- 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...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… 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...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Trenton, NJ)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Evolent (Trenton, NJ)
- …we're redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal ... a focus on **value-based strategy and transformation** . Unlike traditional medical review roles that emphasize volume throughput, this position integrates… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …the evaluation of HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus on identifying ... the Medicare Drug Price Negotiation Program (MFP). The Associate Director will translate insights into actionable strategies that align with AUSTEDO's… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Associate Director , HEDIS Operations of Non-Standard Supplemental for business ... of configuration control, data management, and deficiency reporting. The Associate Director , Data Management requires a solid understanding of how organization… more
- Grifols Shared Services North America, Inc (Camden, NJ)
- …market access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid ... and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Director , Product Management Conceives of, develops, delivers, and manages products ... for customer use. The Director , Product Management requires an in-depth understanding of how...capabilities interrelate across the function or segment. **Become a part of our caring community and help us put… more
- Bayer (Morristown, NJ)
- …influence/impact and decision drivers of US commercial and government payers (Commercial, Medicare Part B/D, Medicaid) and channel customers (eg, specialty ... minds to make a real difference, there's only one choice.** **Executive Director Access Business Partner** The Access Business Partner (ABP) is accountable for… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Associate Director , Procurement generates and implements efficient sourcing and ... the company's supply portfolio ensuring transparency of spending. The Associate Director , Procurement requires a solid understanding of how organization capabilities… more