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...and decisions regarding the appropriateness and medical necessity of services provided by other healthcare professionals in compliance with… more
    Humana (04/24/25)
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  • Director , Grievance and Appeals

    Humana (Trenton, NJ)
    …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
    Humana (05/30/25)
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  • Director , SPP/GPO Contract Strategy…

    Bristol Myers Squibb (Princeton, NJ)
    …in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their ... 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… more
    Bristol Myers Squibb (06/07/25)
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  • Director , Strategy Advancement, Risk…

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
    Humana (05/29/25)
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  • Childcare Regional Director

    Healthy Kids Programs (Cherry Hill, NJ)
    …PAY RATE:Base Salary $40,000 (growth opportunities available) REPORTS TO:Senior Regional Director and/or Associate Executive Director DIRECT REPORTS:Program ... Childcare Regional Director Cherry Hill, NJ (http://maps.google.com/maps?q=Cherry+Hill+NJ+USA+08002) Job Type Full-time...highly qualified staff to deliver a consistent, high quality service in all sites. + Managing an operation that… more
    Healthy Kids Programs (06/06/25)
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