- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Genesis Healthcare (NJ)
- … Manager in an assigned nursing center. This individual manages the Medicare/ Medicaid reimbursement process through evaluating, enhancing, and training nursing ... of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in...two years' experience in long-term care preferably in a reimbursement related position. *Medicare and Medicaid experience… more
- NJ Sharing Network (New Providence, NJ)
- …seeking a motivated and driven professional to join our team as a Hospital Development Specialist. In this role, you'll support hospitals across New Jersey, from ... saving lives. Apply today to begin your journey! General Summary: The Hospital Development Specialist (HDS) performs as a donation consultant to hospitals.… more
- J&J Family of Companies (Titusville, NJ)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Genesis Healthcare (Eatontown, NJ)
- …standards of care. *Manage the overall process and tracking of all Medicare/ Medicaid case-mix documents to assure appropriate reimbursement for services provided ... through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative,… more
- Cardinal Health (Trenton, NJ)
- …Managed Care oversees the interactions that take place between payer and provider (s) to ensure optimal reimbursement including managed care contracting, ... Functions:** + Responsible for documenting and tracking all credentialing, re-credentialing, provider enrollment, and hospital privileging activities within the… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …Perform an initial screening/verification of benefits according to Medicare, Medicaid , and third-party payor guidelines, coordinate equipment with contracted ... to determine suitability for admission to Hospice care according to Medicare, Medicaid , and third-party payer guidelines. + Maintain discretion, as the position… more
- Humana (Trenton, NJ)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more
- Ascendis Pharma (Princeton, NJ)
- …deep understanding of US government pricing programs, and the pharmaceutical reimbursement landscape. Key Responsibilities + Lead the end-to-end government pricing ... and annual GP reports to CMS, VA/DoD, and state Medicaid agencies, and any programs requiring price reporting, per...any programs requiring price reporting, per legislative requirements + Provide government pricing impact assessments to aid in the… more
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