- CVS Health (Princeton, NJ)
- …initiative planning, and negotiating Medicaid value based agreements with New Jersey providers, including health systems, clinically integrated networks, ... more personal, convenient and affordable. **Position Summary** The NJ Medicaid Lead Director, Network Management is accountable... Medicaid systems (QNXT experience). + Experience with New Jersey providers + Resides in … more
- Trinity Health (Pennsauken, NJ)
- …We are looking for compassionate and caring Medicaid Eligibility Specialist to join our LIFE New Jersey team. LIFE New Jersey Healthcare is a member ... Shift: Monday - Friday Status: On Call Location: LIFE New Jersey , 2475 McClellan Avenue Pennsauken NJ...approval process. + Perform home visits to complete all Medicaid applications on all new enrollees and… more
- CVS Health (Trenton, NJ)
- …(COE) operates Duals Integrated Plans: Ohio, Illinois, Michigan, Virginia, Pennsylvania, and New Jersey offering a variety of physical and behavioral health ... medical director will participate in and be able to lead daily rounds. **Required Qualifications:** Minimum 3-5 years of...+ years of experience in managed care (Medicare and/or Medicaid ) Experience with managed care (Medicare and Medicaid… more
- Humana (Trenton, NJ)
- …states of Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, New Jersey , Delaware, Pennsylvania, Maryland, and Washington ... + Develop product strategy for annual Medicare Advantage plan filings + Lead the expansion and support for value-based care and innovation with internal… more