- CenterWell (Trenton, NJ)
- …a part of our caring community and help us put health first** The Project Management Lead manages all aspects of a project, from start to finish, so that it is ... completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project… more
- Humana (Trenton, NJ)
- …**Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other ... Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. +… more
- J&J Family of Companies (Titusville, NJ)
- …treatment. **Key Responsibilities** **:** + Lead efforts in support Medicaid program requirements and Medicare Drug Price Negotiations Program including ... with cross functional teams to support the end-to-end implementation of the Medicare Drug Price Negotiations Program and related Medicaid program requirements… more
- Humana (Trenton, NJ)
- …rules, regulations and sub-regulatory guidance that apply to Insurance Products (ie, Medicare Advantage, Part D, Group Specialty, and Individual Specialty), ... your skills to make an impact** **Required Qualifications** + Experience with Medicare Advantage and/or Medicaid + Comprehensive knowledge of Microsoft Office… more
- Humana (Trenton, NJ)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicare Advantage, and Medicaid requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- Humana (Trenton, NJ)
- …internal teaching conferences, and other reference sources. Medical Directors will learn Medicare , Medicaid , and Medicare Advantage requirements and will ... **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other… more
- CenterWell (Trenton, NJ)
- …records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program ... a part of our caring community and help us put health first** The Program Management Lead , Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Trenton, NJ)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... part of our caring community and help us put health first** The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and… more
- Cardinal Health (Trenton, NJ)
- …chargebacks and vendor invoices and developing and negotiating customer and group purchasing contracts. + Demonstrates knowledge of financial processes, systems, ... getting the right things done. The Accounts Receivable Team Lead performs day-to-day AR functions with the goal of...company when necessary. + Bills supplemental insurances including all Medicaid states on paper and online. + Oversees appeals… more
- CVS Health (Trenton, NJ)
- …in facilitating live discussions + 3+ years of experience in healthcare payor, Medicare , Medicaid or provider consulting experience + 3+ years' experience ... and improve the health of millions are endless. As Lead Director, Enterprise Strategy, you play a pivotal role...world. Our Enterprise Strategy team is a small, high-performing group that works closely with executive leadership to pave… more
- Humana (Trenton, NJ)
- …project leadership and consulting. + Knowledge of healthcare business domains, including Medicare , Medicaid , Group , Specialty, etc. + Development level ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Prime Therapeutics (Trenton, NJ)
- …account management experience + Knowledge of the applicable line of business (eg, Medicare , Medicaid , Exchange, Commercial, Employer Group ) Every employee ... all provider and member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to… more
- Option Care Health (Trenton, NJ)
- …and hospitals (Commercial Insurance, Medicare Part B & D, Fee for Service Medicaid , Managed Medicaid ) Due to state pay transparency laws, the full range for ... and improve the sales presentations of the chronic therapies sales team and lead by example by demonstrating success in creating new business. + Collaborates with… more
- Oracle (Trenton, NJ)
- …one visualization tool like BO or Tableau + Healthcare experience with Medicaid / Medicare Claims Reporting **Expectations** + Perform other responsibilities as ... needs. Applies Oracle methodology, company procedures, and leading practices. As a Lead Consultant you will consult on data and modelling impacts, guiding clients… more