• Sun Pharmaceuticals, Inc (Princeton, NJ)
    …Reporting to the Chief Commercial Officer, US Innovative Medicines, the Senior Director of Commercial Analytics and Insights will play a pivotal and highly ... advisor and thought partner to SUNs NAM leadership across Commercial, Digital, Medical , Access and New Product Planning, shaping strategic decisions. + Deliver… more
    DirectEmployers Association (10/02/25)
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  • Sun Pharmaceuticals, Inc (Princeton, NJ)
    …lifecycle. **Direct reports** The below roles will report into the Associate Director , Sales Operations: Order Management Manager Manager, Customer Service ... generics & institutional business. **Duties and responsibilities** Generic Product Launch Management : + Lead planning and execution of generic product launches and… more
    DirectEmployers Association (09/11/25)
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  • Medical Director - Claims

    Humana (Trenton, NJ)
    …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (11/01/25)
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  • PCO Medical Director - UM - Full…

    CenterWell (Trenton, NJ)
    …us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary ... The Medical Director relies on medical background and reviews health claims . The...the Director of Physician Strategy at Utilization Management . The Medical Director conducts… more
    CenterWell (11/06/25)
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  • Medical Director - Medicaid N.…

    Humana (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (10/25/25)
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  • Medical Director - Nat'l UM IP (4x10…

    Humana (Trenton, NJ)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (11/07/25)
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  • Medical Director , Medicare…

    Humana (Trenton, NJ)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
    Humana (11/19/25)
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  • Claims Complex Director - Healthcare…

    AIG (Jersey City, NJ)
    Claims Complex Director - Healthcare Professional... portfolio of the most complex and high exposure medical malpractice (and some GL) claims at ... Liability (HPL) Join us as a Claims Complex Director to take on key...+ Keeps abreast of significant changes in the law, claims and industry trends (not limited to medical more
    AIG (10/08/25)
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  • Associate Director - Claims

    WTW (New York, NY)
    …clients of their claim related obligations under the policy and establish client-specific claims management procedures + Provide claims advocacy on behalf ... **Description** **The Role** This role provides value-added claims leadership and management service for the management liability lines of coverage, acts as… more
    WTW (11/14/25)
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  • Associate Medical Director

    Ascendis Pharma (Princeton, NJ)
    …Associate Medical Director supports the US Medical Director for deliverables and activities associated with management and implementation of phase ... + Ensure the materials are medically accurate, including that claims are appropriately supported by evidence, references are correctly...and other functional group contributors to support the US Medical Director in successful management more
    Ascendis Pharma (10/30/25)
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  • Director , Strategic Planning & Operations…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities ... The Director , Strategic Planning & Operations is a pivotal...multi-year strategic roadmaps tailored to each therapeutic area **Budget Management ** + Oversee budgets for global medical more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Medical Director Aetna Duals Center…

    CVS Health (Trenton, NJ)
    …cover urgent cases can be done from your laptop. **Fundamental Components:** * Utilization management - The medical director will perform concurrent and ... services to its membership. Aetna is looking for a medical director to be part of a...licensure a plus. **Preferred Qualifications:** Previous Experience in Utilization Management / Claims Determination with another Health… more
    CVS Health (11/13/25)
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  • GYN Oncology, Regional Medical Scientific…

    Merck (Trenton, NJ)
    **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert ... about any drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific… more
    Merck (11/07/25)
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  • Director , Congress & Medical

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    The Director , Congress and Medical Education Strategy & Execution is responsible for developing and leading the global medical strategy and tactical ... outcomes through deep scientific understanding and collaborative partnerships. The Director partners closely with global and regional cross-functional stakeholders -… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Director Pre Appeals Management -HSO…

    Mount Sinai Health System (New York, NY)
    …patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management , and payers to secure payment and ... **Job Description** ** Director Pre Appeals Management -HSO Appeals ...**Preferred Qualifications (Industry-Specific)** : + Healthcare: Experience with utilization management for medical services, procedures, or medications… more
    Mount Sinai Health System (11/01/25)
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  • Associate Director , Business Development…

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    The Associate Director , Business Development - Project Management will support global business development transactions. The candidate should have a scientific ... background and project management experience, capable of overseeing cross-functional teams and driving...a minimum of 5 business days. **Company benefits:** Comprehensive medical , dental, vision, prescription drug coverage, company provided basic… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Remote Medical Director

    Centene Corporation (New York, NY)
    …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
    Centene Corporation (11/15/25)
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  • Associate Director , Commercial Strategic…

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    The Commercial Sourcing Associate Director , Supplier Relationship Management is a pivotal role responsible for ensuring compliance with procurement policies and ... processes governing Otsuka's supplier management practices. This individual will collaborate closely with internal and external partners within the Commercial… more
    Otsuka America Pharmaceutical Inc. (09/30/25)
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  • Director , Global Medical Training…

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    **Job Summary** The Director , Global Medical Training & Field Excellence will lead the development and execution of strategic training programs and field ... excellence initiatives across Global Medical Affairs. This role is responsible for building capabilities, driving consistency, and enhancing performance across both… more
    Otsuka America Pharmaceutical Inc. (11/18/25)
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  • Senior Director , Corporate Compliance,…

    United Therapeutics (Trenton, NJ)
    …compliance risks and responds effectively and efficiently. The Senior Corporate Compliance Director , Risk Management reports to the Chief Compliance Officer and ... is responsible for leading the Department's risk management activities. The Senior Corporate Compliance Director will develop the auditing and monitoring… more
    United Therapeutics (11/17/25)
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