Medical Director (Northern)

Overview The Client Medical Director (CMD) is a key member of the Go To Market team. Along with the Client Engagement Leader, the CMD co-captains the team serving the Prospective Payment Management (PPM) client team at the health plan. The CMDs role is to serve as a coding and medical payment policy subject matter expert (SME). The CMD is responsible for directing the Medical Policy Committee (joint committee with health plan MD, coding experts, and payment integrity). The CMD will develop a relationship with the client, review their data, select medical policy to present, serve as SME for clinical and coding expertise, and back end support for the client’s Medical Director. The CMD will evolve as the trusted advisor for the Health Plan in terms of medical payment policy. Responsibilities Supporting existing client growth and new sales activity by identifying value-creation opportunities for our clients. Presents appropriate payment policy to clients for adoption based on review of data analytics. Defines mission and strategy with Client Engagement Leader; delivers strategy to client’s medical policy team. Works alongside Medical Policy team to evaluate and validate editing. Acts as a clinical liaison with our health plan clients. Lend guidance to the research & development efforts of our Medical Policy and Solutions teams. Have in-depth knowledge of claims, claims adjudication, medical policy edits and configurations. Inspire trust and credibility, deliver on commitments, provide value-add analytics. Assist in discovering opportunities for other Cotiviti product sales. Other duties as assigned. This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change. Qualifications Minimum Qualifications: Licensed MD/DO with clinical and health plan experience. Position Requirements: Experience in Health plan operations as a Medical Director, with focus on medical policy, medical coding, payment integrity and/or fraud/waste/abuse. Experience in clinical medicine. Adaptive capacity for rapidly changing priorities and workloads, multitasking, prioritizing and meeting deadlines. Client Relationship Skills - Ability to develop strong professional relationships with multiple roles and levels. Comfortable with presenting to small and large groups of people. Strong organizational, analytical and problem-solving skills. Results driven with focus on producing high-quality, error free service and deliverables. Ability to work well independently and in a team environment. Excellent verbal and written communication skills. Proficient with Microsoft Office Suite (Word, Excel, Power Point); advanced Excel proficiency preferred. Exhibits behaviors consistent with Cotiviti values. Job Demands: The role can work at home anywhere in the continental United States (some travel is required ~10%). Able to use computer keyboard for extended periods of time. After hours and/or weekend work may be required where necessary for major deliverables /deadlines. Mental Requirements: Communicating with others to exchange information. Assessing the accuracy, neatness, and thoroughness of the work assigned. Physical Requirements and Working Conditions: Remaining in a stationary position, often standing or sitting for prolonged periods. Repeating motions that may include the wrists, hands, and/or fingers. Must be able to provide a dedicated, secure work area. Must be able to provide high-speed internet access/connectivity and office setup and maintenance. No adverse environmental conditions expected. Base compensation ranges from $225,000 to $275,000 per year. Specific offers are determined by various factors, such as experience, education, skills, certifications, and other business needs. This role is eligible for discretionary bonus consideration. Cotiviti offers team members a competitive benefits package to address a wide range of personal and family needs, including medical, dental, vision, disability, and life insurance coverage, 401(k) savings plans, paid family leave, 9 paid holidays per year, and 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti.For information about our benefits package, please refer to our Careers page. Date of posting: 8/14/2026 Applications are assessed on a rolling basis. We anticipate that the application window will close on 10/14/2026, but the application window may change depending on the volume of applications received or close immediately if a qualified candidate is selected. LI-JB1 LI-Remote director J-18808-Ljbffr

Chief Architect - Innovative Medicine Technology (Raritan)

