- Atlantic Health System (Morristown, NJ)
- …privacy, information governance, and data risk classification; (iv) accountable care organization compliance ; (v) Medicare C & D/ Medicare Advantage ... identification activities, or regulatory mandates. + The Manager will support the Director of Corporate Compliance to ensure implementation of appropriate… more
- Cardinal Health (Trenton, NJ)
- …and proactively provides guidance and trainings on policies. Reporting to the Director , Ethics & Compliance , this position supervises and manages audits ... **_What Ethics & Compliance contributes to Cardinal Health_** Ethics & ...other appropriate staff. This position will also support the Director with transactional audit diligence and integration planning, as… more
- Hackensack Meridian Health (Hackensack, NJ)
- …integrity of the physician practice regulatory environment in consultation with the Director of Corporate Compliance . This position proactively assesses changes ... healthcare and serve as a leader of positive change. The **Physician Practice Compliance Specialist** is responsible for assuring on-going compliance by actively… more
- Atlantic Health System (Morristown, NJ)
- …assure appropriateness and accurate code assignments in accordance with Center of Medicare and Medicaid (CMS) guidelines and provide ongoing feedback and analysis of ... throughout the year + Audit charts for accurate and correct coding and compliance within documentation guidelines and AHS policies + Prepares written reports of the… more
- Sunrise Senior Living (Edison, NJ)
- …training, performance evaluations and delegation of duties as assigned by the Director of Nursing Services. + Maintains compliance in assigned required ... Care model. + Assists with case management of both Medicare and non- Medicare guests/residents as needed. +...guests/residents charts. + Completes Incident Reports and reports to Director of Nursing Services (DNS). + Reviews, updates and… more
- Mount Sinai Health System (NJ)
- …leader to serve as Associate Chair, Oncology Services, VMG, and Director , Hematology and Medical Oncology. Valley-Mount Sinai Comprehensive Cancer Care (VMSCCC), ... Staff Oncology Service Line Executive Committee of the Valley Hospital (TVH). As Director , Hematology and Medical Oncology, the role will focus on managing and… more
- Humana (Trenton, NJ)
- …the core of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid, and other health plans to millions. By integrating insurance ... a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of...to execution **Additional Information** This role reports to the Director of Strategy, works collaboratively with members of rest… more
- Penn Medicine (Plainsboro, NJ)
- …Full Time, Monday-Friday 8am-5pm **Summary** : + Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and ... coordination for all commercial, Medicaid and Medicare cases across programs to facilitate patient access to...alerts Continues to update knowledge and skills to maintain compliance with all insurance regulations and requirements + Ability… 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
- Humana (Trenton, NJ)
- …help us put health first** The Supply Chain Budget Professional reports to the Director of Enterprise Print Management (EPM) and plays a key role in supporting ... spend projections monthly. This position works closely with the Director of EPM to ensure the department remains on-budget...flexibility in job focus + Understanding of Centers for Medicare & Medicaid Services (CMS) guidelines Travel: While this… more