- Travelers Insurance Company (Trenton, NJ)
- …1 **What Is the Opportunity?** Responsible for the coordination, and implementation, of the workers compensation managed care program for a specific state to ... policyholders and agents with the enrollment process. Responsible for managed care processes including state panel production,... Care Consultant in the managed care compliance activities in accordance with Workers … more
- CVS Health (Medford, NJ)
- …Qualifications** + Case management and/or discharge planning experience preferred. + Managed Care experience preferred + Crisis intervention skills preferred ... continued employment. The care manager is responsible to coordinate and collaborate care with member/authorized representative , PCP, and any other care … more
- ChenMed (Philadelphia, PA)
- …proactive professional who excels in evidence-based pharmacy practices. With a focus on managed care , this person will prioritize the most cost-effective options ... for HEDIS measures. + Acts as the pharmacy department's representative on pertinent committees and teams, taking on the...discretion. KNOWLEDGE, SKILLS AND ABILITIES: + Strong understanding of managed care practices and operations. + Knowledge… more
- Rowan University (Stratford, NJ)
- …training staff/stakeholders on Medicaid information. + Knowledge of Medicaid waivers, managed care enrollment, and state-specific Medicaid program requirements. ... + Works with DMAHS System Workgroups to build eligibility functionality in the Worker Portal. + Recommends and participates in testing processes, data analysis and… more