- Humana (Trenton, NJ)
- …and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance ... Compliance to develop and implement compliance programs for Humana's Specialty and Military products and contracts. The Director is responsible for … 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, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… 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 ... 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
- 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)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Sanofi Group (New York, NY)
- **Job Title:** Associate Director , National Account Operations CVS - US Remote **Location:** Remote/Field Based **About the Job** The **Associate Director , ... of the US healthcare system, including formulary operations, claims adjudication, specialty pharmacy networks, and contract performance tracking. We are an… more
- Humana (Trenton, NJ)
- …our caring community and help us 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...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Trenton, NJ)
- …our caring community and help 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...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Wells Fargo (New York, NY)
- **About this role:** Wells Fargo is seeking a Credit Risk & Approval Director to provide credit support to the Commercial Real Estate (CRE) line of business. This ... or a combination of the following: work experience, training, military experience, education + 4+ years of management or...specializing in CMBS, repo and REITs and / or specialty sectors (Hotels, Data centers, senior housing) in either… more
- FlexStaff (New York, NY)
- …multidisciplinary teams? Our client is looking for an **Assistant Clinical Service Director (ACSD)** to join their innovative organization and help shape the ... ACSD, you will play a vital role alongside the Clinical/Center Service Director , supervising daily operations of our interdisciplinary teams and ensuring seamless,… more
- NYU Rory Meyers College of Nursing (New York, NY)
- …status, gender and/or gender identity or expression, marital status, military status, national origin, parental status, partnership status, predisposing genetic ... medical services at the New York University Student Health Center (SHC). The Medical Director serves as the lead physician for the SHC in matters of accreditation,… more
- Northwell Health (New York, NY)
- **Req Number** 160630 Job Description The Director of Operations will oversee the project management team, learning/development programs, and clinical operations in ... the selection, development, management and evaluation of indirect reports. + Oversees compliance with government and agency regulations. + Performs related duties as… more
- Touro University (New York, NY)
- …Medical College. Responsibilities + We are seeking a full time Residency Program Director in the Department of Dermatology + Under general direction, performs or ... directly supervises the provision of the professional general or specialty medical work of ordinary difficulty + Performs all related work Application instructions:… more
- Northwell Health (New York, NY)
- …the selection, development, management and evaluation of indirect reports. + Oversees compliance with government and agency regulations. + Performs related duties as ... rate, several factors may be considered as applicable (eg, location, specialty , service line, years of relevant experience, education, credentials, negotiated… more
- Elderwood (Point Pleasant, PA)
- Salary Starting at $38.00 / hour Overview RN Opportunities at Pediatric Specialty Care in Point Pleasant, PA (Bucks County)! RN - Registered Nurse (Pediatrics) ... Position Overview: Pediatric Specialty Care in Point Pleasant, PA (Bucks County) is...that the highest degree of quality care and regulatory compliance is maintained at all times. RN's monitor the… more
- Elderwood (Point Pleasant, PA)
- …Starting at $32.00/hr. Overview Join our Team - LPN Opportunities at Pediatric Specialty Care in Point Pleasant, PA (Bucks County) LPN - Licensed Practical Nurse ... (Pediatrics) Position Overview: + Pediatric Specialty Care in Point Pleasant, PA (Bucks County) is...that the highest degree of quality care and regulatory compliance is maintained at all times. LPN's monitor the… more
- Sanofi Group (New York, NY)
- …though efforts. In this field-based position, the FRM will report to FRM Director . We are an innovative global healthcare company, committed to transforming the ... and maintain knowledge on the local and national payer landscape, including Specialty Pharmacy and Utilization Management criteria for Dupixent + Establish positive… more
- Hackensack Meridian Health (Old Bridge, NJ)
- …standards of practice, policies, procedures, protocols and guidelines to ensure compliance with internal and external regulatory agencies. + Develops, plans, ... ensures participation as required. + Supports the Magnet Program Director and Magnet program by ensuring the support of...in relevant field. + National Certification in area of specialty preferred when eligible. + Three (3) years' progressive… more
- Naval Air Systems Command (Lakehurst, NJ)
- …You will serve as a SUPERVISORY GENERAL ENGINEER Support Equipment Technical Director in the Naval Air Warfare Center Aircraft Division, Support Equipment and ... the following: 1) Overseeing execution of technical projects to ensure compliance with customers & fleet requirements, engineering standards, critical safety/quality… more
- Northwell Health (New York, NY)
- …communicates changes in signal status + * Follows local guidelines for signal compliance . + * Follows local guidelines for all other aspects of ambulance operations ... is not functioning.Immediately reports any problem with GPS to EMS Supervisor or Director . + * Collaborates with his/her partner(s) and other providers on scene in… more