- Robert Half Finance & Accounting (Eatontown, NJ)
- …company located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare / Medicaid Reimbursement . + The Director will ... above. + Planning, preparing and reviewing of the annual Medicare / Medicaid cost reports filings. In partnership with...the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare… more
- RWJBarnabas Health (Oceanport, NJ)
- … will serve as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment ... the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare...policies to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …compliance and risk management Preferred Skills + Comprehensive knowledge of Medicare , Medicaid , and commercial insurance reimbursement regulations ... Director , Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director , Field … more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …as unique business segments such as specialty and retail pharmacy and state Medicaid organizationsThe Sr. Director is a cross-functional leadership role that is ... Description: The Senior Director of Market Access Strategy is responsible for...Pharmacy benefit formularies, across all lines of business (Commercial, Medicare , & Managed Medicaid ), as well as… more
- City of New York (New York, NY)
- …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee...and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy… more
- The Cigna Group (Morris Plains, NJ)
- …Director of Regulated Markets is responsible for Coverage Review and Determinations for Medicare Part B and Part D, Medicaid , Marketplace or Healthcare Reform ... **Job Description: Director for Regulated Markets - CDAG/ODAG** **Excited to...of technical requirements to ensure ongoing compliance, Center for Medicare and Medicaid (CMS) Audit support and… more
- Ascendis Pharma (Princeton, NJ)
- …innovative pricing models. + Familiarity with pharmaceutical policy impacts from IRA, Medicaid / Medicare rules, and global price referencing. + Proficiency with ... in the US, Germany & Austria, with plans for rapid expansion. As our new Director of Pricing Policy and Analytics, you will be evaluating the impact of policy on… more
- CVS Health (Trenton, NJ)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... to obtain an AZ medical license. Internal Medicine background Have experience in Medicare and Medicaid **Education** *M.D. or DO, Board Certification in an… more
- CVS Health (Trenton, NJ)
- …clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare - Medicaid Plan) * Develop and lead clinical strategy and ... Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …into clear, actionable contract language + Deep experience within Commercial GPO/PBM/MBMs, Medicare Part D/B and Medicaid contracting channels + Understanding of ... Director , Managed Care Payer Contracting (V&A) Date: Jul...teams and cross-functional initiatives + Deep understanding of healthcare reimbursement models and benefit designs (pharmacy, medical benefit, innovative… more
- Ascendis Pharma (Princeton, NJ)
- …and reporting. + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare , FSS, PHS340B) and related regulations. + Deep experience working ... for employees to grow and develop their skills. Position Summary The Director , Finance Gross-to-Net (GTN) Reporting will lead the development, execution, and… more
- Sanofi Group (Morristown, NJ)
- …analytics for select regional accounts. + Oversee development and negotiation of Medicare Part D, Managed Medicaid , and Commercial GPO/PBM agreements, while ... **Job Title** : Director Market Access Contracting **Location** : Morristown, NJ...response to customer bid requests. + Analyze specialty product reimbursement and utilization management criteria against contracting objectives. +… more
- The New Jewish Home (Manhattan, NY)
- …tours, scheduled or walk in as needed. + Keep abreast of current Medicare , Medicaid , and Civil Rights regulations governing admission, discharge requirements of ... The New Jewish Home is seeking a full time Director of Admissions to join our team! Job Summary:...+ Basic Life & Accidental Death Insurance + Tuition Reimbursement + Health Care, Commuter, and Dependent Care Flexible… more
- Bristol Myers Squibb (Princeton, NJ)
- …Channel Lead will manage forecasting and analytics for government channels, including Medicaid , Medicare , and other Federal customers. This role coordinates ... military leave. Family care services such as adoption and surrogacy reimbursement , fertility/infertility benefits, support for traveling mothers, and child, elder… more
- ConvaTec (Bridgewater, NJ)
- …of the newly formed Market Access COE and report into the Senior Director , Market Access and Reimbursement . **Key Responsibilities:** + Lead payer engagement ... visit http://www.convatecgroup.com **Position Overview:** The Senior Market Access & Reimbursement will drive reimbursement strategy for Advanced...strategies in the US for Medicare , Medicaid and private insurers to secure… more
- Charles B. Wang Community Health Center (Queens, NY)
- …enroll qualified Aged, Blind & Disabled population individuals into the relevant Medicaid program with Medicare eligibility assessments + Assure that application ... Full-Time Outreach Worker/Enroller Reports To: Director of Social Work Queens/Manhattan, New York United...to raise community awareness of the Program and of Medicaid enrollment services + Assist to plan, schedule, and… more
- Molina Healthcare (New York, NY)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue escalations,… more
- Terumo Medical Corporation (Somerset, NJ)
- …federal and state transparency reporting, and manages reporting functions in (Centers for Medicare & Medicaid Services (CMS). Performs analytics on CMS available ... Summary** The Senior Compliance Manager -Monitoring & Transparency, will support the Director - Healthcare Compliance of Terumo Americas Holding and its managed… more
- Ascendis Pharma (Princeton, NJ)
- …customers including private and public payers, national and regional health plans, state Medicaid , Medicare Part B and D, VA/DOD, PBM's, Employers, IDNs, Medical ... NJ three (3) days/week and will report directly to the Director , Contracting Operations. Requirements Key Responsibilities: Rebate Management . Administer and… more
- RWJBarnabas Health (Newark, NJ)
- …+ Meets education and experience equivalent to the guidelines mandated by Centers for Medicare and Medicaid Services (CMS), CLIA and the New Jersey State ... Supervises duties related to record documentation, consults with the Medical Director and Administrative Director on regulatory compliance updates, Participates… more