• Medical Director - OneHome

    Humana (Trenton, NJ)
    **Become 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 home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (11/27/25)
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  • Director , Learning & Development, Product,…

    Walmart (Hoboken, NJ)
    …Six Sigma - Certification **Primary Location ** 221 River St, Hoboken, NJ 07030, United States of America Walmart and its subsidiaries are committed to ... **Position Summary ** **What you'll do ** ** Director , Learning & Development, Product, Certifications, and Learning Platforms** **Role Summary** The Director ,… more
    Walmart (11/14/25)
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  • Assoc Director , Medical Affairs

    Gilead Sciences, Inc. (Parsippany, NJ)
    …opportunity within the US Medical Affairs (USMA) organization for an Associate Director within Oncology Medical Strategy. Reporting to Executive Director ... globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and...conditions of the applicable plans. **For jobs in the United States :** Gilead Sciences Inc. is committed… more
    Gilead Sciences, Inc. (11/15/25)
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  • Medical Director - IP Claims Management

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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
    Humana (12/11/25)
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  • Medical Director -Payment Integrity

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... 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
    Humana (12/11/25)
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  • Director , External Quality Strategy…

    Gilead Sciences, Inc. (Parsippany, NJ)
    …Description** Gilead Sciences PDM External Quality is currently seeking a leader at the Associate Director / Director level to lead a team of Quality ... globe. We continue to fight against the world's biggest health challenges, and our mission requires collaboration, determination and...conditions of the applicable plans. **For jobs in the United States :** Gilead Sciences Inc. is committed… more
    Gilead Sciences, Inc. (11/22/25)
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  • Before and After School Assistant Director

    Healthy Kids Programs (Swedesboro, NJ)
    …tackle any challenges that come our way. Requirements EDUCATION AND EXPERIENCE: + Associate 's Degree in Education, Psychology, Health Care, Nursing, or any other ... Before and After School Assistant Director Swedesboro, NJ (http://maps.google.com/maps?q=Swedesboro+NJ+USA+08085) Job Type Part-time Description Healthy Kids… more
    Healthy Kids Programs (12/10/25)
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  • Director , Operations - Internal Consulting…

    Walmart (Hoboken, NJ)
    …Professional - Certification **Primary Location ** 221 River St, Hoboken, NJ 07030, United States of America Walmart and its subsidiaries are committed to ... and help shape our growth trajectory. We are seeking an experienced and driven Director , Internal Consulting & Special Projects - WMC BizOps to be a key contributor… more
    Walmart (12/10/25)
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  • Medical Director - Nat'l IP UM Team

    Humana (Trenton, NJ)
    …first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
    Humana (11/15/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Trenton, NJ)
    **Become 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...Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group practice management + Utilization… more
    Humana (12/03/25)
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