- Cardinal Health (Trenton, NJ)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (New York, NY)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Indeed (Newark, NJ)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- JPMorgan Chase (New York, NY)
- **Our Team** As a part of Investment Solutions, the Managed Product Group serves as subject matter experts and is responsible for product management of traditional ... investments, including mutual funds, Exchanged Traded Funds (ETFs), and Separately Managed Accounts (SMAs) offered through the Private Bank, Chase Wealth Management,… more
- JPMorgan Chase (Jersey City, NJ)
- JP Morgan Asset Management (JPMAM) is a leading investment manager of choice for institutions, financial intermediaries and individual investors worldwide. With a ... few other firms can match. As an Onboarding Specialist on the Customized Managed Account Solutions (CMAS) team you will have the opportunity to implement investment… more
- Gentiva (Piscataway, NJ)
- …with all company policies and regulatory standards. **As a Senior Hospice RN Patient Care Manager , you will:** + Lead and support hospice patient care ... experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and...+ We maintain a drug-free workplace Keywords: hospice RN manager , patient care manager senior,… more
- Humana (Trenton, NJ)
- …+ BSN or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members'… more
- FlexStaff (New York, NY)
- …Proficiency with computers and electronic health record (EHR) systems. Experience with long-term care or managed care systems beneficial. Vehicle and current ... 156193 FlexStaff is looking for RN Clinical Managers The Clinical Manager - Integrated Care plays an essential role in ensuring that participants in contracted… more
- CenterWell (Trenton, NJ)
- …+ Experience with case management, discharge planning and patient education for adult acute care + Managed care experience + Home Health Care ... Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a work-from-home… more
- Magellan Health Services (Newtown, PA)
- …mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and ... + Maintains an active work load in accordance with National Care Manager performance standards. + Works with community agencies as appropriate. Proposes… more
- Unilever (Hoboken, NJ)
- Function: Home Care NA SC Finance Manager Reports...The Laundress in US and VIM brand in Canada managed by Unilever International. The business has a net ... strong innovation pipeline and core portfolio. JOB PURPOSE: As the Home Care NA SC Finance Manager , you will lead the NA Supply Chain Finance agenda, enabling… more
- AmeriHealth Caritas (Robbinsville, NJ)
- **Role Overview** The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ... time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based...to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and… more
- Mount Sinai Health System (New York, NY)
- …payor within the patient population; b. Provides the clinical information requested by the managed care companies as part of the concurrent review in a timely ... **Job Description** **RN/Case Manager MSH Case Management PT Days** The Case...fashion. c. Provides clinical information requested by the managed care companies in accordance with contractual… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... on workplace flexibility. **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- City of New York (New York, NY)
- …State agencies (eg, SDOH, SOMH, OASAS, OPWDD), community health, mental health, and managed care organizations around child mental health services at DHS. CITY ... of succeeding in permanent housing and independent living, improving access to care and health outcomes for low-income and vulnerable populations. The Office brings… more
- CVS Health (West Orange, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...Qualifications** + Case management and/or discharge planning experience + Managed Care experience + Medicaid and Medicare… more
- CVS Health (Passaic, NJ)
- …order to facilitate appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, ... program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for...+ Case management and/or discharge planning experience preferred. + Managed Care experience preferred + Crisis intervention… more
- Mount Sinai Health System (New York, NY)
- …+ Opportunity to work at the forefront of innovation in healthcare The Managed Care Contracting Team within MSHP is responsible for the negotiation, ... Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as...Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst** will play a critical role in testing,… more
- Elevance Health (Woodbridge, NJ)
- …acute care setting. + Minimum 2 years "telephonic" Case Management experience with a Managed Care Company. + Managed Care experience. For candidates ... Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for care management...Nurse Case Manager II** is responsible for care management within the scope of licensure for members… more
- J&J Family of Companies (New York, NY)
- …to address critical access and affordability issues for patients. + Partner with managed care colleagues to understand current policies and potential future ... Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position that will...across multiple payer types and plans (ie, Medicare, Medicaid Managed Care , Commercial). + Execute business in… more