• Medical Director -Pharmacy Appeals

    Humana (Trenton, NJ)
    …clinical expertise to review Medicare drug appeals ( Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... case-by-case consideration of the Medicare rules, Humana policies and medical necessity. The Medical Director 's...Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare Part D… more
    Humana (08/22/25)
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  • Senior Medical Director , Oncology…

    Merck (Rahway, NJ)
    …strive to create an environment of mutual respect, encouragement and teamwork. As part of our global team, you'll have the opportunity to collaborate with talented ... colleagues while developing and expanding your career. The Senior Clinical Director (Sr. Principal Scientist) has primary responsibility for the planning and… more
    Merck (08/20/25)
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  • Behavioral Health Medical Director…

    Elevance Health (Morristown, NJ)
    **Behavioral Health Medical Director - Psychiatrist- NJ Medicaid** Location: The successful candidate will be a board-certified psychiatrist licensed and residing ... granted as required by law. Schedule: This is a part - time position, 20 hours a week.... position, 20 hours a week. The **Behavioral Health Medical Director - Psychiatrist- New Jersey** is responsible… more
    Elevance Health (08/08/25)
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  • Medical Director - Medicare…

    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 problems of diverse...a remote position. **Scheduled weekly hours** **:** 40 hours (full- time ): four 10-hour workdays per week, either Friday-Monday or… more
    Humana (08/08/25)
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  • Field Medical Director…

    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 ... state. Multiple opportunities for a flexible schedule and both part - time and full- time options available.**...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
    Evolent (07/30/25)
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  • Medical Director , Psychiatrist…

    Atlantic Health System (Freehold, NJ)
    …Psychiatrist to serve as Medical Director of Psychiatry at CentraState Medical Center in Freehold, NJ. This full- time position will oversee a 19-bed ... Atlantic Health is Seeking a Medical Director of Psychiatry at CentraState...Prescription Coverage (22.5 hours per week or above for full- time and part - time team members)… more
    Atlantic Health System (07/18/25)
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  • System Medical Director…

    Atlantic Health System (Morristown, NJ)
    System Medical Director , Neurosciences Service Line Atlantic Health System is seeking an accomplished and visionary System Medical Director of ... Sclerosis, Neurocritical Care and Neurosurgical services. Additionally, the System Medical Director will collaborate with hospital chairs...Prescription Coverage (22.5 hours per week or above for full- time and part - time team members)… more
    Atlantic Health System (07/02/25)
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  • Medical Director - Medicare…

    Humana (Trenton, NJ)
    **Become 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...good faith estimate of starting base pay for full time (40 hours per week) employment at the … more
    Humana (08/26/25)
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  • Assistant Director Clinical-L&D Full…

    RWJBarnabas Health (Long Branch, NJ)
    Assistant Director Clinical-L&D Full Time NightReq #:0000192243 Category:Nursing Manager Status:Full- Time Shift:Night Facility:Monmouth Medical Center ... Location: 300 Second Avenue, Long Branch, NJ 07740 Job Title: Assistant Director Clinical Location: Monmouth Medical Center Department: Nursing Delivery Room… more
    RWJBarnabas Health (06/16/25)
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  • US Medical Director , RSV Franchise…

    Sanofi Group (Morristown, NJ)
    **Job title:** US Medical Director , RSV Franchise - Vaccines...+ Ability to travel up to 20% of the time + Knowledge of US health care system, communicable ... and mirrors the healthcare communities we engage. The _US Medical Director , RSV Franchise_ will contribute to...and networking skills with an ability to work as part of a cross-functional and multicultural team + Effectively… more
    Sanofi Group (08/13/25)
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