- Novo Nordisk Inc. (Plainsboro, NJ)
- …Position The Health Economics and Outcomes Research (HEOR) Strategy & Synthesis Associate Director, Cardiovascular (CV) will be part of the HEOR Evidence Synthesis ... real-world evidence generated by the RWE and modeling teams within CDSE. The Associate Director, HEOR Evidence Strategy & Synthesis is responsible for developing the… more
- Mathematica (Trenton, NJ)
- …https://www.mathematica.org/career-opportunities/benefits-at-a-glance. Mathematica is looking for a highly organized Medicaid Project Associate to contribute ... and support the work of projects in the Federal Medicaid practice. As a part of a project team, the Associate will be responsible for coordinating and… more
- Humana (Trenton, NJ)
- …This role will work horizontally across the organization, coordinating with Medicaid and Medicare leadership and clinical subject matter experts to synthesize, ... growth partners to design and optimize clinical operating model blueprints for viable Medicaid health plans that meet the needs of state clients and populations… more
- Humana (Trenton, NJ)
- …Humana Healthy Horizons and prepares markets for upcoming bids for state Medicaid managed care programs. The Strategy Advancement Advisor works with Business ... state and local levels. The Strategy Advancement Advisor works closely with Medicaid Business Development and Proposal leaders to identify and determine strategies… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Medicaid Actuary role is responsible for providing actuarial support for multiple states in ... are the specific day to day responsibilities of the Medicaid Actuary role: + Frequent analysis of actual experience...of technical experience + 2 or more years of project leadership experience **Scheduled Weekly Hours** 40 **Pay Range**… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Associate Actuary, Analytics/Forecasting work assignments involve moderately complex to complex… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Associate Director of Contractor Workforce Management will drive a best-in-class contractor workforce ... program. Reporting directly to the Associate Vice President of Source to Pay Operations you...multi-faceted and often ambiguous data + Ability to motivate project team members and stakeholders to meet established deadlines… more
- Humana (Trenton, NJ)
- …health first** Humana's Retail Marketing Organization is looking for a Marketing Campaign Associate to join Direct Mail Team working remote. In this role, you will ... products and/or services. As the Campaign Manager ( _internally known as Associate , Marketing Campaign Management),_ you will contribute to the operational execution… more
- Ascendis Pharma (Princeton, NJ)
- …and develop their skills. Ascendis Pharma is looking to hire an experienced Associate Director, Market Access, Payor and Channel Marketing to join our team. ... the ability to be both strategic and tactical, demonstrating strong leadership, project management, and communication skills. The level of the position will be… more
- Merck (North Wales, PA)
- …that help people around the globe. We are currently recruiting for an Associate Director, US Pharma Launch Products Payer Engagement Strategy. This new position will ... and promotional initiatives for US payer customer segments (health plan, PBM, Medicaid , Medicare, federal, pharmacy and hospital) to achieve market access goals +… more
- Highmark Health (Trenton, NJ)
- …underlying systems that support the respective business platforms for the Medicaid Business Unit market served by Highmark. Performs configuration change management ... the most complex issues in order to understand capability needs, gather project specifications, create business cases and cost sheet analysis, translate high-level… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ ... in a medical management review organization, such as Medicare Advantage, managed Medicaid , or Commercial health insurance. + Experience with national guidelines such… more
- Humana (Trenton, NJ)
- …Leads projects of high sensitivity/confidentiality + Report out SLA performance and project delivery to key stakeholder groups and prepare remediation plans when ... leadership on a weekly basis. + Leads continuous improvement initiatives for project management and delivery. + Has overall responsibility for service issue… more
- Humana (Trenton, NJ)
- …analytic solutions. The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for measuring Medicare beneficiaries' ... improve the decision-making experience for stakeholders + 2 or more years of project leadership experience + Experience analyzing data to solve a wide variety of… more
- Humana (Trenton, NJ)
- …+ Master's Degree or higher in Computer Science or a related field + Associate or Professional level solution architecture certification in Azure, GCP and/or AWS. + ... in Enterprise Architecture repository tools like iServer + 2+ years of project leadership and consulting experience. + Health Care Business Domains - Medicare,… more
- Intermountain Health (Trenton, NJ)
- …A strong candidate will have experience with Encounter Data submissions (EDPS, Medicaid , ACA Edge Server, etc.), experience with the Facets claims adjudication ... may be offered a lower level position (Staff or Associate level) if they do not fully qualify for...participates on national and local standards committees. 3. Provides project guidance and training to less experienced users/analysts to… more
- Humana (Trenton, NJ)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude ... a law firm or in-house health care organization + Experience in Medicare, Medicaid , or similar regulatory work + Strong legal research, analytical, and writing/oral… more
- Humana (Trenton, NJ)
- …on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. + Exercises considerable ... your skills to make an impact** **Required Qualifications** + Associate degree in any field + Minimum 1 year...Social Worker, LPC, mental or behavioral health + Microsoft Project experience + Experience using a wide variety of… more
