- Humana (Trenton, NJ)
- …clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately complex to complex issues where the ... in accordance with Medicare and Humana policy. **Please note that this Medical Director position is non-benefitted, and compensated hourly * **Use your… more
- CenterWell (Trenton, NJ)
- **Become 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...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Trenton, NJ)
- **Become 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 work assignments involve moderately complex to complex issues...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Merck (Trenton, NJ)
- …with HSO MADs + Serves as a resource for the PM MAD-HSO Team Lead, HSO Executive Director Medical Affairs, and other members of US Medical Affairs on other ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems...research \#eligibleforERP **Required Skills:** Benefit Programs, Clinical Data, Clinical Pharmacy , Clinical Studies, Medical Affairs, Medical… more
- Ascendis Pharma (Princeton, NJ)
- …mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include… more
- Grifols Shared Services North America, Inc (New Brunswick, NJ)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Bristol Myers Squibb (Princeton, NJ)
- …and conditions of the applicable plans then in effect and may include the following: Medical , pharmacy , dental and vision care. Wellbeing support such as the BMS ... work and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Director of US Access Strategy - CAR T is responsible for the… more
- J&J Family of Companies (Titusville, NJ)
- …impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Science Liaison ... Scientific Account Lead, V&ESE Field** Reports to: Regional Field Director , V&ESE Field Department/Division: Scientific Affairs Value and Evidence Scientific… more
- Penn Medicine (Plainsboro, NJ)
- …safety and patient satisfaction. The Stroke Coordinator will work collaboratively with the Medical Director of the Stroke Program to ensure quality care for ... standards and regulations for the Center for Medicaid and Medicare Services, NJ Department of Health, The Joint Commission...Princeton Health. The Stroke Coordinator works collaboratively with the Medical Director of the Stroke Program and… more
- Bausch + Lomb (Bridgewater, NJ)
- …Manager teams is a plus. + Familiarity with utilization management practices across Pharmacy and Medical Benefit products. + Strong grasp of payer landscape ... portfolio, with a focus on Commercial insurance plans, PBMs, and Medicare . The Senior Manager collaborates cross-functionally to support brand access strategy,… more
- Ascendis Pharma (Princeton, NJ)
- …mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly ... Lifecycle Management: Support drafting, execution, and administration of payer, specialty pharmacy , and/or GPO agreements (eg, rebate, discount, and data sharing… more