- AmeriHealth Caritas (Philadelphia, PA)
- …Ability and willingness to work in a hybrid environment **Responsibilities:** The Pharmacy Director manages team members who support the following activities: ... goals by being a point person for the implementation of all pharmacy -related clinical programs and initiatives. + Work with PBM to identify and resolve… more
- Penn Medicine (Philadelphia, PA)
- …UPHS and works closely with the affiliating physician practices for the placement of clinical pharmacy specialists into the practices. Works with HUP and ... Working for this leading academic medical center means collaboration with top clinical , technical and business professionals across all disciplines. Today at Penn… more
- Comcast (Philadelphia, PA)
- …want you to fast-forward your career at Comcast. **Job Summary** The Senior Director of Global Benefits is responsible for designing and implementing health care ... oversight for Comcast NBCUniversal's US medical/Rx plans including various clinical ecosystem partners. **Job Description** Works cross functionally across Comcast… more
- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible...client contacts, including information on the performance of the pharmacy program and the strategic account plan. + Identify,… more
- Zurich NA (Trenton, NJ)
- …for UR and pharmacy operation's culture of continuous improvement of the clinical expertise across the organization. + Motivate and lead a high performance team ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP,... nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- Humana (Trenton, NJ)
- …but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy ), and reviews for ... 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 … more
- Organon & Co. (Plymouth Meeting, PA)
- …the National Director : + _Integrated Delivery Networks_ : hospital outpatient pharmacy departments, as well as IDN-owned medical groups, specialty pharmacy , ... in the following roles using approved messages and resources: + Business and clinical leaders in pharmacy , supply chain, employee health plans and relevant… more
- Merck (Trenton, NJ)
- …We are seeking a Growth and Improvement minded Oncology Regional Medical Scientific Director that can help drive our Strategic Operating Priorities. + Invent | ... reside in the territory. **Strategic Summary** + The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) oncology expert who… more
- Sunrise Senior Living (Haverford, PA)
- …**COMMUNITY NAME** The Quadrangle **Job ID** 2025-227901 **JOB OVERVIEW** The Director of Nursing Services is responsible for providing leadership and management ... a core set of duties common to this position. Clinical Care Delivery Operations + Directs, supervises the management...plans of correction for concerns and issues identified by pharmacy consultants + Reviews and develops plans of correction… more
- Merck (North Wales, PA)
- …the guidance of a senior leader, an Associate Principal Scientist/Associate Director , has primary responsibility for planning/managing real world and economic ... resource utilization and costs, physician and patient satisfaction surveys, clinical and patient reported outcomes assessments, systematic reviews and meta-analyses,… more
- AmeriHealth Caritas (Newtown Square, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Trade Client Relations Director - Remote **Job Description** The Trade Client Relations Director is ... responsible for the analysis, modeling and delivery of innovative pharmacy and medical rebate strategies and cost saving solutions to Prime's clients to ensure Prime… more
- The Cigna Group (Philadelphia, PA)
- …for leading clinical strategy development and product management for pharmacy utilization management and the coordination of rebate contracting efforts to ensure ... solutions. **Essential Functions:** + Ability to manage development and execution of clinical UM strategy. This would include both the ongoing updates to existing… more
- Norstella (Trenton, NJ)
- Director , HEOR Company: MMIT Location: Remote, United States Date Posted: May 7, 2025 Employment Type: Full Time Job ID: R-1163 **Description** Why Norstella? ... you can act on. **About The Role:** Norstella is seeking an experienced Director , HEOR to design and deliver HEOR/RWE studies for clients in the pharmaceutical,… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - Long-Term Innovation **Job Description** The Product Director is ... + Ability to work well across cross-functional teams including clinical , network management, operations, specialty, client engagement, market segment services… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote **Job Description** This ... Business Development Product Director is accountable for developing and executing initiatives on Prime's product roadmap across the Commercial, Government Programs… more
- Bristol Myers Squibb (Trenton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . The Sr. Director of Global Policy, Analytics & Evidence is critical role who is part ... of the applicable plans then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as the BMS Living Life Better… more
- Travelers Insurance Company (Trenton, NJ)
- …collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as ... sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more
- BeOne Medicines (Pennington, NJ)
- **_General Description:_** Establish a stability program in Quality Control for clinical and commercial phase biologics products in accordance to FDA/EU regulations, ... the job_** **_:_** + Establish and manage the QC stability program for clinical and commercial phase biologics products. + Ensure timely completion of stability… more
- Bristol Myers Squibb (Trenton, NJ)
- …of the applicable plans then in effect and may include the following: Medical, pharmacy , dental and vision care. Wellbeing support such as the BMS Living Life Better ... unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency,… more