- Robert Half Finance & Accounting (Eatontown, NJ)
- …located in Eatontown and offers a hybrid schedule, has an opportunity for a Director Medicare/ Medicaid Reimbursement. + The Director will have advanced level ... orientation to include proactive interaction with staff and managers. + The Director will also work closely with finance department personnel at system facilities… 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 ... part- time position, 20 hours a week. The **Behavioral Health Medical Director - Psychiatrist- New Jersey** is responsible for the administration of behavioral health… more
- CVS Health (Trenton, NJ)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida, Illinois, Kentucky, Louisiana,… more
- CVS Health (Trenton, NJ)
- …it all with heart, each and every day. **A Brief Overview** The Lead Director , Provider Data Compliance is responsible for overseeing the compliance of provider data ... initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Director , Financial Planning & Analysis analyzes and forecasts financial, economic, and other data ... accurate and timely information for strategic and operational decisions. The Director , Financial Planning & Analysis requires an in-depth understanding of how… more
- Prime Therapeutics (Trenton, NJ)
- …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid . The Sr Director , Pharm Trade Relations leads a team of ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
- Humana (Trenton, NJ)
- …Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical ... policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- RWJBarnabas Health (Oceanport, NJ)
- Director , Corporate Reimbursement (Hybrid/Remote) - Oceanport, NJReq #:0000180233 Category:Professional / Management Status:Full-Time Shift:Day Facility:RWJBarnabas ... $209,501.00 per year Location: Oceanport, Oceanport, NJ 07052 Job Title: Director Location: Barnabas Health Corp Department: Corporate Reimbursement Req#: 0000180233… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... must be able to start with 30-60 days of hire. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether… more
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