• Director Rates and Regulatory

    American Water (Camden, NJ)
    …* This role is responsible for identifying, communicating, and advancing key regulatory initiatives to support the Company's strategic regulatory objectives. It ... involves close collaboration with state teams and regulatory stakeholders to advocate favorable outcomes, monitor regulatory developments, and shape effective… more
    American Water (09/18/25)
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  • PCO Medical Director - UM - Full Time

    CenterWell (Trenton, NJ)
    …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
    CenterWell (11/06/25)
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  • Director of Quality

    Innovation Foods LLC (Millville, NJ)
    …reporting to the General Manager, is tasked with leading all Food Safety, Regulatory , Sanitation, and Product Quality activities. The Director of Quality works ... development, wellness, and exceptional benefits. Our benefits include: Competitive Pay Rates Medical, dental, vision and prescription plans with wellness incentives… more
    Innovation Foods LLC (11/20/25)
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  • Behavioral Health Medical Director

    Humana (Trenton, NJ)
    …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources… more
    Humana (11/11/25)
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  • Medical Director - Medicaid N. Central

    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 (10/25/25)
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  • Medical Director - OneHome

    Humana (Trenton, NJ)
    …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 provides medical interpretation and determinations whether services provided by… more
    Humana (11/19/25)
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  • Medical Director , Nat'l OP Medicare

    Humana (Trenton, NJ)
    …of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The ... Medical Director work assignments involve moderately complex to complex issues...be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources… more
    Humana (11/07/25)
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  • OneHome - Medical Director - Part Time

    Humana (Trenton, NJ)
    …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 provides medical interpretation and determinations whether services provided by… more
    Humana (10/17/25)
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  • Medical Director - Claims Mgmt (Remote)

    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 ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
    Humana (11/01/25)
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  • Medical Director - Nat'l IP UM Team

    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 ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
    Humana (11/15/25)
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