- Cognizant (Trenton, NJ)
- …quality, productivity, screening, and approvals and any other critical metrics per contract with clients. This leader will manage teams that connect uninsured ... among patients, hospitals, and government agencies to ensure eligibility for Medicaid , social security, county indigent, or other types of healthcare funding.… more
- Centene Corporation (Trenton, NJ)
- …activities for the recruitment, contracting and retention of providers. Negotiate contracts and develop strategies and methodologies for specific network development ... in compliance with Company policies/standards and government regulations. + Prepare provider contracts and monitor process to ensure timely execution of contracts… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Program Manager , SPS Vendor Management - Remote **Job Description** The Program Manager ... within Prime's Vendor Lifecycle Management (VLM) team. The Program Manager will be the primary VLM point of contact...2 years of work experience in healthcare, PBM, state Medicaid plans, specialty pharmacy, or health care consulting +… more
- Rowan University (Stratford, NJ)
- …Director, NJISA Co-Director, Vice Chair of Clinical Operations, and Manager of Department Operations, provides organizational leadership and operational oversight ... Management Prepares, monitors, and revises budgets in collaboration with the Business Manager . Guides the Chief Financial Officer and Budget Office with shared input… more
- CenterWell (Trenton, NJ)
- …for reporting, implementation, and maintenance of Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve ... evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy claims and network… more
- IQVIA (Newark, NJ)
- …all aspects of national and regional accounts, under the direction of the project 's Client Lead. This includes developing contracts to optimize plan access, ... that currently we are looking for a **National Account Manager ** to join our team of over 10,000 global...launch of new drugs in Managed Care accounts, PBMs, Medicaid PBMs, and State Government Accounts by introducing product… more
- Hackensack Meridian Health (Eatontown, NJ)
- …+ Confirm Delivery Tickets and review associated charges for accuracy. + Review payer contracts and ensure updates to fee schedules are inputted into the EMR system ... initiate correction if applicable. Work to resolve billing issues with Medicare, Medicaid and insurance companies. Follow up to ensure corrections are completed. +… more