- Merck & Co. (North Wales, PA)
- …science into innovative medicines that help people around the globe. The Associate Director, US Payer Marketing, is responsible for developing market access ... and value evidence planning. - In this role, the Associate Director will also collaborate with Global Market Access...all US payer customer segments (health plan, PBM, ADAP, Medicaid , Medicare, federal, pharmacy, hospital and GPO) Develop pricing… 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)
- …us put health first** Humana Healthy Horizons is seeking a Compliance Lead ( Medicaid State Reporting) to ensure compliance with governmental requirements for new ... Medicaid market implementations. This leader will work within specific...insurance, and/or financial services experience. + 2+ years of project /process leadership experience. + 4+ years of Compliance, Policy,… more
- Humana (Trenton, NJ)
- …deliver quality and value in a fast-paced, dynamic environment to support our Medicaid program through engaging in the transformation of clinical data to inform ... make an impact** **Responsibilities:** + Become an expert in HEDIS and Medicaid specifications, processes, and schedules + Partner to develop comprehensive … 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)
- …our caring community and help us put health first** Humana is seeking a Senior Project Manager to join our growing team. The Senior Project Manager manages all ... to finish, and works to drive on-time and on-budget projects. The Senior Project Manager works on problems of diverse scope and complexity ranging from moderate… 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, Process Improvement - Telesales Stars Program position analyzes, and measures the ... develops sustainable, repeatable and quantifiable business process improvements. The Associate Director, Process Improvement requires a solid understanding of how… more
- Conduent (Hamilton, NJ)
- …individuality is noticed and valued every day. **Quality Assurance Associate II** **$21.00/Hourly** **Full-time with Full Benefits** **Location: Onsite Hamilton, ... team and assist in addressing education/training needs with the Project Director, Managers, and Supervisors including preparing summaries and presentations… 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)
- …science into innovative medicines that help people around the globe. The Associate Director, US Payer Marketing, is responsible for developing market access ... payer customer segment strategies and value evidence planning. In this role, the Associate Director will also collaborate with Global Market Access and Pricing teams… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Associate Director of Access Strategy is responsible for developing and ... PBMs, Physician Networks, Pathways Providers, Specialty Pharmacy, Trade, Medicare, Medicaid , State Oncology Societies and Physician practices + Development of… 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 , or other Medical management organizations, hospitals/ Integrated Delivery Systems, ... medical management review organization, such as Medicare Advantage and managed Medicaid + Physical Medicine and Rehabilitation, Internal Medicine, Family Practice,… 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
- CenterWell (Trenton, NJ)
- …on moderately complex to complex issues regarding the technical approach for project components and work without direction. The Senior Healthcare Risk Professional ... senior management, or regulatory agencies as required. + Ensures that project /department milestones/goals are met. + Contributes to annual and longer-range… 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
- Humana (Trenton, NJ)
- …Management Professional is part of the Service Excellence team within Enterprise Associate and Business Solutions. Service Excellence plays a pivotal role in the ... with reporting, data, technology solutions and business analytics. The Enterprise Associate and Business Solutions (EABS) organization forms part of the Chief… more
