- Conduent (Hamilton, NJ)
- …state and local agencies to improve health outcomes and optimize program performance through technology-enabled services and platforms. Our solutions support ... Medicaid, Medicare , and other public health initiatives with a focus on program integrity, member engagement, and operational efficiency. With decades of… more
- CVS Health (Secaucus, NJ)
- …+ **External = $7500** **Position Summary** We are seeking a dedicated **Case Manager (RN)** to join our team, serving members in **Hudson County and surrounding ... and follows a **Monday-Friday, 8:00 AM-5:00 PM EST** schedule. The Case Manager will develop, implement, and support health service strategies, policies, and… more
- Evolent (Trenton, NJ)
- …to find the most valuable defects. The IQA reports to a associate director or a manager . One or many IQAs may be engaged in any testing effort **What You Will Be ... risks and issues in coordination with the lead / manager for status reporting + Responsible to enforce department...Good knowledge US Healthcare - Payer side, Knowledge of Medicare , Medicaid, Commercial Plans and understanding on claims workflow,… more
- Virtua Health (Marlton, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... the CAQH (Council for Affordable Quality Healthcare) and PECOS (Provider Enrollment Chain and Ownership System) databases to ensure accurate clinician information… more