- 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
- Robert Half Finance & Accounting (Eatontown, NJ)
- …Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement . + The Director will have advanced level of knowledge ... Term Disability + Health Care/Dependent Care Flexible Spending Accounts + Wellness Programs + Tuition Reimbursement My client, a large healthcare company located in… more
- Molina Healthcare (New York, NY)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… 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
- Teva Pharmaceuticals (Parsippany, NJ)
- …both Teva portfolio and competitor. + Provide expertise to all brands on Medicaid and Federal pricing, ASP, and Reimbursement . + Attend various Pricing and ... with. **The opportunity** The primary role of the Sr, Manager, Pricing & Reimbursement is to coordinate pricing activities and provide the related pricing… more
- Genesis Healthcare (Parsippany, 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
- 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
- Hackensack Meridian Health (Brick, NJ)
- …accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. ... They will be a driving force to ensure patient hospital stay and care transitions are as smooth and...accountable. Need 2-3 years experience as an Advanced Practice Provider , preferably in acute care setting. Education, Knowledge, Skills… more
- Cardinal Health (Trenton, NJ)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
- Hackensack Meridian Health (Brick, NJ)
- …in accordance with the privileges approved by the credentialing committee to provide high-quality, cost-effective patient care within their scope of practice. They ... goal achievement in patient experience and outcomes. They will provide clinical guidance to support the unit-based care managers,...They will be a driving force to ensure patient hospital stay and care transitions are as smooth and… 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 ... of board-certified cancer specialists. The APP is expected to provide hematology & medical oncology specialty patient care in...sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition … more
- Weill Cornell Medical College (New York, NY)
- …and Medicaid Services (CMS), and other third party payers reimbursement and coding regulations. Submits recommended coding changes for approval by physicians. ... practices serve communities throughout New York City, and our faculty provide comprehensive care at NewYork-Presbyterian Hospital /Weill Cornell Medical Center,… 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 + GME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition reimbursement for advanced… more
- Centene Corporation (New York, NY)
- …established by the American Medical Association and the Centers for Medicare and Medicaid Services. + Analyze provider billing practices by utilizing code ... of experience in medical billing & coding, coding/data analysis, accounting/business or physician/ hospital data management or RN/LPN and 2+ years of related clinical… more
- Mount Sinai Health System (New York, NY)
- …Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional ... documenting, and reporting underpayment trends, payer updates, payer regulations, and provide feedback on workflow procedures pertaining to our negotiated contracts.… more
- Atlantic Health System (Florham Park, NJ)
- …recognition achievable from the American Nurses Credentialing Center for facilities that provide acute care services. Our nonprofit hospital was also designated ... including 6 Child and Adolescent Psychiatrists. The candidate will oversee and provide patient care for children and adolescents with psychiatric needs referred from… 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 ... World Report ranked Morristown Medical Center as a top hospital nationwide for cardiology & heart surgery. The Advanced...and Time Off incremental to PTO days + Tuition reimbursement for Advanced Degrees + Outstanding growth & mentorship… 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 ... skills, clinical expertise, and previous experience in a fast-paced practice, hospital service or with stress testing environment. + Master's degree required… more
- Hunterdon Health Care System (Flemington, NJ)
- …activities of the claims processing and accounts receivables for the Acute Care billings ( hospital ) under the direction of the Director of the SBO. . Maintains an ... efficient billing process for all hospital ancillary areas. Maintains best practices with registration, billing,...seeks opportunities to give directions, answer a question, or provide information or reassurance to customers; Acts as a… more
- Atlantic Health System (Morristown, NJ)
- …appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... + Prepares written reports of the audit findings by provider /practice + Follows up with providers as needed until...+ Assists with claim denial reports to ensure optimal reimbursement + Serves as a resource to the office… more