- Cognizant (Trenton, NJ)
- **About the role** **Schedule:** M-F **Traveling Required:** 40% As a Medicaid Eligibility Delivery Director, you will make an impact by overseeing access, ... to evaluate results, mitigate regulatory risks, and foster continuous improvement across eligibility activities. + Manager leaders who supervise all daily … more
- CVS Health (Trenton, NJ)
- …Database audits + Support audits out of QNXT and PRMS systems to support Medicaid SOC and SOX controls + Coordinate with applicable reporting areas as needed to ... support other projects as needed based on business need This position can be remote or hybrid depending on candidate location and commutable distance to a nearby… more
- Cognizant (Trenton, NJ)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... features. * Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and… more
- CVS Health (Trenton, NJ)
- …Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified issues to ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...and health needs based on key questions and conversation. ** Remote Work Expectations** + This is a remote… more
- Baylor Scott & White Health (Trenton, NJ)
- **JOB SUMMARY** 100% remote position** The Medical Trend Analytics Manager 1 is responsible for leading the design, execution, and communication of analytical ... excellent healthcare business acumen and communication skills. The Medical Trend Analytics Manager 1 manages a team that provides advanced medical cost trend… more
- Cognizant (Trenton, NJ)
- …features. . Drive improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and ... government-sponsored health plans (Medicare, Medicaid , ACA), ensuring compliance with CMS, ACA, and other...Based on this role's business requirements, this is a remote position open to qualified applicants in the United… more
- Cognizant (Trenton, NJ)
- **Health Provider Consulting Manager ** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, leading teams, and ... flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United States. Regardless of… more
- Centene Corporation (Trenton, NJ)
- …benefits including a fresh perspective on workplace flexibility. **This is a field/ remote position with 50% travel in the following counties: Bergen, Hudson, Passaic ... **Must have an active New Jersey RN license.** MLTSS Medicaid waiver team. **Position Purpose:** Develops, assesses, and facilitates...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- CVS Health (Trenton, NJ)
- …to manage multiple health plan clients across multiple lines of business including Medicare, Medicaid , Exchange, and Commercial. This is a remote role, open to ... plan. The Clinical Operations Advisor works with the Benefit Relationship Manager and client to facilitate gathering formulary and utilization management… more
- CVS Health (Trenton, NJ)
- …in the care planning process in collaboration with the Care Manager , to include the following actions: assessment, goal setting, establishing interventions ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...a continuum of care through appropriate information and referral. ** Remote Work Expectations** + This is a remote… more