- Evolent (Trenton, NJ)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, ... or sanction by any state or federal health care program, including Medicare or Medicaid , and is not identified as an "excluded person" by the Office of Inspector… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Associate Director of Government Pricing is a key leader in the US Government ... in the following areas is strongly preferred: Government Price reporting; Medicaid and other public sector programs; Accounting and financial analysis; controls… more
- Humana (Trenton, NJ)
- …and help us put health first** We are seeking a seasoned and strategic Director , Tax Accounting to lead our tax accounting and reporting function within a complex, ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- AmeriHealth Caritas (Robbinsville, NJ)
- …and procedures required for the sharing of data, including, but not limited to, Medicaid claim data to the State + Identifies and defines data and technical needs ... company-wide goals and objectives using tools established by the corporate IT Director of Strategy and Innovation + Maintains a plan technology roadmap identifying… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Prime Therapeutics (Trenton, NJ)
- …management. Enforces teamwork across all internal departments, as well as with Medicaid Clients, and an in-depth understanding of all rebate programs, trends, and ... state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each...auditors for yearly SOC-1 audit. + Works directly with Director to fulfill OIG and CMS audit requests. +… more
- Intermountain Health (Trenton, NJ)
- …and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health Professionals. **Essential Functions** + Participates ... payer re-credentialing requests and demographic/roster requests. + Completes out-of-State Medicaid individual and facility enrollments timely and accurately for… more
- Penn Medicine (Plainsboro, NJ)
- …Full Time, Monday-Friday 8am-5pm **Summary** : + Under supervision from the Director and/or the Clinical Manager of Admissions provide insurance verification and ... coordination for all commercial, Medicaid and Medicare cases across programs to facilitate patient...care companies, benefits and policies for commercial, Medicare and Medicaid populations + Possess significant knowledge of various Union… more
- Humana (Trenton, NJ)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... plays a pivotal role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's total revenue and earnings.… more
- Aveanna Healthcare (Clark, NJ)
- …and certifications). Creating and providing monthly evaluation and skills report to Director (s). - Serve as a backup to payroll processes during the absence ... of the Client Service - Supervisor or Executive Director , as needed, ensuring continuity and accuracy in payroll operations. Requirements - High school diploma or… more