- American Water (Camden, NJ)
- …* This role is responsible for identifying, communicating, and advancing key regulatory initiatives to support the Company's strategic regulatory objectives. It ... involves close collaboration with state teams and regulatory stakeholders to advocate favorable outcomes, monitor regulatory developments, and shape effective… more
- CenterWell (Trenton, NJ)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and… more
- Innovation Foods LLC (Millville, NJ)
- …reporting to the General Manager, is tasked with leading all Food Safety, Regulatory , Sanitation, and Product Quality activities. The Director of Quality works ... development, wellness, and exceptional benefits. Our benefits include: Competitive Pay Rates Medical, dental, vision and prescription plans with wellness incentives… more
- Datavant (Trenton, NJ)
- …experiences to realize our bold vision for healthcare. **Role Overview** As the Director of Prospective + Concurrent Risk Adjustment Products, you will lead the ... suite. + Define multi-year plans aligned to customer outcomes, regulatory drivers, and market trends in risk adjustment, care...risk score impact, and concurrent coding capture and correction rates . + Establish and track KPIs that measure both… more
- Datavant (Trenton, NJ)
- …experiences to realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee Datavant's legal and ... audit standards. Reporting to the Chief Compliance and Privacy Officer, the Director of Internal Audit will evaluate the effectiveness of internal controls, risk… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... authorized at the Inpatient level. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- PSI Services (Trenton, NJ)
- **Description** **Title:** Sr. Director , Federal Program Management **Location:** Remote-US **Salary:** $175K / annually + STIP **About PSI** Join Us at PSI - Where ... why we've benchmarked all our roles against local market rates and why you'll always see salary details in...aligns with your expectations. **About the Role** The Senior Director , Federal Program Management is a critical leadership role… more
- Hackensack Meridian Health (Red Bank, NJ)
- …lives? Hackensack Meridian Health is seeking a dynamic and experienced Director of Perioperative Services to lead our dedicated team. Transforming Healthcare, ... collaboration, and a shared commitment to providing exceptional patient care. As a Director of Perioperative Services, you'll play a pivotal role in shaping the… more
- Hackensack Meridian Health (Holmdel, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Director of Facilities** plans, organizes, directs and evaluates all activities for a safe ... related technical field + Prior experience in hospital operations, regulatory requirements/standards and successful outcomes with prior regulatory...not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in… more
- Baylor Scott & White Health (Trenton, NJ)
- …implementing policies, procedures and performance metrics to improve appeal success rates , ensure regulatory compliance and optimize reimbursement outcomes. Will ... **Job Summary** The Director , Denial Resource Center is responsible for the...Strong understanding of payer denial codes, appeal strategies and regulatory frameworks. + Familiarity with RAC audit processes preferred… more
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Hackensack Meridian Health (Lodi, NJ)
- …+ Assure compliance with all system policies/procedures and all reimbursement and regulatory guidelines with regard to nursing operations of home infusion, licensed ... body. Assure adherence to Corporate Compliance regulations; payor requirements and regulatory agency standards including Joint Commission (TJC) and state licensure… more
- Humana (Trenton, NJ)
- …to deliver agile, data-driven, and personalized member experiences at scale. As Director of Marketing Communication Operations, you will play a pivotal leadership ... to advance shared objectives and support organizational growth **Compliance, Risk & Regulatory Leadership** + Serve as a subject matter expert on CMS, Medicaid,… more
- Hackensack Meridian Health (Edison, NJ)
- …transform healthcare and serve as a leader of positive change. The ** Director for Community Health Quality Improvement** is responsible for developing quality ... principles + In-depth working knowledge of state and national regulatory guidelines + Strong leadership, financial management and strategic...not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in… more
- Vontier (Trenton, NJ)
- We are seeking a highly skilled and experienced Sr. Director of Global Payroll and Compliance to lead the strategy, execution, and continuous improvement of payroll ... operations and regulatory human resource/payroll compliance across all countries where the...and monitor key metrics and SLAs (payroll accuracy, on-time rates , cost per payroll transaction, audit remediation timelines) and… more