- Humana (Trenton, NJ)
- …medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, ... and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance… more
- Humana (Trenton, NJ)
- …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director's work includes computer based review of ... sanction from Federal or State Governmental organizations, and able to pass credentialing requirements + Excellent verbal and written communication skills + Evidence… more
- RWJBarnabas Health (West Orange, NJ)
- …Job Overview: RWJBarnabas Health, New Jersey's largest integrated academic healthcare system, seeks an experienced, detail-oriented, and strategic in-house attorney ... system, payor organization, law firm, or consulting firm with a focus on healthcare transactions and managed care contracting, Reports to: + The Assistant Vice… more
- Humana (Trenton, NJ)
- …from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills. + Evidence ... management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization management experience in a medical… more
- Organon & Co. (Jersey City, NJ)
- …and other pivotal stakeholders, driving our understanding and approach to healthcare solutions. + Global/Regional Expertise: Provide support as a global/regional TA ... in a global or regional medica affairs role. + Working knowledge of healthcare compliance principles and local/regional regulations and laws. + Experience in General… more
- CVS Health (New Milford, NJ)
- …and be part of a mission-driven organization that's working to redefine healthcare . **Position Summary:** As the largest retail health care provider in the ... team mindset." Minute Clinic has also been awarded the American Nurses Credentialing Center (ANCC) Pathway to Excellence premier designation for healthy work… more
- Compass Group, North America (Piscataway, NJ)
- …largest employers of Dietitians in a variety of settings: + Hospitals and healthcare systems + Senior living communities + Schools and universities + Corporate ... paths The company has earned significant recognition, including being named one of _Modern Healthcare 's_ **"Top** 100 Best Places to Work in Healthcare " for five… more
- The Cigna Group (Jersey City, NJ)
- …partners including but not limited to, Claims Operations, Medical Management. Credentialing , Legal, Medical Economics, Compliance, Sales and Marketing and Service. + ... + **1+ years of Provider Contracting and Negotiating for Healthcare ** **Hospital/Provider/Ancillary** **group experience required** + **1+ years Provider Servicing… more
- Compass Group, North America (Freehold, NJ)
- …largest employers of Dietitians in a variety of settings:** o Hospitals and healthcare systems o Senior living communities o Schools and universities o Corporate ... earned significant recognition, including being named one of Modern Healthcare 's "Top 100 Best Places to Work in ...Dietetic Registration (CDR) + Licensed by the State Dietetics Licensing/ Credentialing Board, in states where required + One (1)… more
- RWJBarnabas Health (Elizabeth, NJ)
- …Joint Certification Qualifications: Required: + Surgical technologists in New Jersey healthcare facilities must meet one of the following requirements: (a) have ... and Surgical Assisting or its successor, or other nationally recognized credentialing organization; (c) have completed an appropriate training program for surgical… more