• Utilization Review Specialist

    Hunterdon Health Care System (Flemington, NJ)
    Position Summary The Utilization Review Specialist monitors adherence to the hospital's utilization review plan to ensure the effective and efficient ... an applicable health insurance plan. Primary Position Responsibilities 1. Performs utilization activities, using Milliman Care Guidelines under the guidance of the… more
    Hunterdon Health Care System (10/31/25)
    - Related Jobs

  • Utilization Review Specialist

    BriteLife Recovery (Englewood, NJ)
    What you will be doing? The Utilization Review (UR) Specialist is a critical member of the administrative team at Advanced Revenue Solutions and is ... responsible for overseeing and coordinating all aspects of utilization review and insurance authorization for clients receiving substance use disorder (SUD)… more
    BriteLife Recovery (11/03/25)
    - Related Jobs

  • Field Inventory Specialist

    Terumo Medical Corporation (Somerset, NJ)
    …field inventory-based modes, to include loaners, consignment, trunk stock. Field Inventory Specialist will ensure effective utilization of assets and compliance ... Field Inventory Specialist Date: Oct 23, 2025 Req ID: 4839...losses from expiry and maximize ROI, as well as review operational processes and data to identify opportunities for… more
    Terumo Medical Corporation (10/24/25)
    - Related Jobs

  • Cardiac Rare Disease Specialist

    Pfizer (Trenton, NJ)
    …impact patients. **What You Will Achieve** The Rare Disease, Cardiac Account Specialist (CAS) - Rare Cardiac, will target health care providers (HCPs), spanning ... into the Area Business Manager (ABM). The Cardiac Account Specialist (CAS) will demonstrate strong business acumen, and an...in local planning * Act decisively by prioritizing resource utilization to meet customer needs * Provide key HQ… more
    Pfizer (10/26/25)
    - Related Jobs

  • Preregistration Specialist

    Penn Medicine (Cherry Hill, NJ)
    …day. Are you living your life's work? **Job Title:** Preregistration Specialist **Department:** Financial Clearance **Location:** Penn Medicine Cherry Hill- 1865 ... Route 70 E **Hours:** Mon-Fri office hours **Summary:** + The Pre-Registration Specialist reports to the Supervisor of Financial Clearance. This individual possesses… more
    Penn Medicine (09/05/25)
    - Related Jobs

  • Denials Prevention Specialist , Coder PRN

    Datavant (Trenton, NJ)
    …tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and improve ... and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the… more
    Datavant (10/08/25)
    - Related Jobs

  • Lead Engineering Liaison Specialist

    Safran (Wall Township, NJ)
    Lead Engineering Liaison Specialist **Job details** **General information** **Entity** Safran is an international high-technology group, operating in the aviation ... Planning and execution of tests **Job title** Lead Engineering Liaison Specialist **Employment type** Permanent **Professional category** Technician **Part time /… more
    Safran (10/11/25)
    - Related Jobs

  • Procurement Specialist

    Cushman & Wakefield (Trenton, NJ)
    **Job Title** Procurement Specialist **Job Description Summary** Under the direction of the Procurement Leadership, this role will assist in all aspects of ... overall vendor management on the assigned client accounts. The Procurement Specialist is expected to have Procurement, Strategic Sourcing, Contracting and Analytical… more
    Cushman & Wakefield (10/29/25)
    - Related Jobs

  • Clinical Documentation Specialist RN

    Hackensack Meridian Health (Neptune City, NJ)
    …ED inpatient admissions and observations as specified by the facility's Utilization Management/ Review Committee for documentation completeness and compliance ... and serve as a leader of positive change. The **Clinical Documentation Specialist RN** facilitates improvement in the overall quality, completeness and accuracy of… more
    Hackensack Meridian Health (10/18/25)
    - Related Jobs

  • Customer Care Specialist

    Prime Therapeutics (Trenton, NJ)
    …and drives every decision we make. **Job Posting Title** Customer Care Specialist **Job Description** This position is a front-line service position providing ... into the appropriate delivery system to initiate the EAP, Care and Utilization management programs. + Demonstrates flexibility in areas such as job duties… more
    Prime Therapeutics (10/31/25)
    - Related Jobs