- Humana (Trenton, NJ)
- …segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement Professional, you ... of strategic initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development of the annual Medicare… more
- Virtua Health (Evesham, NJ)
- …parties to ensure an outstanding customer experience. Consults with Lead Physicians, Director of Practice Management, Medical Directors and staff concerning ... in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in...or Supervisor required. Knowledge of insurance (ICD-9 CPT coding, Medicare regulations, state regulations, CLIA, DOH, and OSHA regulations)… more
- Cognizant (Trenton, NJ)
- …. Draft and submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a... Medicare , Medicaid, and third-party guidelines. . Effectively document and… more
- J&J Family of Companies (Titusville, NJ)
- …impact health for humanity. Learn more at https://www.jnj.com **Job Function:** Medical Affairs Group **Job Sub** **Function:** Medical Science Liaison ... Scientific Account Lead, V&ESE Field** Reports to: Regional Field Director , V&ESE Field Department/Division: Scientific Affairs Value and Evidence Scientific… more
- Penn Medicine (Plainsboro, NJ)
- …safety and patient satisfaction. The Stroke Coordinator will work collaboratively with the Medical Director of the Stroke Program to ensure quality care for ... standards and regulations for the Center for Medicaid and Medicare Services, NJ Department of Health, The Joint Commission...Princeton Health. The Stroke Coordinator works collaboratively with the Medical Director of the Stroke Program and… more
- Cardinal Health (Trenton, NJ)
- …and compliance issues. **Compliance Audit Manager** Reporting to the Compliance Director , this position supervises and manages compliance audits to determine ... services and/or hospital (technical) services. This position will also support the Director with transactional audit diligence and integration planning, as well as… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …of Managed Care, Medicare Part D, Managed Medicaid, CMS Rebates, and Medical Rebate claims and fees in accordance with the terms and conditions of rebate ... and Government Pricing. The Senior Manager, Managed Care Rebates reports to the Director of Brand and Generic Rebates. **Essential Functions** * Assists staff with… more
- Cordis (NJ)
- …Business) through direct case support. Reports to National Clinical Sales Director . **Responsibilities** + Responsible for meeting revenue generation targets on ... Track sales and support activities as needed and directed by the National Director in coordination with additional sales support. + Completes training and manages… more
- Atlantic Health System (Morristown, NJ)
- …to join the Gagnon Cardiovascular Institute, Cardiothoracic Surgery Program at Morristown Medical Center. This role is ideal for self-starters and will give an ... group with a robust staff. Atlantic Health System's Morristown Medical Center is the hub for the Atlantic Health...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Atlantic Health System (Morristown, NJ)
- …monitoring system to ensure proper working order. + Demonstrates knowledge of escalating medical emergency and Code Blue process. + May perform relevant duties as ... Our facilities and sites of care include: + Morristown Medical Center, Morristown, NJ + Overlook Medical ...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more