- 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 ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Virtua Health (Pennsauken, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... 3 years experience as Clinical Social Worker.Basic understanding of Medicare, Medicaid and managed care.Discharge planning or home health background.Excellent verbal… more
- Centene Corporation (Trenton, NJ)
- …and Essex.** **Must have an active New Jersey RN license.** MLTSS Medicaid waiver team. **Position Purpose:** Develops, assesses, and facilitates complex care ... may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to… more
- CVS Health (Trenton, NJ)
- …benefit administrators)** **5+ years of experience in government programs ( Medicaid , Medicare)** **Adept at problem solving and decision-making skills** **Adept ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- Penn Medicine (Plainsboro, NJ)
- …shape our future each day. Are you living your life's work? The Stroke Program Coordinator is a registered nurse, responsible for the coordination and management of ... Stroke Coordinator will work collaboratively with the Medical Director of the Stroke Program to ensure quality care for the stroke patient throughout the continuum.… more
- CenterWell (Trenton, NJ)
- …Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope ... part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates ... for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied...associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …all referral fax lines and portals. + Contact the client and family, liaison and/or Program Manager , referral source, and branch staff within one (1) hour of the ... + Demonstrate effective communication skills working with the hospice program 's clinical/ops team, sales team, referral sources, physicians, nurses, clinical… more
- IQVIA (New Providence, NJ)
- **Job Overview** During project assignments, works closely with Principal/Engagement Manager , serving as a key contributor to client engagements, with a focus on ... within one or more specific functional or technical workstreams (eg, Medicaid , Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care… more
- Penn Medicine (Hamilton, NJ)
- …day. Are you living your life's work? Summary: + Reporting to the Manager of Transportation, the lead provides local oversight of the transportation department ... and from outpatient centers. Responsibilities: + Collaborate with the Fleet Manager in interviewing and orienting drivers pertinent policies, procedures and workflow… more