- Prime Healthcare (Denville, NJ)
- …Responsibilities Regional Manager , Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will ... on contract negotiations (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain… more
- Sumitomo Pharma (Trenton, NJ)
- **Title: Sr. Manager , Medicaid Contract Administration** **Location: Remote/occasional onsite (if local to MA). Flexible work/life balance.** Sumitomo Pharma ... motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. ...of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect… more
- Kedrion Biopharma, Inc. (Fort Lee, NJ)
- …develop, implementation, and on-going performance measurement to ensure pull-through and contract compliance. + Negotiates contracts that are mutually beneficial ... The **Corporate Accounts Manager ** serves as the primary point of contact...these relationships is to build win-win partnerships that drive contracts and ensure access to end users that will… more
- Hackensack Meridian Health (Edison, NJ)
- …+ Maintain up-to-date knowledge of current and emerging information regarding payer contracts , Medicare legislation, regulations, market activity, and industry ... to transform healthcare and serve as a leader of positive change. The ** Manager of Revenue & Contracting Operations (MRCO)** is responsible for the modeling and… more
- Surgery Care Affiliates (Parsippany, NJ)
- …Orientation: + Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and ... process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Report Contract variance to DTS, escalate volume underpayments to payer representative. + Meets biweekly and monthly with various vendors and outside ... and payment variances. + Identifies problems in process flow or changes in payer 's billing rules and regulations and governmental guidelines that slows cash flow and… more
- Kedrion Biopharma, Inc. (Fort Lee, NJ)
- …develop, implementation, and on-going performance measurement to ensure pull-through and contract compliance. + Negotiates contracts that are mutually beneficial ... of contracts , including inventory analysis and PO generation for contract compliance and budget achievement for ex-factory sales. + Maintain contracts… more
- Hackensack Meridian Health (Edison, NJ)
- …and payment variances. + Identifies problems in process flow or changes in payer 's billing rules and regulations and governmental guidelines that slows cash flow and ... opportunities presented at inter disciplinary meetings. + Collaborates with Reconciliation Manager in developing processes and workflows on trends identified on… more
- HealthEdge Software Inc (Trenton, NJ)
- …customerssimultaneously with efficiency and effectiveness. **The Product:** _With HealthRules Payer ,_ our integrated solutions suite includes the industry's leading, ... do much, more more than just core administrative processing. That's why HealthRules Payer has been ranked number one its class among CAP Solutions. Besides… more
- Bausch + Lomb (Bridgewater, NJ)
- …continue leading the advancement of eye health in the future. The HEOR Manager is accountable for designing, planning, and executing analytical components on a ... Value dossiers, and value communication tools. + Track budgets, timelines and contracts . **Education Required** + Master's degree in Health Economics or related… more
- Sumitomo Pharma (New Brunswick, NJ)
- …highly motivated, and experienced individual for the position of **Sales Account Manager , Uro-Oncology - (New Brunswick, NJ).** In this field-based role, the ... and compliantly discuss various practice business drivers such as GPO contracts , IDN influence, reimbursement and copay implications. + Knowledge and understanding… more
- Helsinn Therapeutics (US), Inc. (Iselin, NJ)
- …after inception. + Serve as the interface between Market Access and Legal regarding contracts . + Provide pricing and contract strategy input for product BD ... recovery for buy and bill products. + Evaluate proposed contract terms and offer alternatives based on analysis that...account (in concert with F inance) . + Ensure contracts align with HTU's brand and corporate strategy. +… more
- Robert Half Finance & Accounting (Bridgewater, NJ)
- …for a Medical Biller for their hospital division reporting to the Revenue Cycle Manager . This Medical Biller would be responsible for the following duties: + Execute ... detailed patient billing, including Medicare, Medicaid, and multiple payer claims for Durable Medical Equipment. + Maintain meticulous records of billed claims and… more
- Amgen (New Brunswick, NJ)
- …our products to medical professionals and helping them navigate the complex payer environment. We are actively searching for a **Specialty Representative or Senior ... marketing strategy and promoting Amgen products as led by the District Manager . Responsibilities include: + Provide current and comprehensive knowledge of Amgen's… more
- BrightSpring Health Services (Fairfield, NJ)
- …clearance of new referrals. The Intake Coordinator will report to the General Manager and work in our Fairfield NJ branch. Amerita is an entrepreneurial-founded ... the referral to a pharmacist. + Understands which insurance companies have contracts with Amerita + Communicates with other departments including Sales and pharmacy… more