- Mount Sinai Health System (NJ)
- …corporate office + Abides by guidelines established by all managed care and insurance payors including Medicare + Complete and maintain Valley-specific CITI ... training and certification **Organizational Responsibilities** + Understands and supports the Valley Health System and the Valley Medical Group's mission statements, visions and values and guiding principles. + Communicates clearly and effectively. +… more
- Bristol Myers Squibb (Princeton, NJ)
- …expertise (ie, coding, reimbursement and payer policies related to Medicare , Medicare Part D, Medicaid, and private insurance ) to educate matrix partners, ... strong attention to detail and accuracy + Demonstrates deep knowledge in insurance benefit design for both commercial and government payers Analytics: + Validates… more
- Humana (Trenton, NJ)
- …help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare ... teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to… more
- Humana (Trenton, NJ)
- …customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact ... self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of ...be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales… more
- Humana (Trenton, NJ)
- …+ Insurance Strategy and Solutions + Clinical Operations + Medicare Divisional + Provider Experience + Medicaid **Location:** The summer internship program ... - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions… more
- Humana (Trenton, NJ)
- …health first** Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our Medicaid Product Strategy Organization, supporting the ... that optimize resources and drive growth. As a Senior Insurance Product Manager, you will: + Serve as a...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Virtua Health (Mount Holly, NJ)
- …lead or supervisory experience in a medical practice preferred.Knowledgeable in insurance (ICD-9 CPT coding, Medicare regulations, state regulations, JCAHO, ... colleagues, including, but not limited to: medical/prescription, dental and vision insurance ; health and dependent care flexible spending accounts; 403(b) (401(k)… more
- Humana (Trenton, NJ)
- …directly to the Regional Vice President of Operations in support of the Medicare Advantage line of business. The Market Finance Lead supports all Market Financial, ... Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement internally +… 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) ... compliance program guidance; (iv) CMS Conditions of Participation; (v) Medicare Shared Savings Program Accountable Care Organization Compliance guidance and… more
- Amgen (Jersey City, NJ)
- …physician-administered (buy and bill/medical benefit) products + Advanced knowledge of medical insurance terminology + Knowledge of Centers of Medicare & ... to HCPs on how the products are covered under the benefit design (Commercial, Medicare , Medicaid) + Serve as a payer expert for defined geography and promptly… more