- 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
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...Humana policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources,… 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 ... be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources,...in their daily work specifically for DSNP. The Medical Director 's work includes computer-based review of moderately complex to… 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
- 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
- CenterWell (Trenton, NJ)
- …part of our caring community and help us put health first** The Director , Operational Excellence will lead strategic initiatives to enhance the efficiency, accuracy, ... This role is responsible for driving continuous improvement, ensuring regulatory alignment, and fostering a high-performance culture within coding teams.… 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
- LRN Corporation (Allentown, PA)
- **Position: Director of Inside Sales** **Location: Lehigh Valley, PA** **About LRN:** LRN is the world's leading dedicated ethics and compliance SaaS company, ... than 30 million people every year navigate complex regional and global regulatory environments and build ethical, responsible cultures. With over 3,000 clients… more
- RELX INC (Horsham, 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). Reporting to our Senior Vice President and ... **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
- 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
