- 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
- 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
- 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
- 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