- CVS Health (NJ)
- …And we do it all with heart, each and every day. **Position Summary** The ** Medicare Compliance Consultant ** is a compliance role that supports ... partnership with - and under the direction of - the health plan, Medicare Compliance Officer, and other team members, this position will help develop and… more
- Baylor Scott & White Health (Trenton, NJ)
- JOB SUMMARY The Third Party Compliance Consultant Sr performs ongoing activities related to the development, implementation, maintenance of, and adherence to ... a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance... Medicare and Medicaid guidance. Serves as a compliance resource to BSWH departments and entities on … more
- Humana (Trenton, NJ)
- …customers at the center of everything it does. The Growth Strategy Consultant (Distribution) provides data-based strategic direction to identify and address business ... support for the Enterprise Growth vertical. The Long-term Growth Strategy Consultant 's work involves moderately complex assignments performed with limited direction… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Consultant Sr - Remote **Job Description** The Pharmacy Network Consultant Sr ... pharmacy networks composition to assess network adequacy, contracting gaps and compliance with regulations + Represent Network Management department in audits and… more
- Humana (Trenton, NJ)
- …Adhere to established guidelines and procedures to ensure consistency and compliance . **Potential Duties** + Advocate for our agile development approach and ... with the organization's strategy and long-term goals. + Serve as a consultant to application teams, guiding them in creating enterprise-grade applications that… more
- Humana (Trenton, NJ)
- …through collaboration with diverse stakeholders across the enterprise, including legal, compliance , education, and IT. In this role, you will contribute to ... the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability,… more
- NJ Sharing Network (New Providence, NJ)
- …Summary: The Hospital Development Specialist (HDS) performs as a donation consultant to hospitals. Responsible to develop, market, monitor and implement policies, ... outcomes. Evening and weekend work is required. Responsible for timely compliance with all Network programs and policies. Duties and Responsibilities Essential… more
- Atlantic Health System (Morristown, NJ)
- …revises treatment goals in collaboration with medical providers and psychiatric consultant , using clinical data and validated screening measures during regularly ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...& Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency Act (effective Sunday,… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its...& Auto, Identity Theft and Legal Insurance Note: In Compliance with the NJ Pay Transparency Act (effective Sunday,… more
- CVS Health (NJ)
- …chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative ... using clinical tools and information/data. Utilizes case management processes in compliance with regulatory and company policies and procedures. - Facilitates… more