- 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
- Atlantic Health System (Morristown, NJ)
- …in a variety of patient care situations requiring advanced competency and knowledge. 3 . Serve as a clinical resource for problem solving and assist staff with ... overtime, and appropriate staffing mix. 7. Facilitates unit-based QE program /projects. 8. Investigates and follows up on incident reports...of department and unit tools. 10. Acts as a manager in absence of the manager . 11.… more
- CenterWell (Trenton, NJ)
- …CenterWell ACO and Medicare payment model programs via the Center for Medicare and Medicaid Services (CMS), such as ACO REACH, MSSP, and future models. Under general ... teams to manage all aspects of ACO operations including program administration, contract oversight, process, performance improvement, compliance, governance,… more
- Hackensack Meridian Health (Edison, NJ)
- …pharmacy arrangements. The person in this role will work closely with the 340B Program Manager and other Pharmacy staff to ensure compliance and identify ... (GED), and/or GED equivalent programs. + A minimum of 3 or more years of experience as a Pharmacy...Degree. + Knowledge of regulatory requirements of the 340B program , CMS/ Medicaid , and reimbursement is a plus.… more
- CenterWell (Trenton, NJ)
- …of physician assistants and advanced practice registered nurses for approximately 3 hours/month. We support our associates in becoming happier, healthier, and ... of physician assistants and advanced practice registered nurses for approximately 3 hours/month.** We support our associates in becoming happier, healthier, and… more
- Atlantic Health System (Morristown, NJ)
- …directed to ensure the smooth operation of the department. Assist the Nurse Manager or designee in achieving an environment of excellence in clinical safety, ... BSN degree required 2. Valid NJ RN license required 3 . CNOR Certification preferred 4. 3 + years...twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start… more
- Atlantic Health System (Morristown, NJ)
- …a multidisciplinary team of clinicians as part of the Care Coordination program to provide high quality, outcome-based, patient-centered care and address the social ... Patient assessment, referrals, intervention 20% - Documentation 10% - Meetings, program development 10%- Collaboration with inside/outside agencies Job Function: 01.… more
- Wider Circle (Newark, NJ)
- …neighbors for better health. Wider Circle's groundbreaking Connect For Life(R) program brings communities and healthcare together in-person and on-line for health, ... Lead to play a vital role in our groundbreaking program , which connects neighbors for better health outcomes. The...digital systems in a timely manner. + Support Area Manager by assisting Specialists in their role, which can… more
- Atlantic Health System (Rockaway, NJ)
- …provider designated by the client facility and reports to the facility Nurse Manager . Hours will vary according to surgical schedule, facility hours of operation and ... Cleans, sterilizes, disinfects, orders/stocks, and maintains routine anesthesia equipment's. 3 . Maintains anesthesia medications, supplies and equipment's according to… more
- Evolent (Trenton, NJ)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid , and is not identified as an "excluded ... Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process.… more