- 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
- 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
- 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
- Gentiva (Piscataway, NJ)
- …and practice, including industry standards, regulations, and best practices (ie, Medicare , Medicaid , JCAHO, ACHC), company policies/procedures, and understanding ... + Mileage or Fleet Car Program + Cell Phone Reimbursement (for eligible roles) + Short Term Incentive (for...join our team.You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will… 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
- 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