- International Rescue Committee (Elizabeth, NJ)
- …appointments. + Accompany clients to appointments to facilitate check-in, presumptive eligibility Medicaid coverage, and confirm interpretation services. + Under ... NJ clients with a variety of support services, such as Medicaid /New Jersey Family Care follow up, appointment accompaniment, transportation orientations, supported… more
- Sumitomo Pharma (Trenton, NJ)
- …highly motivated, and experienced individual for the position of Sr. Manager, Medicaid Contract Administration. This position is responsible for managing the ... Medicaid rebate team in receiving, processing, validating, trouble-shooting ...opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life… more
- Atlantic Health System (Morristown, NJ)
- …to patients and family members. Handles inquiries from patients regarding the eligibility for Medicaid . Assists applicants with required paperwork, ... eligibility requirements and counseling on Medicaid guidelines. Collects money owed from patients and third-party...for at-risk patients to receive care. + Verifies insurance eligibility when applicable. Informs patient of payment options and… more
- Sevita (Paterson, NJ)
- …program referrals. + Assist new referrals with understanding services, navigating eligibility (eg, Medicaid ), and completing the pre-admission process. + ... Follow up with discharged participants and visit those who are hospitalized or homebound to encourage re-enrollment. + Attend community events and represent the center with professionalism and enthusiasm. + Support planning and coordination of in-center events… more
- CVS Health (Trenton, NJ)
- …lost funds, and to comply with state regulations mandating fraud plans and reporting; Medicaid experience is preferred. Leads a team in the planning and execution of ... + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role… more
- embecta (Parsippany, NJ)
- …and national), Mail Order pharmacies, Durable Medical Equipment (DME) providers, State FFS Medicaid programs, Medicaid PBM's, Managed Medicaid payers and ... one component of the Total Rewards package at embecta, which also includes eligibility for_ _an annual bonus_ _. Benefits include medical, dental, vision, retirement… more
- Cognizant (NJ)
- …Genesys CIM Platform and Genesys Voice Portal. Additionally experience in Medicare & Medicaid Claims Claims and Payer domains is essential. The role is hybrid with ... with cross-functional teams to gather and analyze requirements for Medicare & Medicaid Claims. + Design and develop solutions for Claims processing to improve… more
- Penn Medicine (Plainsboro, NJ)
- …Infusion. Validation includes but is not limited to verifying eligibility , obtaining benefits, ensuring pre-certification and/or authorization /referral requirements ... to have been completed. Refers patient to Medicaid Screener or Financial Counselor as needed. + Prints...existing information is accurate by utilizing the Real Time Eligibility (RTE) system and ensure the necessary procedures are… more
- Elevance Health (Woodbridge, NJ)
- …modalities to patients who receive home and community-based services through state Medicaid programs, dual eligible members and other membership as assigned by our ... Skills, Capabilities and Experiences:** + Possession of DEA registration or eligibility . + **Active, unrestricted RN Compact license is highly preferred.** +… more
- Elevance Health (Woodbridge, NJ)
- …performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business. **How You Will Make an ... limited to: + Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs data mining and… more