- CVS Health (NJ)
- …Checkout this opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida, Illinois, Kentucky, ... Virginia and West Virginia. This is a regional role that primarily supports Medicaid plans in Aetna's Northeast region but may support other plans when needed.… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director- Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and residing in ... equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on… more
- Atlantic Health System (Hackettstown, 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
- Hackensack Meridian Health (Tinton Falls, NJ)
- …or office appointment) or by phone. Directly responsible for accurately processing Presumptive Eligibility (PE) Medicaid and for the follow up process to ensure ... are under insured for State of New Jersey (NJ) Medicaid , State of NJ Charity Care or State of...**Licenses and Certifications Required** : + Must pass Presumptive Eligibility (PE) certification at hire, as well maintain any… more
- Conduent (Hamilton, NJ)
- …program performance through technology-enabled services and platforms. Our solutions support Medicaid , Medicare, and other public health initiatives with a focus on ... years of experience in account management, compliance management, and Eligibility and Enrollment. + **Industry Knowledge:** Demonstrated professional experience and… more
- Cognizant (Trenton, NJ)
- …Candidate will also have the desire to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible for the research and ... resolution of Medicaid provider appeals that will involve research of member...provider appeals that will involve research of member benefits, eligibility , provider contracts, billing and coding, Utilization Management and… more
- CVS Health (Ventnor City, NJ)
- …relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or ... contract coordination. + Performs credentialing support activities as needed. + Educates Medicaid providers as needed to ensure compliance with contract policies and… more
- Amgen (Jersey City, NJ)
- …on how the products are covered under the benefit design (Commercial, Medicare, Medicaid ) + Serve as a payer expert for defined geography and promptly communicate ... + Experience with commercial payers, Medicare plans, and state Medicaid in a geographic region + Live in the...salary, Amgen offers a Total Rewards Plan, based on eligibility , comprising of health and welfare plans for staff… more
- Ascendis Pharma (Princeton, NJ)
- …of monthly, quarterly, and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per legislative requirements + ... programs + Deep expertise in US Federal and State Pricing Programs ( Medicaid , Medicare, VA/DoD, PHS/340B) and related regulations. + Expertise in GP reporting… more
- Conduent (New Brunswick, NJ)
- …providing clear and courteous information about program benefits, enrollment, and eligibility . Assists beneficiaries with application completion and eligibility ... a call center environment using standard scripts and procedures. + Enters eligibility information into a web-based computer system and references other NJ-specific… more