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12 Jobs

  • Associate Medical Director - Neurosurgery

    Morristown, New Jersey
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Morristown, New Jersey
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development ...
  • Regional Vice President (RVP) Pharmacy (PBM) Account Management - CarelonRX (Operational Excellence)

    MORRISTOWN, New Jersey
    ... ) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered ... objectives. Leadership, Training and Professional Development: Hires, trains, coaches ...
  • Regional Vice President (RVP) Pharmacy (PBM) Account Management - CarelonRX (TPA and Labor/Union)

    MORRISTOWN, New Jersey
    ... ) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered ... upselling strategies to meet business objectives. _Leadership, Training and Professional Development ...
  • LTSS Service Coordinator - RN

    Morristown, New Jersey
    ... performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination ... Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans. May ...
  • Managed Care Coordinator Clinician Non RN

    MORRISTOWN, New Jersey
    ... complications. Obtains clinical data as directed by the responsible RN. Assists the responsible RN ... disease processes and terminology and the application of clinical guidelines but do not require nursing ...
  • National Solution Medical Director - Surgery

    MORRISTOWN, New Jersey
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... plan customers and members. How you will make an impact: Develops clinical ...
  • National Solution Medical Director, Vascular Surgery

    MORRISTOWN, New Jersey
    ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ... : Develops clinical appropriateness guidelines for the vascular solution Monitors competitor products ...
  • Oncology Practice Enablement Clinician

    Morristown, New Jersey
    ... implement field strategy, tactics, and resources and training. Provide clinical input to inform solutions ... process, or as part of oncology solution or program design across the organization. **How you will ...
  • Wound Care UM RN

    MORRISTOWN, New Jersey
    ... . Reviews Home based services for clinical appropriateness of the continued care. Performs reviews ... home health care provider. Requests additional clinical information from members care providers ...
  • Staff VP Sales Development (US)

    MORRISTOWN, New Jersey
    ... ) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. Staff VP, Sales Development Location Successful ...
  • National Solution Medical Director, Post Acute Care

    MORRISTOWN, New Jersey
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... , and Wound Care. Experience with Clinical guideline research and development, medical necessity ...