- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... difference. If this is your profile, we want to hear from you. The Associate Director , Compliance Operations will be a key member of Eisai's US Ethics & Compliance… more
- Merck & Co. (Rahway, NJ)
- Job Description Role Summary The Associate Director of Procurement for Capital Projects will be responsible for overseeing and managing procurement activities for a ... portfolio of large and complex capital projects. This role includes project procurement planning,...with company policies and processes. - Reporting to the Director of Capital Procurement Project Execution within the Global… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Kyndryl (Trenton, NJ)
- …a key leadership role across multi-disciplinary teams, guiding them through complex consulting engagements and be responsible for creating and positioning strategic ... Kyndryl's largest accounts across the C-suite, spanning the intersection between complex Business and IT customer solutions, transformations that impact across the… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- … will lead a small team of experienced employee relations experts who together solve complex problems on a regular basis. The Director is expected to stay ... **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health… more
- Humana (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Humana (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Evolent (Trenton, NJ)
- …Management** and **Product Management** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Evolent (Trenton, NJ)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...+ At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- Elevance Health (Morristown, NJ)
- …payment integrity, or provider performance programs preferred. + Strong understanding of healthcare data systems ( claims , EHR, analytics platforms) and payer ... **Manager, Medical Director - Transformation Initiatives** Location: This role requires...initiatives that impact providers, members, and clients across the healthcare ecosystem. **How you will make an impact:** **Strategic… more
- Evolent (Trenton, NJ)
- …rates, turnaround times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable ... Be Doing: + Strategic Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- Otsuka is a global healthcare company that has been in business for more than 100 years driven by the corporate philosophy: "Otsuka people creating new products for ... research programs targeting various unmet specialty disease areas. The Executive Director , Compliance Program Optimization (CPO), will facilitate execution of the… more
- Humana (Trenton, NJ)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
- City of New York (New York, NY)
- …for the City of New York, you will receive excellent benefits, including healthcare , vision benefits, dental benefits, as well as the opportunity to participate in ... York City Employees' Retirement System Membership and Service Division seeks a Deputy Director . Under the direction of the Membership and Service Director , the… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Associate Director , Managed Care Payer Analytics (V&A) Date: Sep 28, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job ... and new people to make a difference with. **The opportunity** The Associate Director , Managed Care Payer Analytics is responsible for leading the analytical strategy… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Position:** Director , US Medical Promotional Review Scientist, Immunology/Cardiovascular **Location** ... : Princeton, NJ (Hybrid role) The Director , US Medical Promotional Review Scientist (Immunology and/or Cardiovascular), plays a critical role in the Medical… more
- J&J Family of Companies (Titusville, NJ)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact… more
- Humana (Trenton, NJ)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Bristol Myers Squibb (Princeton, NJ)
- …patient access to medications and treatment. As a key contributor, the Associate Director will lead complex and high-volume program launches and management ... their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director , PASS Program Strategy and Marketing will play a critical role… more
