- 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
- 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
- Aveanna Healthcare (Mount Laurel, NJ)
- …to 15% of salary based on branch performance), cell phone and mileage reimbursement Position Overview The Clinical Director is responsible and accountable for ... Clinical Director - RN - Home Care ApplyRefer a...or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …dynamics. The individual will be required to have in-depth knowledge of payer policy, Medicare , Medicaid and the Oncology Care Model. This individual is ad ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… 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
- 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: Jun...teams and cross-functional initiatives + Deep understanding of healthcare reimbursement models and benefit designs (pharmacy, medical benefit, innovative… 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
- Erickson Living (Tinton Falls, NJ)
- …Team by holding weekly/monthly informational and developmental meetings to include Medicare and Medicaid coverage changes, Managed Care information, and ... of residents throughout the continuum. + Notifies the physician, Director of Nursing, and Administrator of any medically complex...CCRC, AL, SNF environment strongly preferred. + Understanding of Medicare , Medicaid , and insurance benefits in a… more
- Gentiva (Laurel Springs, NJ)
- …a patient may be appropriate for home health or hospice care; Medicare / Medicaid regulations; and interdisciplinary process. + Meets mandatory continuing ... and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse...standards in order to support sound medical practice and reimbursement for services provided. + Knowledgeable of Palliative Medicine… more
- Gentiva (Trenton, NJ)
- …+ **Tuition Reimbursement ** You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding… more
- Hunterdon Health Care System (Flemington, NJ)
- …medical billing experience + Chargemaster experience required + Experience working with Medicare , Medicaid , and private insurance contracts - understanding and ... Acute Care billings (hospital) under the direction of the Director of the SBO. . Maintains an efficient billing...medical, dental, vision, family forming, paid time off, tuition reimbursement , and retirement savings. The hiring range listed is… 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
- 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
- Hackensack Meridian Health (Brick, NJ)
- …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status ... Meridian Health! We offer EXCELLENT benefits, Scheduling Flexibility, Tuition Reimbursement , Employee Discounts and much more The Patient Access Specialist… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... sick days, and paid holidays + GME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition ...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more
- Atlantic Health System (Morristown, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Tuition ...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more
- Atlantic Health System (Florham Park, NJ)
- …safety grade - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating ... sick days, and paid holidays + CME allowance and reimbursement for CDS/DEA, licensing, and boards + Outstanding growth...members. Offerings vary based on role level (Team Member, Director , Executive). Below is a general summary, with role-specific… more