- Novo Nordisk (Plainsboro, NJ)
- …forecast gross to net components including but not limited to Managed Care, and Medicare Part D, Medicaid as well as current and future Healthcare Reform related ... methodologies, tools, and core deliverables. Relationships Reports to the Director , Sales Reporting & Forecasting. Position regularly interacts with members… more
- Ascendis Pharma (Princeton, NJ)
- …for employees to grow and develop their skills. Position Summary The Director , Finance Gross-to-Net (GTN) Reporting will lead the development, execution, and ... + Deep expertise in US Federal and State Pricing Programs (Medicaid, Medicare , FSS, PHS340B) and related regulations. + Deep experience working in therapeutic… more
- Baylor Scott & White Health (Trenton, NJ)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified… more
- Ascendis Pharma (Princeton, NJ)
- …dynamic workplace for employees to grow and develop their skills. The Director , Government Pricing will lead the development, execution, and oversight of government ... + Deep expertise in US Federal and State Pricing Programs (Medicaid, Medicare , VA/DoD, PHS/340B) and related regulations. + Expertise in GP reporting systems… more
- Evolent (Trenton, NJ)
- …care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based ... of oncology care delivery** . + Not under sanction or exclusion from Medicare /Medicaid programs. To ensure a secure hiring process we have implemented several… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Director , Access Strategy - Dupixent Rhinology Allergy and Gastroenterology **Location:** Cambridge, MA, Morristown, NJ **About the Job** This role is ... Demonstrated experience in working in specialty pharmacy + Understanding of Commercial, Medicare Part D and Medicaid + Experience identifying trends and insights… more
- Hunterdon Health Care System (Flemington, NJ)
- …maintenance of medical necessity software, insuring compliance relating to Medicare billing requirements, conducting internal audits relating to medical necessity, ... others by means of webinars and teleconferences offered by Medicare + General & Medicare Compliance: ...updates, Provides corrective measure plan and suggestions to Department Director and Administrative Director + Responsible for… more
- Atlantic Health System (Morristown, NJ)
- …and data risk classification; (iv) accountable care organization compliance; (v) Medicare C & D/ Medicare Advantage compliance program requirements; (vi) ... activities, or regulatory mandates. + The Manager will support the Director of Corporate Compliance to ensure implementation of appropriate policies and… more
- Atlantic Health System (Morristown, NJ)
- …Able to act as advocate to patients. Job Function: 02. Coordinates with Director / Manager in maintaining a safe environment of care. Criteria: Assists in maintaining ... Joint Commission, etc. Job Function: 03 Collaborates with the Director / Manager in areas of daily operational and strategic...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Genesis Healthcare (NJ)
- …Manager in an assigned nursing center. This individual manages the Medicare /Medicaid reimbursement process through evaluating, enhancing, and training nursing center ... reimbursement priorities in the nursing center and reviews outcomes. *Evaluates the Medicare and Medicaid processes monthly to assure proper utilization of services… more