- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... your profile, we want to hear from you. The Director , US HEOR and RWE (field) is responsible for...health economics and outcomes research strategies, and timelines with medical affairs, marketing, managed markets and global value and… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …Reporting to the Chief Commercial Officer, US Innovative Medicines, the Senior Director of Commercial Analytics and Insights will play a pivotal and highly ... advisor and thought partner to SUNs NAM leadership across Commercial, Digital, Medical , Access and New Product Planning, shaping strategic decisions. + Deliver… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …lifecycle. **Direct reports** The below roles will report into the Associate Director , Sales Operations: Order Management Manager Manager, Customer Service ... generics & institutional business. **Duties and responsibilities** Generic Product Launch Management : + Lead planning and execution of generic product launches and… 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
- CenterWell (Trenton, NJ)
- …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… 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 ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… 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
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional... portfolio of the most complex and high exposure medical malpractice (and some GL) claims at ... Liability (HPL) Join us as a Claims Complex Director to take on key...+ Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical… more
- WTW (New York, NY)
- …clients of their claim related obligations under the policy and establish client-specific claims management procedures + Provide claims advocacy on behalf ... **Description** **The Role** This role provides value-added claims leadership and management service for the management liability lines of coverage, acts as… more
- MTA (Brooklyn, NY)
- …TA/OA Department: Law Division/Unit: Torts Reports to: Assistant General Counsel / Director of Claims Work Location: 130 Livingston Street, Brooklyn Hours ... aid defense counsel; reviewing and drafting reports for senior management ; serving as liaison between the torts department and...damage claims brought against MTA agencies. Review claims and relevant factual and medical records… more
- MTA (Brooklyn, NY)
- …and reduce overall costs. Some of the major responsibilities include supervising the TPA's claims management and medical provider networks as well as ... Assistant Director - Workers Compensation (Case Management )...Minimum 8 years progressively responsible experience in Workers' Compensation claims management and administration. At least 4… more
- Ascendis Pharma (Princeton, NJ)
- …Associate Medical Director supports the US Medical Director for deliverables and activities associated with management and implementation of phase ... + Ensure the materials are medically accurate, including that claims are appropriately supported by evidence, references are correctly...and other functional group contributors to support the US Medical Director in successful management … more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical … more
- CVS Health (Trenton, NJ)
- …cover urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and ... services to its membership. Aetna is looking for a medical director to be part of a...licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health… more
- Merck (Trenton, NJ)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert ... about any drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Job Summary** The Senior Director , Mature Assets Lead within the CNS medical business unit (BU) is a critical role responsible for shaping the strategic ... to balance competing priorities. This position reports directly to the Executive Director , CNS Medical BU Lead. **Job Description** **Key Responsibilities… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... outcomes through deep scientific understanding and collaborative partnerships. The Director partners closely with global and regional cross-functional stakeholders -… more
- Mount Sinai Health System (New York, NY)
- …patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and ... **Job Description** ** Director Pre Appeals Management -HSO Appeals ...**Preferred Qualifications (Industry-Specific)** : + Healthcare: Experience with utilization management for medical services, procedures, or medications… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Senior Director , Medical Affairs Solutions & Analytics provides oversight and spearheads Global Medical Affairs (GMA) business enablement and analytic ... efficient Medical Affairs operations as needed, including Medical customer relationship management , insights management...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position:** Associate Director , US Medical Promotional Review Scientist, Immunology/Cardiovascular ... **Location** : Princeton, NJ (Hybrid role) The Associate Director , US Medical Promotional Review Scientist (Immunology and/or Cardiovascular), plays a critical… more
