- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... claims and preservice appeals. The Corporate Medical Director works on...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Billing Director -Patient Financial Services- Corporate (ON SITE) Full-Time -Days** Responsible for direction and management responsibility ... the business and operational activities of a department or medical care unit. **Qualifications** + 5 or more years...standards and billing regulations set by governmental agencies like Medicare and Medicaid. + May chair or participate in… more
- Humana (Trenton, NJ)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Trenton, NJ)
- …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... areas centered around rare diseases and immune disorders. **Summary:** The Associate Director , Oncology Value & Market Dynamics Training Manager is responsible for… more
- Humana (Trenton, NJ)
- …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
- The Cigna Group (Morris Plains, NJ)
- …to protect formulary and trend solutions from unintended conflicts across commercial, Medicare , and product offerings that depend on those contracts. + Support of ... to work and influence cross-functional partners to achieve key initiatives and corporate goals + Demonstrated initiative with commitment and ability to work under… more
- RWJBarnabas Health (Newark, NJ)
- …of specimens, Supervises duties related to record documentation, consults with the Medical Director and Administrative Director on regulatory compliance ... Blood Bank ( Medical Technologist)Req #:0000194737 Category:Laboratory and Medical Technologist Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate … more
- Fresenius Medical Center (Little Falls, NJ)
- …minutes. + Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. + ... regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices...within the community. Minimal travel to regional, Division and Corporate meetings may be required as well. + The… more
- Atlantic Health System (Newton, NJ)
- …rates as measured by nationally standardized benchmarks and definitions and corporate requirements. This includes: project management, training, data management, and ... with corrective action plans and reports findings to the Director of Quality and Patient Safety or designee. 4....such Joint Commission, State Department of Health, Centers for Medicare and Medicaid, payers and other agencies. Provides support… more
- Humana (Trenton, NJ)
- …The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and will lead the development of category ... of commercial protection and to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and… more