- Prime Therapeutics (Trenton, NJ)
- …signoff of deliverables by all impacted parties + Lead solution design review discussions between IT resources and business requestors to resolve questions regarding ... software changes, and participate with Quality Assurance and UAT resources to review related test cases and/or scenarios + Lead highly complex projects where… more
- Fresenius Medical Center (South Plainfield, NJ)
- …the designated clinical application accurately and in a timely manner. + Review treatment sheets for completeness ensure nursing signatures are documented and ensure ... appointments + Weigh patient and obtain vital signs + Collect treatment records and review for completion. Notify RN of incomplete / missing records. + Cleaning and… more
- Datavant (Trenton, NJ)
- …vision for healthcare. As an Auditor, HCC Risk Adjustment Coder, you will review medical records to identify and code diagnoses using a standardized system, ensuring ... + Proficient in ICD-10 coding. + Experienced in HCC coding across Medicare , commercial, and Medicaid sectors. + In-depth knowledge of medical terminology,… more
- Mount Sinai Health System (NJ)
- …descriptions and the VMG Compact + Participate in the annual physician performance review process in Oncology Services + **Engage in the professional development of ... quality of care, medical group governance, quality assurance, risk management and peer review .** + Advocate on behalf of VMG Oncology Services providers with VMG and… more
- Cardinal Health (Trenton, NJ)
- …data analytics and the revenue cycle team in identifying the time period of review and conducts a focused audit to identify any financial liability of the Company. ... facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines;...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …promotional assets through both Teva and Vender(when appropriate) medical / legal review processes, and engaging with the finance team on program invoice management. ... periodic business reviews with internal and external contributors and stakeholders to review performance data. + Collaborates with Teva's CT&D (Commercial Training &… more
- Atlantic Health System (Morristown, NJ)
- …delirium interventions and protocols with medically admitted patients + Compete chart review , program related records and metrics. + Collaborate with various nursing ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more
- Humana (Trenton, NJ)
- …for chart reviews for the nursing team + Builds and pends authorizations for review + Responsible for inbound and outbound calls to engage providers and members to ... (proficient to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization… more
- Sanofi Group (Morristown, NJ)
- …development, bid intake and submission, and coordination of business case analysis, review , and approvals. This position will also lead the financial analysis of ... including strategy development, bid intake, coordination of business case analysis/ review /approvals, and bid submission and tracking. + Oversee the management… more
- Atlantic Health System (Morristown, NJ)
- …Mandatories, LMS/Corporate Compliance, Unit Based Shared Governance, CEUs, Peer Review , Certification, BSN preferred, Involvement, UBSG, Hand hygiene,). Ensures ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its… more