• Denials Prevention Specialist, Clinician PRN

    Datavant (Trenton, NJ)
    …appropriate letter language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted ... the largest, most diverse health data network in the US , enabling data to be secure, accessible and usable...+ Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely… more
    Datavant (11/12/25)
    - Related Jobs
  • Clinical Account Executive - Express Scripts…

    The Cigna Group (Morris Plains, NJ)
    …and new healthcare delivery models. They will partner with the Health Plan's Pharmacy Director , Medical Director and clinical staff to provide a ... 2 days' work at home). The incumbent candidate can be based out of any US Cigna Healthcare office.** **This position is a Hybrid role where the Cigna policy requires… more
    The Cigna Group (11/27/25)
    - Related Jobs
  • Respiratory Therapist - CRT/RRT

    Prime Healthcare (Passaic, NJ)
    …Bonus Available for Full Time * Under the direction and authorization of the medical director and cardiopulmonary director /manager, the RCP I is responsible ... St. Mary's General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute… more
    Prime Healthcare (11/05/25)
    - Related Jobs
  • Respiratory Therapist - (RRT/CRT)

    Prime Healthcare (Passaic, NJ)
    …role, October through winter months. Under the direction and authorization of the medical director and cardiopulmonary director /manager, the RCP I is ... St. Mary's General Hospital, located in Passaic, NJ, is a community-based tertiary medical center focused on providing quality, compassionate care. It is an acute… more
    Prime Healthcare (10/08/25)
    - Related Jobs
  • Certified Respiratory Therapist (CRT)

    Prime Healthcare (Dover, NJ)
    …visitwww.saintclares.com. Responsibilities Under the direction and authorization of the medical director and cardiopulmonary director /manager, the ... but is not limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.… more
    Prime Healthcare (11/24/25)
    - Related Jobs
  • Registered Respiratory Therapist (RRT)

    Prime Healthcare (Denville, NJ)
    …information, visitwww.saintclares.com. Responsibilities Under the direction and authorization of the medical director and cardiopulmonary director , the RCP ... but is not limited to, paid time off, a 401K retirement plan, medical , dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options.… more
    Prime Healthcare (10/08/25)
    - Related Jobs
  • Clinical Registered Nurse - Utilization Management…

    Cognizant (Trenton, NJ)
    …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... role's business requirements, this is a remote position open to qualified applicants in United States . Regardless of your working arrangement, we are here to… more
    Cognizant (11/25/25)
    - Related Jobs
  • Medical Affairs Manager IPD

    BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
    …learn, grow and become your best self. Become a **maker of possible** with us . ** Medical Affairs Manager, Infusion Preparation & Delivery (IPD)** **Scope:** In ... It takes the imagination and passion of all of us -from design and engineering to the manufacturing and marketing...this role under the Director of Medical Affairs IPD, the focus… more
    BD (Becton, Dickinson and Company) (10/26/25)
    - Related Jobs
  • Senior Manager, Worldwide Medical

    Bristol Myers Squibb (Madison, NJ)
    …more: careers.bms.com/working-with- us . **Position Summary** Position reports to the Director of Medical Communications within WWMH, of Global Medical ... **Working with Us ** Challenging. Meaningful. Life-changing. Those aren't words that...scientifically accurate and strategically aligned communications plan that support medical communication needs of the markets related to specified… more
    Bristol Myers Squibb (11/26/25)
    - Related Jobs
  • Senior Specialist, Audit - Rahway, NJ,…

    Merck (Rahway, NJ)
    …positive impact on patients' lives. Under the direction of the Client Audit Director (CAD) and the Auditor-in-Charge (AIC), the Senior Specialist will: + Participate ... We offer a comprehensive package of benefits. Available benefits include medical , dental, vision healthcare and other insurance benefits (for employee and… more
    Merck (10/23/25)
    - Related Jobs