- Humana (Trenton, NJ)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... 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)
- …Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and ... leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- CVS Health (Trenton, NJ)
- …can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... care allowed under the member's benefit plan and as available through Medicaid benefits and/or other community resources. + Develops relationships with hospital… more
- IQVIA (New Providence, NJ)
- …within one or more specific functional or technical workstreams (eg, Medicaid , Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care ... limited to) the following, along with knowledge of others in this list: * Medicaid * Master Data Management * Chargebacks * Government Pricing * Testing * Managed… more
- Humana (Trenton, NJ)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... 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)
- …clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Possess analysis and interpretation skills ... 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)
- …flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group Account members and create actionable and measurable ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Cognizant (Trenton, NJ)
- …member onboarding for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other regulatory ... enrollment processes for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA). * Strong understanding of CMS, ACA, and other regulatory… more
- Cognizant (Trenton, NJ)
- …member onboarding for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other regulatory ... enrollment processes for individual, group, and government-sponsored health plans (Medicare, Medicaid , ACA). . Strong understanding of CMS, ACA, and other regulatory… more
- Humana (Trenton, NJ)
- …ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to detail skills ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more