- Highmark Health (Trenton, NJ)
- …including the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance & Operations acts as a trusted ... contracts. The position actively manages the day-to-day operations of the Medicaid Compliance Program, and contributes to the operational workflow for … more
- Humana (Trenton, NJ)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Teva Pharmaceuticals (North Wales, PA)
- Medicaid Claims Analyst Date: Jun 9, 2025 Location: North Wales, United States, Pennsylvania, 19454 Company: Teva Pharmaceuticals Job Id: 62333 **Who we are** ... new people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Project Renewal, Inc. (New York, NY)
- Title: Senior Manager , Compliance Program: Legal, Varick Headquarters Salary Range: $90,000 - $100,000 per year Overall Responsibilities: The Senior Manager , ... in healthcare and related human services. The Senior Manager , Compliance reports to the Director of...state, and local healthcare regulations (eg, HIPAA, Stark Law, Medicaid /Medicare, Part 2). + Ensure the organization's compliance… more
- Prime Therapeutics (Trenton, NJ)
- …Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely with designated business areas, Legal, and other ... Expertise in their areas of focus (Affordable Care Act, Medicare, Medicaid , Corporate Compliance , Compliance Assessment or Services etc.) + Develop and… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Compliance Manager - Monitoring & Transparency Date: Jun 6, 2025 Req ID: 4392 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. ... we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & Transparency, will support the Director -… more
- YAI (Manhattan, NY)
- …but not limited to State regulatory agencies (OPWDD, Centers for Medicare and Medicaid Services (CMS), Office of Medicaid Inspector General (OMIG), Department of ... annual OPWDD DQI and OFPC surveys. + Supports regional leadership with identifying compliance risks, completing an annual risk assessment, and developing an annual … more
- Prime Therapeutics (Trenton, NJ)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- Humana (Trenton, NJ)
- …health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, design, ... first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality - Remote **Job Description** The Senior Client Quality ... Manager ensures the successful planning, implementation and execution of...provides leadership and subject matter expertise on Medicare Stars, Medicaid quality and the Commercial/Health Insurance Marketplace Quality Rating… more
- Prime Therapeutics (Trenton, NJ)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the Compliance department Potential pay ... our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior … more
- GMHC (New York, NY)
- Housing Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description TheHousing ... our clients. Through a client-centered and empathetic approach, the Housing Case Manager will conduct home visits, coordinate social service referrals, assist with… more
- GMHC (New York, NY)
- Intake Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time Description TheIntake ... caseload of up to 25 clients, the Intake Case Manager serves as a consistent advocate and point of...handoffs and ensure follow-through on referrals or service linkages. Compliance , Reporting & Documentation: + Maintain accurate and up-to-date… more
- City of New York (New York, NY)
- …housing, and assistance with applying for public benefits and services including Medicaid , food stamps, and cash assistance. HASA also provides vocational services ... housing, and assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. Under executive direction of the… more
- GMHC (New York, NY)
- Housing Substance Use Case Manager WFH Flexible * New York, NY (http://maps.google.com/maps?q=New+York+NY+USA+10018) * Supportive Housing Job Type Full-time ... Description TheHousing Substance Use (SU) Case Manager (CASAC)provides client-centered substance use counseling and case management to individuals enrolled in the… more
- Gentiva (Trenton, NJ)
- …lasting difference in people's lives every day. **Overview** We're looking for a **Patient Care Manager ** to join our team. **RN Clinical Manager - Hospice - FT ... not remote.** **- 2 years of Hospice RN Case Manager exp required** **- 1 year of Management/Supervisory exp...and ensuring adherence to company policies and procedures and compliance with local, state, and federal regulations and regulatory… more
- City of New York (New York, NY)
- Job Description The Medical Assistance Program (MAP) administers Medicaid and related public health insurance programs, for the City of New York. Applying ... no cost. The Medical Assistance Program (MAP), is recruiting for one (1) Administrative Manager NM-III, to function as the Executive Director, of the Office of Mail… more
- Humana (Trenton, NJ)
- …we expand our cloud capabilities, we are looking for a Principal Product Manager to lead our multi-CSP strategy, drive cross-domain collaboration, and optimize our ... customer onboarding experience. As a Principal Cloud Platform Product Manager , you will own the vision, strategy, and execution for our multi-cloud platform-focusing… more
- Prime Therapeutics (Trenton, NJ)
- …management in the areas of problem identification and resolution, process improvements, compliance with Centers for Medicare & Medicaid Services (CMS) ... passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is responsible for… more
- Genesis Healthcare (Huntingdon Valley, PA)
- …this sound like you? If so, apply to join our team as a **Business Office Manager ** and take the lead in driving financial excellence at the center level! This is ... mission of delivering exceptional care. **What You'll Do:** As a Business Office Manager , you'll oversee the full spectrum of revenue cycle management functions -… more