Managed Care Jobs in New Jersey
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Search Results - Managed Care Jobs in New Jersey
Pioneer Data Systems-Parsippany
of the contract.
You may participate in the company group medical insurance plan
Job Description:
Title: Managed Care Rebate Analyst/Consultant
Shift:
Monday Friday 8:00am 5:00pm - Hybrid or remote - Hybrid Tuesday and Wednesday onsite and Monday, Thursday...
resume-library.com -
Care One Enterprise-Livingston (NJ)
of company policies and procedures pertaining to the Medicare and Managed care reimbursement in the facility. This position reports to the Administrator of the facility and receives consultative assistance from the Regional Clinical Reimbursement Specialist...
America's Best-Edgewater (NJ)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Preferred Care at Cumberland-Bridgeton (NJ)
team.
• Administer NOMNC and ABN notices in accordance with Medicare and managed care guidelines.
• Administer “Notice of Emergency Transfer” letter to Ombudsman and resident representative.
• Participate in facility QAPI program by presenting...
Primary Talent Partners-Whippany
Order to Cash, Contracts Administration
• Assist on additional ad hoc projects and support where needed in operational platform.
Required Qualifications
• Bachelor’s degree in Accounting or Finance with 1-2 yrs experience in Medicaid and Managed Care...
resume-library.com -
Edison (NJ)
as a leader of positive change.
The Senior Contracting Specialist position will support the Managed Care Team during system and new entities negotiations in accordance with Hackensack Meridian Health's (HMH) established rate and language parameters under...
icims.com -
The Symicor Group-Asbury Park
in a management role.
Experience working in a large, multi-location medical practice or Management Service Organization (MSO) environment
Experience with Athena Practice management software
Experience in all phases of managed care contracting process, including...
resume-library.com -
Randstad-Whippany
Randstad is seeking an experienced Rebate Operations Analyst to support Commercial & Government claims processing in Order to Cash Rebate Operations, Medicaid, Managed Care, and GPOs. This is a 12-month temporary/contract assignment working hybrid 3...
randstadusa.com -
Axelon Services Corporation-Teaneck
patient insurance information
" For managed care patients, follows established protocols for necessary authorizations from the patient for
scheduled office visit
" Depending on the practice, may obtain pre-authorization for various procedures ordered...
resume-library.com -
National Coalition Of Healthcare Recruiters-Newark
communication skills across patient and partner interactions
• In-depth knowledge of federal/state regulations, including HIPAA and OSHA
• Minimum of 2 years of direct patient care experience; managed care/IPA/health plan experience preferred
• Experience...
nchcr.com -
Mount Sinai Medical Center-Trenton
relationships with all individuals with whom contact is made.
• Ensures that quality health care services are produced at the assigned office and that services are compliant with managed care contracts and third party payor guidelines.
• Ensures that evidence...
appcast.io -
2 similar jobs: Jersey City, Newark
Morristown (NJ)
to influence formulary status, as applicable
• May analyze impact of managed care in the territory and its effect on prescribing decisions, and modify sales and promotion strategies
• May develop and utilize relationships with specialists, key hospital...
tiptopjob.com -
Ascendis Pharma-Princeton (NJ)
/methodology can be operationalized within Ascendis Pharma’s revenue management systems prior to executing agreements.
• Rebate Management: Oversee the administration of rebate programs, including government rebates (e.g., Medicaid, Medicare), managed care...
workable.com -
Passaic (NJ)
of Discharge Planning/ Utilization Management / Case Management terminology and functions, in both managed care and non-managed care environments.
2. Active state LPN license required upon hire and maintain current.
3. Experience in basic to intermediate...
icims.com -
National Coalition Of Healthcare Recruiters-Trenton
communication skills across patient and partner interactions
• In-depth knowledge of federal/state regulations, including HIPAA and OSHA
• Minimum of 2 years of direct patient care experience; managed care/IPA/health plan experience preferred
• Experience...
nchcr.com -
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