• Corporate Medical Director

    Humana (Trenton, NJ)
    **Become 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
    - Related Jobs
  • Medical Director - Medicare

    Humana (Trenton, NJ)
    **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (05/14/25)
    - Related Jobs
  • Director , Corporate Reimbursement…

    RWJBarnabas Health (Oceanport, NJ)
    …filings. In partnership with the Vice President of Corporate Reimbursement, the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport,...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… more
    RWJBarnabas Health (03/21/25)
    - Related Jobs
  • Medical Director - Care Plus…

    Humana (Trenton, NJ)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (04/24/25)
    - Related Jobs
  • Medical Director - Pacific SW Region

    Humana (Trenton, NJ)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (05/10/25)
    - Related Jobs
  • Associate Director , Oncology Access…

    Daiichi Sankyo Inc. (Basking Ridge, NJ)
    …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… more
    Daiichi Sankyo Inc. (05/08/25)
    - Related Jobs
  • Director of Administration - NJ Institute…

    Rowan University (Stratford, NJ)
    …contracts and other legal documents in Medi-Tract. Reviews executed contracts for Medical Director or team physician assignments to clinical faculty, ensuring ... Job title: Director of Administration Department: Geriatrics & Gerontology /...Specific experience with geriatric clinical practice preferred. Familiarity with medical terminology, Epic, billing and revenue collection, Medicare more
    Rowan University (05/15/25)
    - Related Jobs
  • Associate Director , Data Quality/Integrity…

    Humana (Trenton, NJ)
    …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
    Humana (05/06/25)
    - Related Jobs
  • Senior Director Utilization and Contracting…

    The Cigna Group (Morris Plains, NJ)
    …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... to work and influence cross-functional partners to achieve key initiatives and corporate goals + Demonstrated initiative with commitment and ability to work under… more
    The Cigna Group (04/04/25)
    - Related Jobs
  • Associate Chair of Oncology - Physician - Valley…

    Mount Sinai Health System (NJ)
    … Oncology leader to serve as Associate Chair, Oncology Services, VMG, and Director , Hematology and Medical Oncology. Valley-Mount Sinai Comprehensive Cancer Care ... Staff Oncology Service Line Executive Committee of the Valley Hospital (TVH). As Director , Hematology and Medical Oncology, the role will focus on managing and… more
    Mount Sinai Health System (04/22/25)
    - Related Jobs