• Lead Director , Medicare

    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
    CVS Health (07/01/25)
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  • Associate Director , Commercial…

    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
    Bristol Myers Squibb (07/23/25)
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  • Medical Director - National Medicare

    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
    Humana (07/21/25)
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  • Principal Data Scientist - Aetna Medicare

    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
    CVS Health (07/03/25)
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  • Medical Director - OneHome

    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 (07/15/25)
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  • Medical Director - South Carolina SE Region

    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 (07/22/25)
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  • Medical Director - Mid West Region

    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 (05/14/25)
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  • Director , Internal Pharmacy Forecasting…

    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
    Humana (07/16/25)
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  • Director , IRA Project Management

    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
    Bristol Myers Squibb (07/18/25)
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  • Director , Healthcare Quality Strategy…

    J&J Family of Companies (Horsham, PA)
    …a member of the Johnson & Johnson Family of Companies, is recruiting for a Director of Healthcare Quality for Oncology. This role is based in Horsham, PA.. Johnson & ... the major Johnson & Johnson franchises. This position reports to the Senior Director of Healthcare Quality Strategy within the Strategic Customer Group. The … more
    J&J Family of Companies (07/19/25)
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  • Director , Finance Gross-to-Net Reporting…

    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
    Ascendis Pharma (07/12/25)
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  • Director of Service Delivery

    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
    Prime Therapeutics (06/24/25)
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  • Associate Director - Hospice

    BAYADA Home Health Care (Pennsauken, NJ)
    …**As a Hospice Associate Director your day may look like this!** * Lead , inspire and motivate others to provide exceptional care * Demonstrate the ability to ... is seeking to fill the position of **Hospice Associate Director ** for our **Pennsauken , NJ** hospice office. This...chance to apply your entrepreneurial and relationship-building skills and lead a caring, professional team that is instrumental in… more
    BAYADA Home Health Care (07/18/25)
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  • Director , Pricing Policy and Analytics…

    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
    Ascendis Pharma (06/10/25)
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  • Product Director - Program Management

    Humana (Trenton, NJ)
    …community and help us put health first** We are seeking a highly skilled Director , Program Management to oversee the development and execution of a new eCommerce ... business . This role requires a dynamic and results-driven leader...complex projects independently, ensuring alignment with strategic objectives. The Director will play a key role in establishing the… more
    Humana (07/22/25)
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  • Associate Director , Managed Care Rebate…

    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
    Bristol Myers Squibb (07/04/25)
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  • Director , Managed Care Rebate Operations…

    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
    Bristol Myers Squibb (06/18/25)
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  • Insurance Strategy Lead

    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
    Humana (06/28/25)
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  • Senior Strategy Advancement Professional

    CenterWell (Trenton, NJ)
    …reports. Write basic SQL queries to pull data and build reports. Coordinate with Business Intelligence Lead and support ad hoc reporting. * Develop basic ... will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for ...with Finance and Data teams * Coordinate with ACO Lead overseeing the IPA / Affiliate business more
    CenterWell (06/24/25)
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  • Practice Manager - Primary Care

    Virtua Health (Moorestown, NJ)
    …all external parties to ensure an outstanding customer experience. Consults with Lead Physicians, Director of Practice Management, Medical Directors and staff ... Locations: Job Information: Job Summary: In collaboration with assigned practice(s) Lead Physicians, directs and coordinates administrative and clinical services for… more
    Virtua Health (07/02/25)
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