• Corporate Medical Director

    Humana (Trenton, NJ)
    **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Director , Corporate Reimbursement…

    RWJBarnabas Health (Oceanport, NJ)
    …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
    RWJBarnabas Health (03/21/25)
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  • Principal Data Scientist - Aetna Medicare

    CVS Health (Trenton, NJ)
    …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...business strategies and products + Experience in large, matrixed corporate environment + Experience working with end-users **Education:** +… more
    CVS Health (05/28/25)
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  • Medical Director - Care Plus…

    Humana (Trenton, NJ)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (04/24/25)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (06/05/25)
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  • Associate Director , Oncology Access…

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… more
    Daiichi Sankyo Inc. (05/08/25)
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  • Director of Administration - NJ Institute…

    Rowan University (Stratford, NJ)
    …contracts and other legal documents in Medi-Tract. Reviews executed contracts for Medical Director or team physician assignments to clinical faculty, ensuring ... Job title: Director of Administration Department: Geriatrics & Gerontology /...Specific experience with geriatric clinical practice preferred. Familiarity with medical terminology, Epic, billing and revenue collection, Medicare more
    Rowan University (05/15/25)
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  • Counsel - Corporate Contracts…

    Atlantic Health System (Morristown, NJ)
    Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory issues related to tax-exempt entities. -As required, ... and corporate work experience, including prior experience with hospitals, Medicare and Medicaid, and federal and state healthcare regulatory issues, including… more
    Atlantic Health System (04/22/25)
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  • Registered Nurse, Per Diem Days, 8a - 4p,…

    Atlantic Health System (Morristown, NJ)
    …and monitors them for side effects and reactions. 3. Prescribes assistive medical devices and related treatments. 4. Monitors, reports, and records symptoms or ... healthcare team members. 6. Records patient vital signs and medical information. 7. Performs other related duties as assigned....highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
    Atlantic Health System (05/14/25)
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  • Senior Director Utilization and Contracting…

    The Cigna Group (Morris Plains, NJ)
    …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... to work and influence cross-functional partners to achieve key initiatives and corporate goals + Demonstrated initiative with commitment and ability to work under… more
    The Cigna Group (04/04/25)
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