- 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
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …compliance and risk management Preferred Skills + Comprehensive knowledge of Medicare , Medicaid , and commercial insurance reimbursement regulations ... Director , Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director , Field … more
- City of New York (New York, NY)
- …millions of dollars in annual Medicaid spending. This work includes identifying Medicaid clients who should apply for Medicare , identifying Medicaid ... Staff Analyst NM III to function as an Executive Director , Data Analytics & Verification who will: - Oversee...and implement the process to evaluate claims for skimming reimbursement in a batch, data-driven manner, with 100% accuracy… 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
- CVS Health (Trenton, NJ)
- …clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / Medicare - Medicaid Plan) * Develop and lead clinical strategy and ... Leverage extensive knowledge of health care delivery system, utilization management, reimbursement methods and treatment protocols for DSNP/MMP and other complex… more
- Ascendis Pharma (Princeton, NJ)
- …and reporting. + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare , FSS, PHS340B) and related regulations. + Deep experience working ... for employees to grow and develop their skills. Position Summary The Director , Finance Gross-to-Net (GTN) Reporting will lead the development, execution, and… more
- Bristol Myers Squibb (Princeton, NJ)
- …Channel Lead will manage forecasting and analytics for government channels, including Medicaid , Medicare , and other Federal customers. This role coordinates ... military leave. Family care services such as adoption and surrogacy reimbursement , fertility/infertility benefits, support for traveling mothers, and child, elder… more
- Molina Healthcare (New York, NY)
- …familiarity with various managed healthcare provider compensation methodologies, primarily across Medicaid and Medicare lines of business, including but not ... marketable providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue escalations,… 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
- Ascendis Pharma (Princeton, NJ)
- …customers including private and public payers, national and regional health plans, state Medicaid , Medicare Part B and D, VA/DOD, PBM's, Employers, IDNs, Medical ... NJ three (3) days/week and will report directly to the Director , Contracting Operations. Requirements Key Responsibilities: Rebate Management . Administer and… more
- Mount Sinai Health System (New York, NY)
- …on KPI's. 7. Research and analyze impacts of various State and Federal Medicare and Medicaid policies, regulations, legislation and other proposals, including ... Appeals Analyst position requires an in-depth knowledge of healthcare pricing/ reimbursement processes and procedures including institutional, as well as professional… more
- Hackensack Meridian Health (Neptune City, 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
- Mount Sinai Health System (New York, NY)
- …procurement of financial assistance for patients with government-sponsored health plans including Medicare , Medicaid and TriCare. Preferred: 3 years of health ... **Job Description** Under direct supervision of the Director of Specialty Pharmacy, the Specialty Pharmacy Manager...payer plans and how they are processed, of medication reimbursement , including the prior authorization process, proficiency in the… 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
- YAI (Manhattan, NY)
- …with benefits and entitlements in the healthcare and/or I/DD field including Medicaid , Medicare and applicable regulatory agencies. + Strong written and ... ensure timely and complete processing of billing and maximize reimbursement for services. + Submits billing on a monthly...information is updated in all applicable systems. + Assists Director of Revenue Management with gathering data and documents… more