- Eisai, Inc (Nutley, NJ)
- …development and the communication of clinical, real-world, health economics outcomes data . This role primarily focuses on late-stage pipeline and marketed products, ... and appropriate utilization based on generation and communication of quality data . Essential Functions Educate population-based decision makers on health economic… more
- Eisai, Inc (Nutley, NJ)
- …Medical Data and Insights, People Development, Resource Planning & Management , Territory Management (MSL)Eisai Salary Transparency Language:The base salary ... The Associate Director/Director, MSLs is responsible for the leadership, direction and management of MSLs in the region and works collaboratively with the Medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Provider Data Management and Credentialing Specialist is responsible for ensuring the data integrity for contracted ... across the departments multiple processes such as Credentialing and Provider Data Management activity. 2. Participates in ongoing sanctions monitoring… more
- Molina Healthcare (Yonkers, NY)
- …delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + Leading change ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new… more
- Molina Healthcare (Yonkers, NY)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk ... daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** * Evaluates credentialing applications for… more
- Molina Healthcare (Yonkers, NY)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Yonkers, NY)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... equivalent combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or equivalent… more
- Molina Healthcare (Yonkers, NY)
- …contracting, network management and credentialing . **KNOWLEDGE/SKILLS/ABILITIES** + Generates data to support continuous quality of provider data and ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- RWJBarnabas Health (Somerset, NJ)
- …manage and monitor processes and procedures that support the credentialing , re- credentialing , and expirables data management processes. The CVO Manager ... credentialing database Preferred: + Certified Professional in Medical Staff Management or Certified Provider Credentialing Specialist certification… more
- Molina Healthcare (Yonkers, NY)
- … databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (Yonkers, NY)
- …timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when applicable, ... business rules as they apply to each database. Validate data to be housed on provider databases...requirements of customers as it pertains to contracting, network management and credentialing . **Job Duties** This role… more
- Molina Healthcare (Yonkers, NY)
- …as related to transitions and implementations of existing plans with regards to provider data . + Organizational expert in responding to legislative and ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Yonkers, NY)
- …customers as it pertains to contracting, network management and credentialing . **KNOWLEDGE/SKILLS/ABILITIES** + Audits loaded provider records for quality ... critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules… more
- Medtronic (Newark, NJ)
- …opportunities. + **Business Operations** + Business Discipline: Sales support, inventory/OPC, credentialing , expense management , data privacy, PO pendings, ... Group, BU and Regional level goals. Partner with regional management teams to achieve implant, revenue and expense goals...with sales team to drive key service initiatives and provide service assessments via periodic business reviews, RFPs, etc.… more
- Molina Healthcare (Yonkers, NY)
- …to business and system requirements of stakeholders as it pertains to provider contracting, network management , credentialing , benefits, prior ... and maintenance of critical information on all claims and provider databases, validate data housed on databases...+ Knowledge of validating and confirming information related to provider contracting, network management , credentialing ,… more
- Insight Global (New York, NY)
- …Consider requiring or preferring certifications such as CPCS (Certified Provider Credentialing Specialist) or CPMSM (Certified Professional Medical ... role when the PE team is: scaling efficiently, making high quality, data -driven decisions, and embracing a culture of continuous process improvement. We're looking… more
- BronxCare Health System (Bronx, NY)
- …Coaching and performance reviews for various clinic locations. - Identifies that provider credentialing information is consistent in each system along the ... Improvement activities of the assigned department. Contribution and participation includes data collection, analysis, implementation of and compliance with risk … more
- Medtronic (New York, NY)
- …sales needs to achieve the district (s) CDS goals. Primary responsibility is to provide daily case coverage for all CDS implants and ensure the availability and ... CDS products post sign-off, while working on driving account independence * Provide troubleshooting support as requested * Successfully completes CDS Field Technical… more
- AbbVie (New York, NY)
- …. Job Description Perform all aspects of account management , including developing and maintaining strategic business relationships with ... corporate/senior management staff in key accounts with the goal of...evaluate and penetrate non-retail account drivers within MSAs. + Provide strategic and tactical direction regarding target accounts to… more
- Walgreens (Oakland, NJ)
- …interactions, and allergies to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other ... wellness services or strategy information to pharmacy staff. Business Performance Management + Analyzes performance data including pharmacy financials, customer… more
