- CVS Health (Trenton, NJ)
- …developing and maintaining complex financial reporting solutions that support Aetna's Medicaid Markets. This role will lead reporting for Value-Based Service ... tables, formulas, and graphs. **Preferred Qualifications** + Experience working with Medicaid and Medicare programs. + Advanced Excel skills (complex formulas,… more
- Aveanna Healthcare (Clark, NJ)
- …or without notice. Vaccination Requirements As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all ... or religious reasons as appropriate. As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant… more
- CVS Health (Trenton, NJ)
- …day. **About the Role** We are seeking a dynamic leader to drive Medicaid provider compliance, audit excellence, and regulatory integrity across our organization. In ... Leads and ensures the delivery of high-quality internal and external Medicaid provider audit results, regulatory compliance activities, and proactive risk mitigation… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …Perform an initial screening/verification of benefits according to Medicare, Medicaid , and third-party payor guidelines, coordinate equipment with contracted ... to determine suitability for admission to Hospice care according to Medicare, Medicaid , and third-party payer guidelines. + Maintain discretion, as the position… more
- Humana (Trenton, NJ)
- …of or the ability to gather knowledge on Medicare Advantage and Medicaid State Regulations + Certified Professional Coding (AAPC) + Previous experience working ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Trenton, NJ)
- …and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about contributing ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- J&J Family of Companies (Titusville, NJ)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... payer approval processes and business acumen + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical and… more
- Ascendis Pharma (Princeton, NJ)
- …Oversee the administration of rebate programs, including government rebates (eg, Medicaid , Medicare), managed care rebates, and commercial rebates. Ensure accurate ... contracting strategies across various payer segments (eg, commercial, Medicare, Medicaid ). + Excellent negotiation, communication, and interpersonal skills, with the… more
- Prime Therapeutics (Trenton, NJ)
- …member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding ... experience + Knowledge of the applicable line of business (eg, Medicare, Medicaid , Exchange, Commercial, Employer Group) Every employee must understand, comply with… more
- Humana (Trenton, NJ)
- …Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more