- Cardinal Health (Trenton, NJ)
- …+ Proven ability to commercialize access and execute marketing strategies within the DME, home health , or pharmacy space. + Strong written, verbal, and visual ... protected by federal, state or local law._ _To read and review this privacy notice click_ here (https://www.cardinalhealth.com/content/dam/corp/email/documents/corp/cardinal- health… more
- Evolent (Trenton, NJ)
- …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...member of the Medical leadership team, providing timely medical review of service requests. Oversees the Surgery Field Medical… more
- Prime Therapeutics (Trenton, NJ)
- …is responsible for receiving inbound and making outbound calls to qualified members to review the benefits of the MTM programs in addition to assisting the leaders ... in a manner that meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid Services (CMS) compliant + Act… more
- Evolent (Trenton, NJ)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Trenton, NJ)
- …is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation, coding ... Prior experience in provider education + Strong knowledge of medical record review + Understanding of billing, claims submission, and related processes + Proficient… more
- Evolent (Trenton, NJ)
- …Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Evolent (Trenton, NJ)
- …Proficiency . Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...rationale for standard and expedited appeals. . Utilizes medical/clinical review guidelines and parameters to assure consistency in the… more
- Nestle (Bridgewater, NJ)
- At Nestle Health Science, we believe that nutrition, science, and wellness must merge, not collide. Here, we embrace the intrinsic connections of these three ... aim to prevent, manage, and treat gastrointestinal and metabolic-related diseases. At Nestle Health Science, we bring our best for better lives. Our people are… more
- Fresenius Medical Center (Parsippany, NJ)
- …all regulatory and FMS policy requirements. Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients ... manner. **PRINCIPAL RESPONSIBILITIES AND DUTIES** PATIENT CARE: + Assist other health care members in providing patient specific detailed education regarding… more