• Provider Contracting

    Humana (Trenton, NJ)
    …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
    Humana (06/04/25)
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  • Investigator

    Highmark Health (Trenton, NJ)
    professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
    Highmark Health (05/08/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Trenton, NJ)
    …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
    CenterWell (05/28/25)
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  • Associate Counsel - Commercial

    PSEG (Newark, NJ)
    …offered several health-related benefits including medical, vision, dental, well-being and behavioral health programs. We also offer a retirement program, 401(k) with ... experience to our more than 12,000 employees - we provide the resources and opportunities for career development that...you will work on a wide range of commercial contracting needs for PSEG's various businesses,. This position will… more
    PSEG (05/31/25)
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  • Licensed Clinical Therapist

    CVS Health (Trenton, NJ)
    …to build and grow the MinuteClinic practice without the burden payor contracting , credentialing, and billing. - Opportunities to provide psychosocial support ... an industry-leading company for a refreshing change in a stable, consistent, and professional environment. We empower our Therapists to practice at the top of their… more
    CVS Health (06/06/25)
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