• Daiichi Sankyo, Inc. (Bernards, NJ)
    …other research areas centered around rare diseases and immune disorders. Job Summary: The Director of Data Management (DM) Reporting provides leadership in Data ... data protection, operational metrics, and clinical trial quality and risk management reporting requirements that adhere to programming standards and specifications… more
    HireLifeScience (06/11/25)
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  • Eisai, Inc (Nutley, NJ)
    …is your profile, we want to hear from you. Job Summary:The Associate Director , Global Alzheimer's Disease Project Management is responsible for facilitating the ... report status of project schedule, timeline, budget and resource utilization to senior management on a regular...Salary Transparency Language:The base salary range for the Associate Director , Global Alzheimer's Project Management Office is… more
    HireLifeScience (05/07/25)
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  • Merck & Co. (Rahway, NJ)
    …the guidance of a senior leader, a Senior Principal Scientist/Senior Director , has primary responsibility for developing value evidence strategies, and ... critical part of this role. This position may have people management responsibility.Types of studies executed include prospective and retrospective observational… more
    HireLifeScience (06/12/25)
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  • Merck & Co. (Rahway, NJ)
    …patients leveraging digital, data and analytics and measuring the impact. The Director of Global Commercial Pipeline Analytics will be responsible for developing and ... of projects/initiatives (Book of Work). Support taxonomy implementation & updates.Team Management : Lead a high performing Pune GCPA Vaccines team, driving… more
    HireLifeScience (06/04/25)
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  • Daiichi Sankyo, Inc. (Bernards, NJ)
    …conduct, reporting, and close out) including timeline, quality, and budget management . Drives and leads the successful execution of all operational components ... global clinical program using strong clinical project and program management , leadership, decision-making ability, people management , and organizational… more
    HireLifeScience (03/28/25)
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  • Novo Nordisk Inc. (Plainsboro, NJ)
    …us? The Position The Senior Manager - Market Access Insights works with the Director - Market Access Insights to explore key market access topics of interest and ... Conducts longitudinal patient-level data analyses, integrates formulary data and payer utilization dynamics to inform the organization on level of access, payer… more
    HireLifeScience (06/03/25)
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  • National Utilization

    Humana (Trenton, NJ)
    **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical Strategy and Practice… more
    Humana (06/06/25)
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  • Senior Director Utilization

    The Cigna Group (Morris Plains, NJ)
    **Overall** Responsible for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate ... contracting efforts to ensure alignment across formulary, utilization management , SafeGuard, and other trend solutions. **Essential Functions:** + Ability to… more
    The Cigna Group (04/04/25)
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  • Medical Director , MSK Surgery

    Evolent (Trenton, NJ)
    …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
    Evolent (05/20/25)
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  • Director , Case Management

    Hackensack Meridian Health (Hackensack, NJ)
    …, is responsible for planning, organizing and directing all activities related to Case Management , Social Work and Utilization Management , including, but not ... acute care setting. + Familiar with hospital resources, community resources, and/or resource/ utilization management . + Care coordination, case management ,… more
    Hackensack Meridian Health (05/21/25)
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  • Field Medical Director , Interventional…

    Evolent (Trenton, NJ)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (04/30/25)
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  • Medical Director - Care Plus - Florida

    Humana (Trenton, NJ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (04/24/25)
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  • Medical Director - Mid West Region

    Humana (Trenton, NJ)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/14/25)
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  • Medical Director - OneHome

    Humana (Trenton, NJ)
    …Medical Director , depending on size of team or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/31/25)
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  • Field Medical Director , Vascular Surgery

    Evolent (Trenton, NJ)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (06/06/25)
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  • Field Medical Director , Cardiology

    Evolent (Trenton, NJ)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (05/16/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Trenton, NJ)
    …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
    United Therapeutics (06/05/25)
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  • Capacity & Resource Management

    Grant Thornton (Iselin, NJ)
    …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
    Grant Thornton (05/09/25)
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  • Medical Director -Payment Integrity

    Humana (Trenton, NJ)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (06/06/25)
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  • Field Medical Director , Musculoskeletal

    Evolent (Trenton, NJ)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (06/11/25)
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