- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... home health, SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director ...dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Trenton, NJ)
- …health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments ... data requires a case by case consideration of the Medicare rules, Humana policies and medical necessity. The Medical... rules, Humana policies and medical necessity. The Medical Director will collaborate with clinicians and support staff to… more
- 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 actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid, and Medicare Advantage requirements and will understand… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will understand… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations ... internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to… more
- Bristol Myers Squibb (Princeton, NJ)
- …. **Position Summary** This position will work under the oversight of the Executive Director , Policy and Research and will be a Washington, DC or Princeton, NJ based ... role. The Director will lead policy development and strategy related to drug pricing policy and legislation (eg IRA, Medicare Part D) for BMS as a member of a… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Director , Government Pricing **Location:** Morristown, NJ **About the job** **Job Summary:** The Director will lead the team responsible for ... Average Selling Price ("ASP") and state price reporting requirements. The Director will interpret complex government pricing regulations and oversee system… more
- Aveanna Healthcare (Clark, NJ)
- Clinical Director - Home Care - RN ApplyRefer a FriendBack Job Details Requisition #: 207908 Location: Clark, NJ 07066 Category: Nursing Salary: $85,000.00 - ... 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)
- …develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include ... demonstrating strong leadership, project management, and communication skills. As the Director , Market Access Contract Operations, you will oversee all aspects of… more