- CenterWell (Trenton, NJ)
- …Home Health preferred + Previous experience in utilization management within Insurance industry a plus + Previous Medicare Advantage/ Medicare **Alert** ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses ... the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and ... techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient… more
- Actalent (Little Ferry, NJ)
- …offices. + Utilize the Bright Tree System to navigate NJ HMO websites, commercial insurance portals, and Medicare systems. + Contact insurance providers to ... experience. + Medical knowledge. + Data entry skills. + Insurance knowledge. + Experience with Medicare , Medicaid,...employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee… more
- Evolent (Trenton, NJ)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person"… more
- Evolent (Trenton, NJ)
- …compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation ... under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person"… more
- Humana (Trenton, NJ)
- …+ Working with Service Ops (claims, B&E, etc. **Preferred Qualifications** + Health insurance operations expertise + Value based provider arrangement experience ... **Become a part of our caring community and help us put health first** The Business Informatics Shared Services (BISS) Team is focused on optimizing the execution,… more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Enterprise AI organization at Humana is a pioneering force, driving AI innovation across ... our Insurance and CenterWell business segments. By collaborating with world-leading...**Industry Knowledge** : Familiarity with the healthcare sector, specifically Medicare Advantage, and an understanding of regulatory frameworks and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …rewarding choice** We offer a competitive benefits package, including: Comprehensive Health Insurance : Medical, Dental, Vision, and Prescription coverage ... are** Together, we're on a mission to make good health more affordable and accessible, to help millions around...HCP channel dynamics and IRA / Government-related market conditions ( Medicare Part D redesign, Price negotiations) with a focus… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …choice** We offer a competitive benefits package, including: + Comprehensive Health Insurance : Medical, Dental, Vision, and Prescription coverage starting ... are** Together, we're on a mission to make good health more affordable and accessible, to help millions around...and track claims data for Commercial, Medical Commercial, Medicaid, Medicare , 340B and other government segments to changes to… more