- Organon & Co. (Plymouth Meeting, PA)
- …aspects of phase 1 & phase 2a studies and will report to the Executive Director , TMED Operations. The CTM will support the TMED Operations Lead to plan and execute ... example, country and site initiation activities, patient screening and randomization rates , and data collection activities. + Coordinating internal and external… more
- 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
- UPMC (Media, PA)
- …(CCBH) is seeking a qualified individual to fulfill the role of Regional Medical Director in Delaware County, PA. The Regional Medical Director is responsible ... the clinical needs of Community Care members. The Medical Director also participates in regional leadership policy decisions and...an impact on clinical services. + Effectively reduce observation rates , length of stay, and readmission rates .… more
- 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
- 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 (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 (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 (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 (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
- Penn Medicine (Bala Cynwyd, PA)
- …Summary: + Reporting to the Associate Chief Operating Officer (ACOO), the Sr. Director of Regional Operations (DRO) is the regional ambulatory operations leader for ... Penn Specialty Practices (PPC/PSP) who partners with the Regional Medical Director in providing operational and financial direction and oversight, operations… more
- 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
- Honeywell (Hamilton, NJ)
- The Director of Growth, Life Sciences is a strategic leader responsible for accelerating revenue and market expansion within the life sciences sector in a SaaS ... domains, developing strategic partnerships, and executing targeted go-to-market initiatives, the Director will play a pivotal role in expanding geographic reach,… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Associate Director , HEDIS Operations of Non-Standard Supplemental for business operations supports all ... of configuration control, data management, and deficiency reporting. The Associate Director , Data Management requires a solid understanding of how organization… more
- Baylor Scott & White Health (Trenton, NJ)
- …implementing policies, procedures and performance metrics to improve appeal success rates , ensure regulatory compliance and optimize reimbursement outcomes. Will ... **Job Summary** The Director , Denial Resource Center is responsible for the...Strong understanding of payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred… more
- Humana (Trenton, NJ)
- …understanding of how organization capabilities interrelate across department(s). The Associate Director , Procurement complies with federal and state regulatory ... caring community and help us put health first** The Associate Director , Procurement generates and implements efficient sourcing and category management strategies.… more
- RELX INC (Philadelphia, PA)
- …innovation team focused on data science and AI-driven solutions. We are seeking a Director of Data Science & AI Innovation to lead this effort. This role blends ... and Professional. LexisNexis is a leading global provider of legal, regulatory , business information and analytics that help customers increase productivity, improve… more
- Devereux Advanced Behavioral Health (Villanova, PA)
- **Description** We are seeking a strategic and results-driven National Director of Financial Planning & Analysis (FP&A) to join our team! Reporting to our Senior ... **In this Role, You will** + Establish financial goals, develop program/service rates , and collaborate with Leadership of Devereux's programs across our 11 state… more
- Oracle (Trenton, NJ)
- **Job Description** Oracle seeks a Senior Director of Security Architecture to lead enterprise-wide product security architecture for Oracle Cloud and Applications. ... Ops/SRE, Identity, Data, Privacy, and Compliance to mitigate risk, meet regulatory obligations, and improve resilience. + Establish KPIs/OKRs (risk reduction, review… more
- Wolters Kluwer (Trenton, NJ)
- …Consolidation & Reporting, CCH Tagetik has developed pre-packaged solutions addressing regulatory reporting requirements for ESG, Tax, Insurance & Banking. The ... **North American** team is seeking a ** Director of Solution Consulting, North America** to lead a...+ Track and report on key performance metrics (win rates , demo quality, utilization). + Optimize pre-sales processes and… more
- Penn Medicine (Philadelphia, PA)
- …shape our future each day. Are you living your life's work? Position: Director Revenue Cycle Management Entity: Clinical Practices of the University of Pennsylvania ... St Hours: Full Time, Per Departmental Needs Summary: The Revenue Cycle Director is responsible for overseeing all revenue activities and organizing strategies to… more
