- Ankura (New York, NY)
- …is a team of excellence founded on innovation and growth. Ankura's Disputes & Economics professionals are world class and globally recognized independent experts ... who tailor financial, operational, and compliance solutions to complex litigation, enforcement, and regulatory challenges....Director will support the Healthcare Payer team within Ankura's Disputes & Economics practice - one of seven practices… more
- Ankura (New York, NY)
- …A recognized leader in healthcare litigation support, Ankura's Healthcare Disputes team combines unparalleled clinical, technical, and operational experience with ... analytical offerings for our clients that reveals how this information impacts legal disputes that these companies may be facing. We combine in-depth operational, … more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** Code Edit Disputes team reviews and educates providers when there is a dispute on ... millions of people we serve to achieve their best health - delivering the care and service...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Western Digital (Trenton, NJ)
- …in data. **Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist** to join the Western Digital Fulfillment Operations Team to be ... strong communication skills. **Essential Duties and Responsibilities:** + Experience with retail compliance and penalty programs (eg, Walmart's OTIF - On Time In… more
- Mount Sinai Health System (New York, NY)
- …advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific ... integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative… more
- Mount Sinai Health System (New York, NY)
- …degree preferred + 4 years of insurance billing and collection procedures in a health care environment + Excellent written, verbal and interpersonal skills + ... charges in accordance with established fee schedules and ensures compliance with Medicare and other insurance carrier guidelines. **Qualifications**...all people, everywhere, by taking on the most complex health care challenges of our time -… more
- Intermountain Health (Trenton, NJ)
- …investigating, coordinating and managing legal insurance cases and represents Intermountain Health in OIG hearings and 1st level grievances with insurance companies ... levels of internal and external personnel and works closely with Intermountain Health legal team, Physician Advisors, and Appeals RN consultants in their various… more
- CVS Health (Trenton, NJ)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... At CVS Health , we're building a world of health...+ Negotiate and manage contracts with pharmaceutical manufacturers, ensuring compliance , tracking performance metrics, and resolving disputes .… more
- J&J Family of Companies (Raritan, NJ)
- …Raritan, New Jersey, United States of America **Job Description:** Johnson & Johnson Health Care Systems Inc. (JJHCS) is currently recruiting for a Senior ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation...(MTF) as well as managing and resolving inquiries and disputes submitted by these entities. You will act as… more
- YAI (Manhattan, NY)
- …turning and/or using lifts, colostomy, ostomy and catheterization. Works with RN, LPN and Health Care Specialist to ensure the medical needs of people supported ... pressure, heart rate) + Scheduling/following up on appointments in coordination with Health Care Specialist and appropriate nursing staff + Performing catheter… more
- Ascendis Pharma (Princeton, NJ)
- …Operations plays a critical role in driving operational excellence, compliance , and financial performance through effective management of contracting operations. ... from negotiation and execution to renewal and termination. Ensure compliance with company policies, regulatory requirements, and contractual obligations.… more
- J&J Family of Companies (Titusville, NJ)
- …Titusville, New Jersey, United States of America **Job Description:** Johnson & Johnson Health Care Systems Inc. (Strategic Customer Group) is recruiting for a ... step of the way. Learn more at https://www.jnj.com/innovative-medicine Johnson & Johnson Health Care Systems Inc. provides account management and customer… more
- YAI (Manhattan, NY)
- …pressure, heart rate) + Scheduling/following up on appointments in coordination with Health Care Specialist and appropriate nursing staff + Performing catheter ... Workday account. (http://wd5.myworkday.com/wday/authgwy/yai/login.htmld?) Key/Essential Functions & Responsibilities + Ensures health , wellness and safety by providing appropriate supervision of… more
- YAI (Manhattan, NY)
- …to the community. + Responsible for the overall supervision, protection, and care of individuals at all times including maintenance of program guidelines for ... signs of an individual's potential harm to self or others. + Ensures health , wellness and safety by providing appropriate supervision of the people we support… more
- Comerica (New York, NY)
- …such as life insurance, AD&D, and supplemental health programs to offset unexpected health care expenses. We also have a variety of time off programs for ... responses to incoming correspondence and any other client requests to ensure compliance with the governing document, applicable law and policies and procedures.… more
- Humana (Trenton, NJ)
- …we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...improvements in quality and/or reductions in total cost of care . + Scorecard creation and reconciliation of provider performance… more
- AIG (New York, NY)
- …employee benefits and resources that help you protect what matters most - your health care , savings, financial protection, and wellbeing. We provide a variety of ... manage risks and provide financial security. Make your mark in Global Legal, Compliance and Regulatory Our Global Legal, Compliance and Regulatory (GLCR) team… more
- Ascendis Pharma (Princeton, NJ)
- …340B claims, disputes ), and reporting packages to ensure accuracy and compliance . + Stay abreast of industry trends, policy changes, and regulatory updates; ... Market Access, Analytics & Commercial Operations and other US teams, ensuring compliance with evolving federal and state pricing regulations while maximizing net… more
- Pfizer (New York, NY)
- …eligibility. **Sunshine Act** Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws ... and regulations require Pfizer to provide government agencies with information such as a health care provider's name, address and the type of payments or other… more
- KONE, Inc (New York, NY)
- …areas where you work with complex accounts and customers to resolve escalated disputes ? + Are you skillful with technological tools such as proficiency in collection ... You'll develop collection strategies, managing a team, and ensuring compliance with relevant laws and regulations. You will also...+ Passionate about safety, quality, and innovation + We care about the communities where we live and work.… more