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Managed Care Jobs in Ridgefield (NJ)

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Search Results - Managed Care Jobs in Ridgefield (NJ)
VNS Health-Ridgefield (NJ)
Degree in nursing preferred Work Experience: Minimum two years of experience in health related field required Care management and/or managed care experience preferred Proficiency in Microsoft Office applications required Demonstrated analytical skills...
Robinson+Cole-New York, 8 mi from Ridgefield (NJ)
Robinson+Cole, a Vault "Top Ranked" Am Law 200 firm, seeks an associate to join its expanding Managed Care and Employee Benefit Litigation Group in its Philadelphia, New York City, Hartford, Stamford, or Miami offices. The ideal candidate will have...
mindmatch.ai -
VNS Health-Ridgefield (NJ)
Staff Resolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements...
Integrated Resources, Inc-Newark, 11 mi from Ridgefield (NJ)
knowledge Managed Care principles  •  Prefer the ability to analyze and resolve problems with minimal supervision  •  Prefer the ability to use a personal computer and applicable software and systems  •  Team Player, Strong Analytical, Interpersonal Skills...
resume-library.com -
VNS Health-Ridgefield (NJ)
regulations required Knowledge of Milliman criteria (MCG) preferred For UM Only: Experience must be with a Managed Care Organization or Health Plan. For SelectHealth ETE Only: Experience in Public Health programming, delivery and evaluation preferred...
Pioneer Data Systems-Parsippany, 22 mi from Ridgefield (NJ)
time during or after the end 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...
resume-library.com -
Care One Enterprise-Livingston (NJ), 17 mi from Ridgefield (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...
Pride Health-New York, 8 mi from Ridgefield (NJ)
Experience with medical record review working on HEDIS/QARR in a managed care or health plan setting.  •  3 – 5 years in Quality Improvement in a health care and/or Managed Care setting strongly preferred.  •  Knowledge of HEDIS and QARR specifications...
mindmatch.ai -
VNS Health-Ridgefield (NJ)
and managed care preferred Hospice or palliative care experience preferred Experience as a patient advocate preferred For AIM only: Minimum of one year nursing experience in homecare or hospice required VNS Health Job ID #R011191. Posted job title: Specialized...
New Horizon Counseling Center-Queens, 7 mi from Ridgefield (NJ)
by NY State and Managed Care Organizations. Collaborate with the individual's HARP team including: MCOs, HCBS providers, as well as other medical and treatment providers. Ensure entitlements, insurance, and benefits are in place and maintained. Develop...

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