- Lyric (Newtown Square, PA)
- …Familiarity with affordability, claims operations, payment integrity, utilization management , medical policy and/or benefit policy development. **PREFERRED ... Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. The Senior Medical Director is a senior clinical leader who will… more
- Humana (Trenton, NJ)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- CVS Health (Blue Bell, PA)
- …leading modernization efforts. + Strong understanding of regulatory compliance in claims processing. + Excellent communication and stakeholder management skills. ... it all with heart, each and every day. **Position Summary:** The Lead Director of Software Engineering is responsible for leading engineering teams that support the… more
- American Water (Camden, NJ)
- …Manager, Insurance (or Director , Insurance), you will be responsible for overall claims management (including, uninsured claims ) at American Water. You ... and wastewater services to our communities. Effective, efficient, and intelligent insurance claims management , oversight, and forecasting are essential to this… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Trenton, NJ)
- …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 scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
- J&J Family of Companies (Titusville, NJ)
- …of America **Job Description:** **We are searching for the best talent for Associate Director , AI For Medical Engagement to be in Bedminster, NJ with ... Johnson & Johnson Innovative Medicine is seeking an Associate Director , AI For Medical Engagement to support...of relevant business experience in healthcare, analytics, data science, management consulting or related field is required. + A… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... service requirements and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the… more
- Humana (Trenton, NJ)
- …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Comcast (Philadelphia, PA)
- …want you to fast-forward your career at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health care ... Proposition. Includes providing strategic oversight for Comcast NBCUniversal's US medical /Rx plans including various clinical ecosystem partners. **Job Description**… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations and… more
- Sedgwick (Philadelphia, PA)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Fortune Best Workplaces in Financial Services & Insurance Client Services Director **PRIMARY PURPOSE** : To determine account management strategies… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more
- Evolent (Trenton, NJ)
- …on oncology and member-centric products. This role plays a critical part in both ** Medical Cost Management ** and **Product Management ** , leveraging advanced ... mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is… more
- J&J Family of Companies (Horsham, PA)
- …that drive key decisions. Preferred: Expertise in domain specific data sets for Immunology ( medical claims , pharmacy claims , and sales data - data sources ... Johnson Innovative Medicine is searching for the best talent for an Associate Director , Strategic Insights & Analytics - Immunology Portfolio, located in Horsham, PA… more
