- Humana (Trenton, NJ)
- …for understanding the priorities of all delivery for their assigned state, supporting the business goals of the Medicaid IT program. + Identifies and implements ... and help us put health first** The State Technology Lead understands departmental and IT organizational strategy and operating...best practice changes within their organization and across Medicaid IT to drive faster and more streamlined delivery… more
- CenterWell (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medicaid Drug Strategy Pharmacist Lead requires a broad understanding of pharmacy, managed ... drug strategies to mitigate cost trend and improve health outcomes. The Medicaid Drug Strategy Pharmacist Lead work assignments involve moderately complex… more
- Humana (Trenton, NJ)
- …across a broad range of actuarial, managerial, and business needs for Medicaid -specific product lines. The Lead Actuary will serve as a project manager ... and maintain team best practices such as peer review and documentation. The Lead Actuary will be responsible for Medicaid -specific functions such as capitation… more
- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job ... bridge between the business systems analyst team, business stakeholders, development team, broader project team...the Lead to drive towards resolution + Lead work direction of analysts and/or business ,… more
- Humana (Trenton, NJ)
- … Medicaid Market, developing a deep understanding of Humana's Medicaid strategy, capabilities, business drivers, data analytics infrastructure, operational ... of financial operations for Humana's Michigan HIDE Plan with a focus on Medicaid and state partnership, oversees the budget, financial reporting, and all audit… more
- Humana (Trenton, NJ)
- …Claims Administration & Payment Integrity (CAPI) and Humana as well as Medicaid implementations + Champion the stakeholder's/ business owner's needs and goals ... us put health first** Humana is looking for a Medicaid Senior Project Manager to join the Project Management...capacity planning at the program and project level + Lead teams in understanding and defining requirements related to… more
- CVS Health (Trenton, NJ)
- …department. This includes participation in kickoff meetings as well as the development , management and maintenance of the standard operating procedures, etc. for ... member, may be responsible for concurrent initiatives or act as team lead for complex projects based on resource requirements. **Required Qualifications** Strong… more
- Bristol Myers Squibb (Princeton, NJ)
- …. **Summary:** In this position, you will play a key role within the Medicaid Rebate Operations team, which manages the intake, processing, and payment of multiple ... labeler codes for Medicaid and other state programs. The primarily responsibility is...+ Providing internal staff training + Serving as team lead in working with Model N IT support teams… more
- Elevance Health (Morristown, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... supports work-life integration, and ensures essential face-to-face onboarding and skill development . Please note that per our policy on hybrid/virtual work,… more
- Humana (Trenton, NJ)
- …a Lead , you will be responsible for deconstructing complex business challenges, conducting targeted research and analysis, and developing sound, data-driven ... transition strategies into execution, ensuring that recommendations translate into meaningful business impact. Recent example projects include development of a… more