- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …immune disorders. Summary The purpose of the Senior Director , Forecasting & Business Analytics is to lead the forecasting and financial and analytical ... support of commercial assets. In addition, this role will lead the forecasting process supporting the Business Development team through financial analysis and… more
- CVS Health (Trenton, NJ)
- …actuarial modeling, and healthcare economics. The candidate needs to be able to lead cross-functional teams and drive innovation in Medicare analytics. While ... We are seeking a strategic and technically proficient leader to oversee Medicare data science initiatives supporting actuarial analytics and pricing. The ideal… more
- Bristol Myers Squibb (Princeton, NJ)
- …their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Commercial & Medicare Channel Lead will manage forecasting and analytics for ... the Commercial and Medicare channels. This role coordinates inputs from various teams...short- and long-term disability, life insurance, supplemental health insurance, business travel protection and survivor support. Work-life programs include… more
- Humana (Trenton, NJ)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will...line of business . The Medical Director conducts Utilization Management… more
- CVS Health (Trenton, NJ)
- …We are looking for a Principal Data Scientist to join our Aetna Medicare (STARS Portfolio) team at CVS Health. This high-level individual contributor will partner ... closely with the Executive Director of Aetna STARS Analytics to drive hands on...excellence across the most complex projects in the portfolio, lead a culture of technical rigor and excellence, and… more
- Humana (Trenton, NJ)
- …by members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare ...collaborative relationships with Team and key partners within the Medicare Line of Business . + Support Home… more
- Humana (Trenton, NJ)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...line of business . The Medical Director conducts Utilization Management… more
- Humana (Trenton, NJ)
- …**Additional Information** Typically reports to a Regional Vice President of Health Services, Lead , or Corporate Medical Director , depending on size of region or ... conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements, and will...line of business . The Medical Director conducts Utilization Management… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …across multiple functional areas including the Brand Team, Finance, Field Sales, Business Operations and Legal/Compliance. The Director will partner with the ... across targeted Medical and Pharmacy benefit formularies, across all lines of business (Commercial, Medicare , & Managed Medicaid), as well as monitoring… more
- Humana (Trenton, NJ)
- …1-2 indirect reports. The Director will play a key role in driving business decisions and growing our pharmacy business . This leader will need deep ... are seeking an experienced and strategic leader to fill the position of Director of Internal Pharmacy Forecasting and Performance Analytics. This role will lead… more
- Bristol Myers Squibb (Princeton, NJ)
- …cross-portfolio work related to the Inflation Reduction Act (IRA) in the US Medicare business . The successful candidate will work cross functionally with ... lives. Read more: careers.bms.com/working-with-us . **Summary:** We are currently seeking a Director , IRA Project Management to join the US Pricing, Analytics and… more
- Mount Sinai Health System (New York, NY)
- …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... and product development expertise. MSHP is a fast growing business unit within Mount Sinai and is looking for...the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI, who will (1)… more
- Humana (Trenton, NJ)
- …buying preferences, and patterns. You will provide thought and change partners to lead line of business and cohort transformations, and engagement improvement ... is seeking an experience marketing leader to join the team as the Director of Engagement Marketing (Onboarding Marketing). This role is pivotal in accelerating… more
- Ascendis Pharma (Princeton, NJ)
- …for employees to grow and develop their skills. Position Summary The Director , Finance Gross-to-Net (GTN) Reporting will lead the development, execution, ... oversight of government pricing and GTN analytics & Reporting across the US business . This individual will serve as a strategic partner to Finance, Market Access,… more
- Prime Therapeutics (Trenton, NJ)
- …to influence in a way that challenges process, improves results, and drives business outcomes. **Responsibilities** + Lead the development and execution of ... It fuels our passion and drives every decision we make. **Job Posting Title** Director of Service Delivery **Job Description** The Director Service Delivery is… more
- Ascendis Pharma (Princeton, NJ)
- …in the US, Germany & Austria, with plans for rapid expansion. As our new Director of Pricing Policy and Analytics, you will be evaluating the impact of policy on ... the US, Ascendis' largest affiliate. You will report directly to the Sr. Director , Pricing & Contracting Strategy and be based in Princeton, NJ. This opportunity… more
- Bristol Myers Squibb (Princeton, NJ)
- …to estimate implications of contingent and portfolio rebate deal structures to inform business , financial and government pricing calculation + Lead the monthly ... issue resolution + Lead REACT$ (Rebate Evaluation and Contract Tracking System) business team to develop, design and communicate business requirements to IT… more
- CenterWell (Trenton, NJ)
- …the medical coder experience. + Oversees coding operations by identifying business partner needs and develops solutions. + Responsible for overall performance ... across multiple sites and geographies, with concrete impact on business outcomes + Ability to travel up to 20%...up to 20% **Preferred Qualifications** + Proven experience with Medicare Advantage risk adjustment functions. + Proven track record… more
- Bristol Myers Squibb (Princeton, NJ)
- …of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship and compliance in ... required for US and Puerto Rico government pricing calculations. **Responsibilities:** + Lead and develop a team responsible for systems and processes that collect,… more
- Humana (Trenton, NJ)
- …a Lead , you will be responsible for deconstructing complex business challenges, conducting targeted research and analysis, and developing sound, data-driven ... identifying key go-to-market priorities, assessing the performance of strategic initiatives and business areas, evolving key facets of the Medicare Advantage… more
