• Patient Access Representative

    RWJBarnabas Health (New Brunswick, NJ)
    …support to hospital cashier and complete cashier functions, as assigned + Completes Medicare Questionnaire on all patients that are eligible + Responsible to review ... + Verifies accuracy of patient demographic information to avoid duplicating a medical record + Follows department procedures when a duplicate medical more
    RWJBarnabas Health (09/04/25)
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  • Patient Access Specialist - Per Diem - Evening

    Hackensack Meridian Health (Belle Mead, NJ)
    …patient demographics to validate patient identity. Conducts intensive screening of all Medicare , Medicaid and managed care patients to identify network status and ... of service cash collection and financial clearance under the direction of the Supervisor/Manager/ Director for these designated areas. Must adhere to the Medical more
    Hackensack Meridian Health (07/20/25)
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  • Lead Formulary Compliance Analyst - Parsippany, NJ…

    Teva Pharmaceuticals (Parsippany, NJ)
    …discounts in the event of noncompliant formulary findings. Reporting to the Director , Contract Compliance, the incumbent will be responsible for identifying and ... audit plan to review the top 80% of contracted account formularies across Commercial, Medicare Part D, and Managed Medicaid channels + Review Teva products on each… more
    Teva Pharmaceuticals (09/02/25)
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  • Hospice Patient Care Manager, RN - Full Time

    Gentiva (Laurel Springs, NJ)
    …Care Manager to join our hospice team. Reporting directly to the Executive Director or Administrator, you will oversee patient care activities to ensure the delivery ... based on clinical judgment and priority + T riage incoming phone referrals and medical concerns in a timely, compassionate, and professional manner + L ead or… more
    Gentiva (08/30/25)
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  • Care Team Supervisor

    Elara Caring (Paterson, NJ)
    …package + Comprehensive onboarding and mentorship + Opportunities for advancement + Medical , dental, and vision benefits, 401K match and paid time off for ... in fast-paced office is preferred + Working knowledge of Medicare /Medicaid, home care benefits, and applicable state policies and...You will report to the Coordination Team Lead, Branch Director , or Alternate Branch Administrator. _This is not a… more
    Elara Caring (08/19/25)
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  • Pharmaceutical Trade Relations Sr Dir - Remote

    Prime Therapeutics (Trenton, NJ)
    …Sr Dir - Remote **Job Description** The Pharmaceutical Trade Relations Senior Director is responsible for managing Prime's Trade Relations program(s) for medical ... perspective to external partners (ie, pharmaceutical manufacturers, clients, marketplace, medical professionals, etc.) and communicate to ensure understanding of… more
    Prime Therapeutics (08/08/25)
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  • Hospice Patient Care Manager - Clinical Manager RN

    Gentiva (Hamilton, NJ)
    …required. $7,500 sign on bonus! You will report directly to the Executive Director , Administrator, or Senior Patient Care Manager. You will be responsible for ... referrals/inquiries in a timely, professional, and compassionate manner, including triage of medical concerns within scope of practice. + Preparing for, serving on,… more
    Gentiva (07/16/25)
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  • Care Experience Manager

    Aveanna Healthcare (Toms River, NJ)
    …- Documents communications per Aveanna Healthcare's SOP. - Informs location director or designee of emergency or problem situations, especially clinical, safety, ... the course of this job. As an employer accepting Medicare and Medicaid funds, employees must comply with all...including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate. Notice for Job… more
    Aveanna Healthcare (09/03/25)
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  • Analyst, Integration Quality

    Evolent (Trenton, NJ)
    …technical experts to find the most valuable defects. The IQA reports to a associate director or a manager. One or many IQAs may be engaged in any testing effort ... landscape + Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow, members, providers +… more
    Evolent (08/29/25)
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  • Lead Medicaid Actuary (Manager)

    Humana (Trenton, NJ)
    …a significant financial impact on the business. They will work closely with the Director to ensure key workstreams are meeting timelines and that work is properly ... your life extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan, time off (including… more
    Humana (08/27/25)
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