- Humana (Trenton, NJ)
- …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 problems of diverse...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Humana (Trenton, NJ)
- …a part of 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...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Evolent (Trenton, NJ)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Arc Mercer (Ewing Township, NJ)
- …NJ, USA | 125000 per year | Full Time Position: Associate Executive Director of Behavioral and Medical Operations Compensation: $120,000 to $125,000 Status: ... Who We Need: We are seeking an experienced and mission-driven Associate Executive Director of Behavior and Medical Operations to lead our innovative behavioral… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person"… more
- 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
- Ascendis Pharma (Princeton, NJ)
- …mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly ... for employees to grow and develop their skills. The Director , Government Pricing will lead the development, execution, and...and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per… more
- 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