At Johnson & Johnson,we believe health is everything. Our strength in healthcare innovation empowers us to build aworld where complex diseases are prevented, treated, and cured,where treatments are smarter and less invasive, andsolutions are personal.Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function Technology Enterprise Strategy & Security Job Sub Function Enterprise Architecture Job Category People Leader All Job Posting Locations Raritan, New Jersey, United States of America, Spring House, Pennsylvania, United States of America, Titusville, New Jersey, United States of America Job Description Please note that this role is available across multiple countries and may be posted under different requisition numbers to comply with local requirements. While you are welcome to apply to any or all of the postings, we recommend focusing on the specific country(s) that align with your preferred location(s). USA, Req : R-09188, Belgium, Req R-093443 ROLE PROFILE Chief Architect — Innovative Medicine The Chief Architect, Innovative Medicine Sector is the senior architecture leader responsible for defining and governing the technology architecture strategy across the Innovative Medicine sector, including R&D, Supply Chain, Commercial, Data, AI, Cloud, Integration, Security, and Enterprise platforms. This role establishes the sector-wide architectural vision, principles, reference designs, standards, and governance model that guide technology investments and ensure alignment with business strategy, digital transformation priorities, and enterprise technology direction. The Chief Architect partners closely with sector business leaders, product and platform teams, Technology Services, Information Security & Risk Management, Enterprise Architecture, and architects across other J&J sectors to promote common enterprise architecture principles, reusable platforms, and consistent technology decision-making. The role serves as the architecture steward for Innovative Medicine, ensuring solutions are scalable, secure, interoperable, compliant, resilient, AI-ready, and aligned to both sector-specific needs and broader enterprise technology standards. The role will lead a distributed team of 20 architects and is accountable for advancing modern architecture ways of working, including the adoption of GenAI to accelerate blueprint creation, architectural analysis, pattern discovery, design documentation, standards compliance, and architecture decision support. Scope Innovative Medicine sector: R&D, Supply Chain, and Commercial Location Titusville, NJ Raritan, NJ Spring House, PA Beerse, Belgium Division / Department Johnson and Johnson Innovative Medicine Travel 15–25% domestic and international About Johnson & Johnson Innovative Medicine Johnson & Johnson Innovative Medicine is focused on advancing ground-breaking therapies and delivering significant outcomes for patients, healthcare professionals, and health systems globally. The sector brings together capabilities across Research & Development, Supply Chain, and Commercial to discover, develop, manufacture, launch, and sustain innovative medicines at scale. The Technology organization is a strategic partner to the sector, enabling modern digital, data and AI capabilities, secure and resilient technology foundations, and enterprise architecture practices that accelerate innovation, improve operational excellence, and create competitive advantage across the Innovative Medicine value chain. Key Responsibilities Enterprise Architecture Strategy Define and evolve the Innovative Medicine architecture strategy across R&D, Supply Chain, Commercial, Data, AI, Cloud, Security, and Enterprise Platforms. Develop future-state architecture blueprints and principles that enable business agility, interoperability, scalability, security, and regulatory compliance. Drive technology modernization, platform simplification, and technical debt reduction across the sector. Align architecture investments with business priorities, enterprise strategy, and measurable outcomes. Lead and develop a global architecture organization of 20 architects, fostering a high-performing and collaborative culture. Architecture Across the Innovative Medicine Value Chain Provide architecture leadership across R&D, Supply Chain, and Commercial capabilities to enable an integrated end-to-end operating model. Establish common data, process, and platform patterns that improve interoperability, reuse, and user experience. Ensure architectures support global scale, lifecycle management, compliance, cybersecurity, and business continuity requirements. Reference Architectures and Standards Establish and govern reference architectures, design patterns, technology standards, and security guardrails. Promote adoption of reusable enterprise capabilities and shared platforms to reduce complexity and duplication. Evaluate emerging technologies and industry trends to inform enterprise architecture direction and standards. Technology Roadmaps and Platform Alignment Ensure alignment across business strategies, product roadmaps, platform roadmaps, and enterprise technology priorities. Guide technology investment decisions, including build, buy, reuse, modernization, and platform consolidation strategies. Partner with product, engineering, data, security, and business leaders to prioritize strategic technology capabilities. Enterprise Collaboration and Architecture Leadership Partner with Technology Services, Enterprise Architecture, ISRM, and sector architecture leaders to advance common enterprise architecture principles, standards, and reusable platforms. Represent Innovative Medicine architecture priorities in enterprise governance and cross-sector decision-making forums. Drive consistency in architecture practices, governance processes, and technology lifecycle management across the sector. Governance and Design Oversight Lead architecture governance forums and establish clear decision rights, review standards, and issue resolution mechanisms. Provide architecture oversight for pivotal initiatives, platform investments, technology partnerships, data products, and AI-enabled capabilities. Ensure solutions align with enterprise standards, security requirements, business objectives, and target architectures. Define and monitor architecture benchmarks to measure adoption, reuse, simplification, technical health, and value realization. GenAI-Enabled Architecture Practices Advance the use of GenAI to improve architecture productivity, including blueprint creation, design analysis, standards compliance, knowledge management, and decision support. Establish governance and guardrails for responsible use of AI-assisted architecture practices. Develop reusable architecture knowledge assets, automation patterns, and AI-enabled ways of working that improve speed, quality, and consistency. Innovation and Thought Leadership Advise senior leaders on emerging technologies and their impact on the Innovative Medicine strategy. Promote engineering excellence, simplification, innovation, and architecture rigor across the technology organization. Represent Innovative Medicine architecture in enterprise forums, industry engagements, and strategic technology partnerships. Qualifications / Requirements Master’s degree or equivalent experience in Computer Science, Information Technology, Engineering, or a related field. 15 years of technology leadership experience, including strong responsibility for enterprise, sector, or platform architecture. Experience leading global architecture teams across multiple domains, regions, or business functions. Experience applying GenAI or AI-assisted methods to architecture blueprinting, design documentation, standards governance, platform evaluation, or engineering productivity is preferred. Experience in life sciences, healthcare, consumer health, medtech, supply chain, commercial, or another regulated global environment is preferred. Expertise in cloud architecture, data platforms, AI/GenAI technologies, integration architecture, cybersecurity, digital platforms, and enterprise application landscapes. Critical thinking, systems thinking, problem-solving, decision-making, and architecture governance capabilities. Executive communication skills, with the ability to translate complex technology decisions into clear business implications. Experience leading architecture governance, cross-sector collaboration, technology standards adoption, and large-scale modernization initiatives. Familiarity with architecture frameworks such as TOGAF and modern product-centric delivery models is preferred. Professional Experience Experience leading architecture teams across large, global, regulated enterprises with