• Tris Pharma (Monmouth Junction, NJ)
    …and quarterly reporting requirements for Federal and State programs including MDRP ( Medicaid Drug Rebate Program), Medicare Parts B and D, Public Health ... operational workflowsDeep working knowledge of government pricing regulations including MDRP ( Medicaid Drug Rebate Program), Medicare Part D, 340B, and VA Federal… more
    HireLifeScience (12/09/25)
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  • Lundbeck (Toms River, NJ)
    …anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Apply ... knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and SKILLS:… more
    HireLifeScience (10/23/25)
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  • ABBTECH Professional Resources, Inc. (Trenton, NJ)
    …Business Analyst to remotely to support the Centers for Medicare & Medicaid Services (CMS) activities. As a Salesforce Business Analyst supporting CMS, you ... or SAFe Agilist. Experience working with the Centers for Medicare and Medicaid Services (CMS) and/or health insurance/heath care experience - - Experience working… more
    DirectEmployers Association (09/23/25)
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  • Cordis (Trenton, NJ)
    …that are inclusive, equitable and welcoming. Cordis customers that receive Medicare/ Medicaid funding may be subject to federal COVID-19 workforce vaccination ... requirements.? Accordingly, this role may require being fully vaccinated against COVID-19 or qualifying for an exemption from the vaccination requirement based on medical condition or sincerely held religious belief, practice or observance, subject to the… more
    DirectEmployers Association (11/06/25)
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  • Lundbeck (Toms River, NJ)
    …and effectively address payer access issues (IDNs, Medicare, Medicaid , Commercial) using Lundbeck resources. **Pharmaceutical Environment/Compliance** - Apply ... knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. **REQUIRED EDUCATION, EXPERIENCE and… more
    DirectEmployers Association (10/23/25)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're on a ... people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid ...The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes validating, verifying, disputing… more
    Teva Pharmaceuticals (12/06/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Trenton, NJ)
    …a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
    Humana (12/02/25)
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  • Medical Director - Medicaid N. Central

    Humana (Trenton, NJ)
    …and other reference sources. Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and will understand how to ... an inpatient and/or outpatient environment and/or related to care of a Medicaid population (TANF and expansion populations). + Current and ongoing Board… more
    Humana (10/25/25)
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  • VP Government Programs - Medicare & Managed…

    Prime Therapeutics (Trenton, NJ)
    …we make. **Job Posting Title** VP Government Programs - Medicare & Managed Medicaid (REMOTE) **Job Description** The Vice President Government Programs - Medicare & ... Managed Medicaid is responsible for the development, administration, and execution...+ Provide leadership and oversight to the Medicare and Medicaid teams and ensure the development and execution of… more
    Prime Therapeutics (10/08/25)
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  • Network Development and Contracting (Value Based…

    CVS Health (Trenton, NJ)
    …it all with heart, each and every day. **Position Summary** + The Medicaid VBS Network State Manager manages and oversees compliance with our Network ... responsibilities as provided within the State Medicaid contractual requirements as outlined below: + Accountable for...to meet total cost and quality goals for our Medicaid businesses. + Responsible for deploying alternative payment models,… more
    CVS Health (11/20/25)
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