- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine Surgery cases. ... policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts… more
- Evolent (Trenton, NJ)
- …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. We can ... as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation… more
- Fiserv (Berkeley Heights, NJ)
- …on a global scale, come make a difference at Fiserv. **Job Title** Senior Director ACH Compliance **What does a successful ACH Compliance Director do?** The ... Fiserv business unit activities related to ACH operations. The Director must respond timely to requests for interpretation of...a variety of medical, dental, vision, life and disability insurance options and a range of well-being resources through… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Description** The Associate Director of Commercial Strategic Sourcing will lead and manage all aspects of the commercial strategic sourcing and procurement ... services operations. The Associate Director of Commercial Strategic Sourcing has overall ownership of the Sourcing process at Otsuka for Media Planning & Buying,… more
- Merck (Rahway, NJ)
- …Point, PA / Rahway, NJ is seeking a curious and collaborative Associate Director to support our rapidly expanding cardiometabolic and ophthalmology pipelines. As an ... Associate Director , you will represent QP2 on cross-functional teams of...race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other… more
- Elevance Health (Morristown, NJ)
- **Behavioral Health Medical Director - Psychiatrist- NJ Medicaid** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... part- time position, 20 hours a week. The **Behavioral Health Medical Director - Psychiatrist- New Jersey** is responsible for the administration of behavioral health… more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …will improve the lives of patients with life-threatening illnesses worldwide. The Director of Ethics and Compliance Training and Communications is responsible for ... within the Global Compliance Operations team and reports directly to the Senior Director , Global Head of Ethics and Compliance Training and Communications. The … more
- Merck (Rahway, NJ)
- **Job Description** **Overview** The Associate Director of Federal Tax Audit plays a crucial role in supporting the audit function within the Tax Department, ... reporting directly to the Director of Tax Audits. This position is responsible for...race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking a ... strategic and experienced Sr ** Director of Product Management** to lead the vision, planning,...to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you… more
- Humana (Trenton, NJ)
- …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 scope and complexity...+ Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction,… more