- Public Consulting Group (Trenton, NJ)
- …. Employee will be responsible for Medicaid , SNAP, WIC and other state government programs . They will be analyzing business requests, making ... + Experience with CMS, Medicaid , SNAP, WICK, and other state government programs **Supervisory Responsibility** + None **Working Conditions** + Remote… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President ... Government Programs - Medicare & Managed Medicaid is...to execute the strategy + Establish key relationships with Government Program owners at the plans, and… more
- Deloitte (Princeton, NJ)
- …our people, ideas, technology and outcomes - is designed for impact. Serving federal, state , & local government clients as well as public higher education ... with progression to FSA, FSA, or career ASA designation + Experience providing Medicaid consulting services to Government agencies + Experience with Medicaid… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... is responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and … more
- Ascendis Pharma (Princeton, NJ)
- …and submission of monthly, quarterly, and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per ... pricing-related special projects. + Ensure compliance with laws governing government programs are within Ascendis' written policies,...programs + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare,… more
- WelbeHealth (Trenton, NJ)
- …federal regulators and elected officials; experience at more than a single level of government (local, state , federal) preferred + Minimum of seven (7) years of ... care option to our most vulnerable senior population. The Director, Federal Government Affairs will lead a bold advocacy strategy to advance the WelbeHealth… more
- Prime Therapeutics (Trenton, NJ)
- …This position is also responsible for the management of the Trade Client Strategy government programs team, which is responsible for the communication and pull ... Trade Relations is responsible for managing Prime's Trade Relations program (s) for medical and pharmacy formulary and market access...modeling and pull through execution activities. + Lead the government programs negotiator and client team. +… more
- CenterWell (Trenton, NJ)
- …to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on ... caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance...inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state … more
- Ascendis Pharma (Princeton, NJ)
- …methodology, and related analytics and reporting. + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare, FSS, PHS340B) and related ... Minimum 10+ years of progressive experience in pharmaceutical finance, pricing, market access, or government programs , with at least 5 years in a leadership or… more
- Ascendis Pharma (Princeton, NJ)
- …prior to executing agreements. Rebate Management: Oversee the administration of rebate programs , including government rebates (eg, Medicaid , Medicare), ... with locations in Denmark, Europe, and the United States. Today, we're advancing programs in Endocrinology Rare Disease and Oncology. Here at Ascendis, we pride… more
- Mathematica (Princeton, NJ)
- …The Sr. Fellow's work could be focused on improving the Medicare, Medicare Advantage, Medicaid , and veterans and military focused programs , as well as the ... partners to translate big questions into deep insights that improve programs , refine strategies, and enhance understanding using data science and analytics.… more
- Public Consulting Group (Trenton, NJ)
- …public better. We provide the full spectrum of technology consulting services to help state and local agencies meet operational and program needs that enhance ... * Responsible for organizational migration, gap analysis, and coordination of program improvement, communications, and training activities related to MEMS Modules,… more
- CVS Health (Trenton, NJ)
- …network issues, pharmacy and/or mental health parity. + Experience working with state and federal government agencies, healthcare laws and regulations. + ... for action to internal stakeholders and senior/executive management regarding federal/ state regulations in the healthcare industry. Serves as a subject… more
- Public Consulting Group (Trenton, NJ)
- …better serve populations in need by making meaningful and lasting changes in government organizations. Services: + Program Consulting + Finance Consulting and ... and other tools. + Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid ,...strategies. + Ability to interpret and apply federal and state policy to financial planning and program … more
- Cardinal Health (Trenton, NJ)
- …particularly billing and collections. + Strong knowledge of the rules/regulations of Medicare/ Medicaid and other government payors, as well as commercial ... and coordinates the full cycle onboarding and enrollment into Medicaid , Medicare, and the commercial insurance plans. + Establish...Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental… more
- Humana (Trenton, NJ)
- …and behavioral health spectrum. They will also coordinate with other Medical Management programs (DM/PN) as needed, in addition to MTF UM / CM staff, physicians ... the Case Manager will collaborate with other care management programs until the beneficiary's needs are met, and case...and unrestricted Registered Nurse (RN) license in the (appropriate state ) with no disciplinary action. + An active designation… more
- CVS Health (Trenton, NJ)
- …**Preferred Qualifications** + Experience working with healthcare payors and/or government programs such as Medicare and Medicaid + CPA License + SQL ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- CVS Health (Trenton, NJ)
- …vendor management experience (preferably benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation… more
- Evolent (Trenton, NJ)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter… more
- Evolent (Trenton, NJ)
- …under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... + **This position is 100% Remote and can be completed from any state . Multiple opportunities for a flexible schedule and both part-time and full-time options… more