- Humana (Trenton, NJ)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Senior Product Manager who will develop, deliver, and manage products ... for customer use. The Senior Product Manager work assignments...feedback to ensure products are meeting business needs across Medicaid , evolving products over time to ensure product… more
- Humana (Trenton, NJ)
- …the future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team. The ideal candidate will have a ... understanding of project management principles and exceptional communication skills. The Senior Project Manager will collaborate with cross-functional teams,… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Vendor Program Manager Senior **Job Description** The Vendor Program Manager is ... the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value of… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst** will play a critical role in testing, ... 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within… more
- Humana (Trenton, NJ)
- …improved health outcomes for our dual members - members that qualify for both Medicare and Medicaid . The Lead Product Manager sits in the center of strategy, ... health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for...will ensure effective interaction with all organizational levels, including senior and executive level audiences + Proven ability… more
- Cardinal Health (Trenton, NJ)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. + Process enrollments via inbound fax, phone,… more
- CVS Health (Trenton, NJ)
- … Medicaid and Commercial (fully insured and ASO) work product , development of standardized coding language, assist with operational dashboard development ... waste, and abuse. + Experience with Aetna or other MCO Commercial/ Medicaid /Medicare plans + Certified Professional Coder Education: + Bachelor's degree preferred… more
- Humana (Trenton, NJ)
- …our members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, ... you will play a pivotal role in overseeing the product maturity of DevOps and Developer platform ecosystem across...complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
- Mount Sinai Health System (New York, NY)
- …400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise. MSHP is a fast growing business unit within ... within MSHP team + Opportunity to work directly with senior leaders from across the Mount Sinai Health System...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Pearson (Trenton, NJ)
- …path through this shifting environment to achieve continued success.** _Purpose Summary_ _The Medicaid and Vendor Implementation Manager will act as the main ... agencies and product vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to ensure efficient execution… more
- City of New York (New York, NY)
- …ecosystem and infrastructure. BDTS will house the CPHDS' governance, partnerships, product management, data engineering, and data visualization work. DUTIES WILL ... data quality, classification, masking and tagging, matching, risk mitigation, product development, nomenclature, security, access controls, disclosures, data use… more
- International Rescue Committee (New York, NY)
- …a medical home for ongoing care. This role will report to the Senior Resettlement Manager . Major Responsibilities: Responsibilities include, but are not limited ... social services in New York City. This may include Medicaid , Supplemental Security Income, or SSI, SNAP, WIC, TANF,...effectively. + Attention to detail and accuracy in work product . + Fluent in English, both spoken and written;… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …disorders. **Summary:** The Associate Director, Oncology Value & Market Dynamics Training Manager is responsible for developing & deploying a strategic training plan ... individual will be required to have in-depth knowledge of payer policy, Medicare, Medicaid and the Oncology Care Model. This individual is ad subject knowledge… more