- RWJBarnabas Health (Oceanport, NJ)
- …to optimize reimbursement opportunities + Monitor Medicare and Medicaid appeal and cost report reopening issues. + Completed Medicare 855As (and ... This includes planning, preparing and reviewing of the annual Medicare /Medicaid cost reports filings. In partnership with...with leadership and deploys and directs resources appropriately (eg Cost Report preparation, Wage Index, etc.) as… more
- Humana (Trenton, NJ)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...are involved in Board and other administrative meetings. Fellows report directly to Joel Port, SVP, Business and Network… more
- CVS Health (Trenton, NJ)
- …**Position Summary** **Are you passionate about contributing to the well-being of the Medicare population? Would you like to plan an integral and strategic part in ... Health/Aetna is working to transform the way New Jersey Medicare beneficiaries experience health care - improving quality, emphasizing...business. This is a highly collaborative role that will report to the Sales Director and drive local broker… more
- Mount Sinai Health System (NJ)
- …+ Exhibits a strong orientation toward the provision of high quality, cost effective, comprehensive medical care + Demonstrates behavior that is courteous, caring, ... Health System + Participate in and support VHS initiatives in cost containment, product standardization, resources utilization and supply chain management (HIM… more
- CenterWell (Trenton, NJ)
- …evaluating and operationalizing high-impact complex care initiatives to drive quality and cost improvement for high-risk senior populations in full risk Medicare ... quality and value drivers in full risk care delivery, ideally in Medicare /seniors + Demonstrated ability to work collaboratively with clinical and operational… more
- WTW (Fort Lee, NJ)
- …leading direct-to-consumer insurance services business, specializing in the distribution of Medicare Advantage, Medicare Supplement and Life & Supplemental ... expect to take on increasing responsibility over the financial analytics function. It will report to the SVP of Finance and be directly involved in all facets of… more
- Hackensack Meridian Health (Eatontown, NJ)
- …utilizing on-line or by phone when required. Has current knowledge of Medicare reimbursement criteria and insurance contracts for Hackensack Meridian Health product ... open orders on a daily basis. Run Open Order report daily to confirm there are no missing orders....proficiency in relevant skills and competencies. + Geographic Location: Cost of living and market rates for the specific… more
- CVS Health (Trenton, NJ)
- …and report on vendor performance data. + Familiarity with Medicare and Medicaid regulations. **Education** + Associates degree or equivalent experience. ... + Able to create new reporting. Envisions, codes and implements data and report automation tools and processes to improve reporting efficiency and accuracy. +… more
- Sunrise Senior Living (Edison, NJ)
- …in the health information record, Activities of Daily Living (ADL), 24 Hour Report , and others as appropriate. + Complete Minimum Data Set (MDS) in accordance ... Care Plan process and required documentation. + Facilitate the Triple Check and Medicare meetings weekly. + Ensure billing information is available for the Business… more
- Atlantic Health System (Morristown, NJ)
- …correct count of sponges, needles, and instruments with circulating nurse and report correctness of discrepancies according to established policy and procedure. 6. ... time, at the right place, and at the right cost . This commitment is also echoed in the respect,...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more