- 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
- RWJBarnabas Health (Oceanport, NJ)
- …filings. In partnership with the Vice President of Corporate Reimbursement , the Director will manage the completion of DSH, Medicare Bad Debts, Wage Index, ... Director , Corporate Reimbursement (Hybrid/Remote)Req #:0000180233 Category:Accounting/Finance...as a key resource to department leadership for providing Medicare and Medicaid reimbursement support and implementing government payment… 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)
- …the Medicare Line of Business. **Additional Information** Typically reports to Lead or Corporate Medical Director , depending on size of region or line of ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Trenton, NJ)
- …adapt and the courage to innovate **Additional Information** Typically reports to a 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 ...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Centene Corporation (New York, NY)
- …regulatory, state, corporate , and accreditation requirements. + Assists the Chief Medical Director in the functioning of the physician committees including ... providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families...+ Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the… more
- Ascendis Pharma (Princeton, NJ)
- …mission of developing new and potentially best-in-class therapies to address unmet medical needs. Our culture fosters a place where skilled, adaptable, and highly ... develop their skills. Ascendis Pharma is looking to hire an experienced Director , Market Access Contract Operations to join our team. Responsibilities will include… more
- Grifols Shared Services North America, Inc (New Brunswick, NJ)
- …and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing ... access customer segment . Support reimbursement, coding, and coverage-related responsibilities for Medicare Part B, Centers for Medicare and Medicaid (CMS)… more
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Associate Director ; Software Renewals establishes and implements hardware and software acquisition, protection, ... procedures that are aligned with IT standards and strategy. The Associate Director ; Software Renewals requires a solid understanding of how organization capabilities… more
- Atlantic Health System (Morristown, NJ)
- …and monitors them for side effects and reactions. 3. Prescribes assistive medical devices and related treatments. 4. Monitors, reports, and records symptoms or ... healthcare team members. 6. Records patient vital signs and medical information. 7. Performs other related duties as assigned....assigned. 8, Responsible for covering a variety of Contracted Corporate Sites within NJ. Required: 1. Graduate of an… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Clinical Revenue Auditor-CDM Patient Financial Services- Corporate -Full-Time-Days-Option to work remote or hybrid.** The Clinical Revenue ... organization and bridges the gap between clinical care and medical billing and reimbursement. This position will report to...and reimbursement. This position will report to the Senior Director CDM of the Mount Sinai Health System This… more
- Atlantic Health System (Morristown, NJ)
- … Medicare and Medicaid compliance, licensure issues, pay-to-play issues, corporate governance and regulatory issues related to tax-exempt entities. -As required, ... and corporate work experience, including prior experience with hospitals, Medicare and Medicaid, and federal and state healthcare regulatory issues, including… more
- Atlantic Health System (Morristown, NJ)
- …develop monthly, quarterly and annual reports. Direct liaison to Bariatric Section Chief ( Medical Director ) to maintain quality of care, performance of best ... Responsible for overseeing the day-to-day management of medical clinics and outpatient facilities. Liaises with patients and healthcare professionals, and coordinate… more
- Atlantic Health System (Morristown, NJ)
- …identification activities, or regulatory mandates. + The Manager will support the Director of Corporate Compliance to ensure implementation of appropriate ... data risk classification; (iv) accountable care organization compliance; (v) Medicare C & D/ Medicare Advantage compliance program...Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Atlantic Health System (Morristown, NJ)
- …Promoting all PRIDE values. COMPETENCIES: Departmental and Organizational Mandatories, LMS/ Corporate Compliance, Unit Based Shared Governance, CEUs, Peer Review, ... team members in the Operating Room. Demonstrates knowledge of corporate and hospital policies and procedures. Maintains AORN standards...Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Atlantic Health System (Morristown, NJ)
- …The Joint Commission, state standards, and other regulatory requirements. Supports medical and nursing staff to optimize nutrition care through evidence-based ... members. + Maintains quality assurance and evaluates compliance with corporate policies and procedures and State and Federal guidelines....Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical … more
- Humana (Trenton, NJ)
- …clinical strategy, performance monitoring, and continuous quality improvement within the Medicare Advantage program to support improving the health of members. The ... the Regional Vice President of Health Services (RVP) and Health Services Director (HSD) . This position focuses on enabling connections with providers, supporting… 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
- J&J Family of Companies (Titusville, NJ)
- …Scientific Account Lead, V&ESE Field** **Reports to: Regional Field Director , V&ESE Field** **Department/Division: Value & Evidence Scientific Engagement/Scientific ... Benefit Management (PBM) companies, Governmental Agencies (CMS and VA/DoD System), Medicare , Medicaid, Long Term Care (LTC) facilities, Integrated Delivery Networks… more