- Genmab (Berkeley Heights, NJ)
- …services and/or healthcare industry.Active knowledge of oncology (IV and oral) product reimbursement , including but not limited to Medicare, Medicaid and ... patients and caregivers as it pertains to access and reimbursement of prescribed medications. The Patient Access Specialist will...and will maintain the highest quality and compliance to provide a positive experience. This position reports to the… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Humana (Trenton, NJ)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- NJ Sharing Network (New Providence, NJ)
- …seeking a motivated and driven professional to join our team as a Hospital Development Specialist. In this role, you'll support hospitals across New Jersey, from ... saving lives. Apply today to begin your journey! General Summary: The Hospital Development Specialist (HDS) performs as a donation consultant to hospitals.… more
- J&J Family of Companies (New York, NY)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- J&J Family of Companies (Titusville, NJ)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Genesis Healthcare (Eatontown, NJ)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Cardinal Health (Trenton, NJ)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Mount Sinai Health System (New York, NY)
- …organization and bridges the gap between clinical care and medical billing and reimbursement . This position will report to the Senior Director. This role will serve ... cycle, ensuring that patient care translates into accurate and timely reimbursement , safeguarding the financial well-being of the organization and contributing to… more
- Teva Pharmaceuticals (New York, NY)
- …possess a strong analytical acumen, a deep understanding of the New York Medicaid and hospital outpatient landscape and demonstrated success navigating complex ... influencers, and prescriber networks. + Leverage deep knowledge of the NY Medicaid system and broader payer systems to support access and overcome barriers… more
- Weill Cornell Medical College (New York, NY)
- …CPT, ICD-9, and ICD-10 coding. + Working knowledge of third party payor reimbursement - Medicare, Medicaid , Managed Care and commercial insurance. **Licenses and ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… more
- Mount Sinai Health System (New York, NY)
- …quality of care and research. We have over 38,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients. ... to keep entire communities healthy and out of the hospital . Mount Sinai Health Partners (MSHP) is the team...to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's… more
- Humana (Trenton, NJ)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Ascendis Pharma (Princeton, NJ)
- …deep understanding of US government pricing programs, and the pharmaceutical reimbursement landscape. Key Responsibilities + Lead the end-to-end government pricing ... and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per...any programs requiring price reporting, per legislative requirements + Provide government pricing impact assessments to aid in the… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... at Morristown Medical Center and offers the opportunity to provide comprehensive care as part of a collaborative and...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Gentiva (Trevose, PA)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... responsible for advanced sports medicine knowledge and evidence-based practice to provide athletic training services to AHS affiliated School or Team Organization.… more
- Atlantic Health System (Morristown, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... + Generous PTO, annual sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition reimbursement for advanced… more
