- NJM Insurance (Trenton, NJ)
- …directly to the Medical Director and indirectly to Medical Services, the Pharmacy Precert Coordinator supports our Workers' Compensation line of business by ... and state requirements. + Recognize cases/requests/issues that require consultation with medical, claims , legal staff in order to determine the best approach. +… more
- Bausch Health (Bridgewater, NJ)
- …by required due dates and certification requirements. Oversight of Medicaid claims , Tricare and Coverage Gap processing operations with Third Party vendor ... within Medicaid system. Insure approval workflow of Medicaid, Tricare and Coverage Gap claims follows approval matrix and completes within payment due date cycle. +… more
- Sanofi Group (Bridgewater, NJ)
- …related agreements, including: PBM agreements, GPO agreements, Specialty Pharmacy agreements, wholesaler agreements, discount and rebate agreements, distribution ... Review promotional materials for Market Access content. + Act as legal representative on US-based cross-functional Pricing Review Boards and Pricing Committees. +… more