- Bristol Myers Squibb (Princeton, NJ)
- …and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Commercial & Medicare Channel Lead will manage forecasting and ... analytics for the Commercial and Medicare channels. This role coordinates inputs from various teams and ensures accurate reporting and analysis.… more
- Humana (Trenton, NJ)
- …Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will… more
- Humana (Trenton, NJ)
- …post-residency clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate about ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- Humana (Trenton, NJ)
- …of established clinical experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be passionate about ... our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The… more
- Ascendis Pharma (Princeton, NJ)
- …to grow and develop their skills. Ascendis Pharma is looking to hire an Associate Director , Strategic Pricing to join our team. This individual will play ... pricing decisions that optimize patient access, profitability, and long-term growth. The Associate Director will work closely with internal stakeholders across… more
- Humana (Trenton, NJ)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health… more
- Humana (Trenton, NJ)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. +… more
- Bristol Myers Squibb (Princeton, NJ)
- …functional leadership of a team responsible for accurate and timely Managed Care Commercial and Medicare Part D rebate processing and payments, data stewardship ... and compliance in connection with matrix team's financial reporting (GTN, projections and budgets) as well as all aspects with evaluating implications of and reporting Managed Care data required for US and Puerto Rico government pricing calculations.… more