• Medicaid Eligibility Manager

    Cognizant (Trenton, NJ)
    …acting as a liaison among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of ... will lead employees who are working on-site at client locations throughout the USA and remote WFH associates. This position is WFH and requires some travel to be on… more
    Cognizant (05/29/25)
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  • Senior Functional Business Consultant/ Regulatory…

    Prime Therapeutics (Trenton, NJ)
    …Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant serves as a ... flows, process change and/or project management in supporting Compliance with Medicaid requirements. + Provide direct, or indirect leadership to other compliance… more
    Prime Therapeutics (04/25/25)
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  • Case Manager Registered Nurse - Field…

    CVS Health (Hackensack, NJ)
    …$10,000 for eligible external candidates who possess NJ Choice Certification_** **This is a remote Case Manager opportunity with** **50 to 75% field travel in ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
    CVS Health (05/16/25)
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  • Case Manager Registered Nurse - Bergen…

    CVS Health (Fair Lawn, NJ)
    …$10,000 for eligible external candidates who possess NJ Choice Certification._** **This is a remote Case Manager opportunity with** **50 to 75% field travel in ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
    CVS Health (05/16/25)
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  • Case Manager Registered Nurse - Union…

    CVS Health (Union, NJ)
    …Choice Certification or $7,500 for all other eligible external candidates._** **This is a remote Case Manager opportunity with** **50 to 75% field travel in ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for; care planning, direct provider collaboration,… more
    CVS Health (05/16/25)
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  • Case Manager Registered Nurse - Hudson…

    CVS Health (Hoboken, NJ)
    …external candidates who possess NJ Choice Certification._** **Position Summary** This is a Field/ Remote Case Manager opportunity with 50 to 75% field travel in ... appropriate physical, behavioral health, psychosocial wrap around services. The care manager will be responsible for, care planning, direct provider collaboration,… more
    CVS Health (06/06/25)
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  • Senior Case Manager

    Cardinal Health (Trenton, NJ)
    …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial medical and pharmacy plans while planning… more
    Cardinal Health (04/29/25)
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  • Associate Insurance Verification Representative…

    Surgery Care Affiliates (Englewood Cliffs, NJ)
    …+ Verify that sufficient information is available for accurate verification and eligibility . This step may require direct contact with the physician office and/or ... for Primary insurance. + Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility , benefits and/or… more
    Surgery Care Affiliates (05/06/25)
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