• Field Medical Director

    Evolent (Trenton, NJ)
    …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National...process. + May assist the Senior Medical Director in research activities/questions related to the Utilization more
    Evolent (07/30/25)
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  • Medical Director - Florida

    Humana (Trenton, NJ)
    …how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... management. + Utilization management experience in a medical management review organization, such as Medicare...on size of region or line of business. The Medical Director conducts Utilization Management… more
    Humana (07/29/25)
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  • Field Medical Director , Cardiology

    Evolent (Trenton, NJ)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (08/15/25)
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  • Field Medical Director , MSK (spine)

    Evolent (Trenton, NJ)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (08/19/25)
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  • Behavioral Health Medical Director

    Humana (Trenton, NJ)
    …care management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and ... operations team and healthcare organization. The Medical Director 's work includes computer based review of...management + Utilization management experience in a medical management review organization, such as Medicare… more
    Humana (08/09/25)
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  • Medical Director - NorthEast Region

    Humana (Trenton, NJ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...management. + Utilization management experience in a medical management review organization, such as Medicare… more
    Humana (07/25/25)
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  • Field Medical Director , Oncology

    Evolent (Trenton, NJ)
    …timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (08/19/25)
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  • Field Medical Director

    Evolent (Trenton, NJ)
    …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (06/11/25)
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  • Field Medical Director , Physical…

    Evolent (Trenton, NJ)
    …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , Physical Medicine and Rehab you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more
    Evolent (07/24/25)
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  • Director , Medical Affairs- New…

    RWJBarnabas Health (New Brunswick, NJ)
    …improvement and utilization measures + Responsible for the development/ review /revision of appropriate Medical Staff governance documents including the ... Director , Medical Affairs- New Brunswick, NJReq...and pursues additional information for effective / comprehensive peer review + Works with the Chief Medical more
    RWJBarnabas Health (06/13/25)
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