- Merck (Rahway, NJ)
- …and dedicated colleagues while developing and expanding your career. The Senior Clinical Director (Sr. Principal Scientist) has primary responsibility for the ... Our Company's Oncology medicines span all phases of clinical development (pre- clinical to post-licensure). The Senior Director will manage the entire cycle… more
- Humana (Trenton, NJ)
- …Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the ... national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case...activities as assigned by the managing Medical Director Travel: While this is a remote … more
- Grifols Shared Services North America, Inc (Atlantic City, NJ)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... aligned with goals and objectives. This position is a remote full-time role in the US with estimated 50%...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- AbbVie (Florham Park, NJ)
- …*Position title will be based on qualifications listed below. Purpose: The Scientific/ Medical Director , Medical Affairs provides specialist medical ... team environment. + Must possess excellent oral and written English communication skills. Medical Director Qualifications: + Medical Doctorate (MD) degree or… more
- Humana (Trenton, NJ)
- **Become 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 work assignments involve moderately complex to complex issues...in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug ... appeals (Part D & B). The Medical director work assignments involve moderately complex...CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will… more
- Humana (Trenton, NJ)
- …lead Medical Directors performing utilization management for inpatient authorizations training medical director team to assist and facilitate new hires and ... look at appeals rate with denials and overturns. Deliver the upmost consistent medical director decision making. + _Internal Operations and Technology_ _:_… more
- CVS Health (Trenton, NJ)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise ... effective use of health care resources. This is a remote based (work from home) role. Preferred candidates will...directing case management when necessary. The Medical Director will act as a business and clinical… more
- Bristol Myers Squibb (Princeton, NJ)
- …exchange. + **Provide Scientific/ Medical Expertise Across the Matrix** + Offer medical insights to guide clinical development plans and influence strategic ... to align objectives and enhance engagement. **Qualifications & Experience** + Advanced Medical /Biology degree (MD, PhD, PharmD) with clinical and/or 6-8 years… more
- Humana (Trenton, NJ)
- …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...represents Humana at Administrative Law Judge hearings; exercises independent clinical judgment and decision making on complex issues regarding… more