- CenterWell (Trenton, NJ)
- …of our caring community and help us put health first** The Lead - Medicaid Customer Success oversees strategy and operations for multiple Medicaid markets. This ... contracts, as well as to identify opportunities and implement program improvements to enhance our member and customer experience....affairs teams, sales teams define overall strategy for each Medicaid state + Work with market partners to perform… more
- CVS Health (Trenton, NJ)
- …leadership experience + A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / ... 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… more
- Prime Therapeutics (Trenton, NJ)
- …compliance with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program . + Ensures compliance with each State ... and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position...and regulations as they pertain to rebate processing and Medicaid Drug Rebate Program . + Ability to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …end customer Class of trade classifications. + Must have experience understanding of Medicaid Program and experience supporting Model Flex Medicaid module. ... Senior Manager Business Application Date: Jul 15, 2025 Location:...+ Must have experience understanding of Medicaid Program and experience supporting Government Pricing application. + Must… more
- CVS Health (Camden, NJ)
- …**Position Summary** Join our Aetna team as an industry leader in serving Medicaid populations by utilizing best-in-class operating and clinical models. You can have ... life-changing impact on our Medicaid members who present with a wide range of...members' health care and social determinant needs. The Associate Manager , Clinical Health Services will be accountable to lead… more
- CVS Health (East Orange, NJ)
- …in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to ... Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also...+ Active and unrestricted RN license in NJ + 3 + years clinical practice experience, eg, hospital setting, alternative… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Senior Manager , Pricing & Reimbursement Date: Jul 11, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 62817 **Who ... with. **The opportunity** The primary role of the Sr, Manager , Pricing & Reimbursement is to coordinate pricing activities...and competitor. + Provide expertise to all brands on Medicaid and Federal pricing, ASP, and Reimbursement. + Attend… more
- CVS Health (Atlantic City, NJ)
- …in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE). Care manager may also be responsible for face to ... compassionate. And we do it all with heart, each and every day. **Case Manager opportunity with** **50 to 75% field travel in Bergen, Hudson, Atlantic, Cape May,… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health in a telephonic environment, assesses and evaluates members' ... with resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require… more
- CVS Health (Totowa, NJ)
- …Choice Certification = $10,000_** + **_External Hire = $7500_** **Position Summary: Case Manager Registered Nurse - Field in Passaic County, NJ** This is a remote ... Case Manager role with 50-75% field travel in Passaic County...and implement individualized care plans. + Authorize services within program guidelines and ensure safe, appropriate care transitions. +… more