• Medical Director - NorthEast Region

    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
    Humana (07/25/25)
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  • Director , Government Contracting…

    Sanofi Group (Morristown, NJ)
    **Job Title:** R2818954 Director , Government Contracting and Analytics (Open) **Location:** Morristown, NJ, **About the Job** The Director will lead the team ... responsible for the compliant management of government contracts including Medicaid State Supplemental Programs, State Pharmaceutical Assistance Programs (SPAPs),… more
    Sanofi Group (08/20/25)
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  • Senior Director of Clinical & Operational…

    SERV Behavioral Health System (Hamilton, NJ)
    …and life satisfaction through a wide range of services. JOB SUMMARY: The Senior Director of IDD and Mental Health Services is a strategic and operational leader ... delivery of high-quality, person-centered, and recovery-focused services. The Senior Director is responsible for ensuring program compliance, fiscal accountability,… more
    SERV Behavioral Health System (07/29/25)
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  • Associate Director , Strategic Pricing…

    Ascendis Pharma (Princeton, NJ)
    …to grow and develop their skills. Ascendis Pharma is looking to hire an Associate Director , Strategic Pricing to join our team. This individual will play a key role ... that optimize patient access, profitability, and long-term growth. The Associate Director will work closely with internal stakeholders across Market Access, Finance,… more
    Ascendis Pharma (07/12/25)
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  • Medical Director -Pharmacy Appeals

    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...medical management review organization such as Medicare Advantage, managed Medicaid , or Commercial health insurance + Experience with national… more
    Humana (08/22/25)
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  • Clinical Director - RN - Home Care

    Aveanna Healthcare (Hackensack, NJ)
    Clinical Director - RN - Home Care ApplyRefer a FriendBack Job Details Requisition #: 207400 Location: Hackensack, NJ 07601 Category: Nursing Salary: $90,000.00 - ... for you when you come to Aveanna. Position Overview The Clinical Director is responsible and accountable for the planning, organizing, directing and evaluating… more
    Aveanna Healthcare (08/20/25)
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  • Director , Government Pricing (Managed…

    Ascendis Pharma (Princeton, NJ)
    …dynamic workplace for employees to grow and develop their skills. The Director , Government Pricing will lead the development, execution, and oversight of government ... and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per...team (specifically from: Talent Acquisition Partner or Human Resources Director ) is not allowed. If this occurs your ownership… more
    Ascendis Pharma (08/21/25)
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  • Medical Director - Medicare Grievances…

    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...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
    Humana (08/08/25)
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  • Medical Director - Medicare Grievances…

    Humana (Trenton, NJ)
    …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
    Humana (08/26/25)
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  • Associate Director , Managed Care Payer…

    Teva Pharmaceuticals (Parsippany, NJ)
    Associate Director , Managed Care Payer Contracting Date: Aug 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... next generation of pharmaceutical access in a high-growth environment.** The Associate Director , Managed Care Payer Contracting plays a pivotal role in supporting… more
    Teva Pharmaceuticals (07/23/25)
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