• Sr . Manager Reimbursement Market…

    Stryker (Mahwah, NJ)
    **What you will do:** As the Senior Manager of Reimbursement and Market Access (RMA) for Interventional Spine (IVS) you will lead payer-based initiatives to ... more
    Stryker (12/14/24)
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  • Sr Utilization Review Spec FT Humc

    Hackensack Meridian Health (Hackensack, NJ)
    …Clarifying ambiguous or conflicting documentation iv. Target DRGs Reviews v. Use of case manager as a resource 4. Uses guidelines to evaluate patient status based on ... more
    Hackensack Meridian Health (02/01/25)
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  • Senior Manager Patient Services Hub…

    Teva Pharmaceuticals (Parsippany, NJ)
    Senior Manager Patient Services Hub Operations Date: Feb 20, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: ... more
    Teva Pharmaceuticals (02/25/25)
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  • Senior National VBC Performance…

    Centene Corporation (New York, NY)
    …enhance member and provider experience, while driving financial performance of the program . Works with Market and Shared Services stakeholders to achieve Market and ... more
    Centene Corporation (02/16/25)
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  • Senior Enrollment Assistant…

    VNS Health (Manhattan, NY)
    …CFEEC scheduled dates and outcomes as needed. * Offers assignment of Medicare assistance as needed. * Responds to inquiries regarding pre-enrollment issues, ... more
    VNS Health (03/04/25)
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  • Manager , Enterprise Strategy

    CVS Health (New York, NY)
    …to drive real change and improve the health of millions are endless. As a Manager , Enterprise Strategy, you will be part of a team that is helping shape the ... more
    CVS Health (03/06/25)
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  • RN Clinical Manager - Hospice - FT…

    Gentiva (Livingston, NJ)
    …Reimbursement** You will report directly to the Executive Director, Administrator, or Senior Patient Care Manager . You will be responsible for maintaining ... more
    Gentiva (01/24/25)
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  • Case Manager , Ltss LMSW or LCSW Remote in

    Molina Healthcare (New York, NY)
    …the severity of illness and the site of service. This position will support our Senior Whole Health business. Senior Whole Health by Molina is a Managed ... more
    Molina Healthcare (03/06/25)
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  • Nurse Manager - Full-Time, Days 7A-3P,…

    Atlantic Health System (Morristown, NJ)
    Responsible for leading and implementation program that supports non-physician clinical staff with orientation and competency assessment in order to promote ... more
    Atlantic Health System (01/11/25)
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  • Prog Mgr, Provider Quality and Risk Adjustment-…

    Molina Healthcare (New York, NY)
    **Job Description** **Job Summary** The Provider Engagement Manager implements Health Plan provider engagement strategy to achieve positive quality and risk ... more
    Molina Healthcare (02/23/25)
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  • Physician Utilization Review Specialist Per Diem…

    Hackensack Meridian Health (Hackensack, NJ)
    **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity ... more
    Hackensack Meridian Health (02/16/25)
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  • Medical Director Physician Engagement and CDQI…

    Mount Sinai Health System (New York, NY)
    …risk adjustment for all populations served, especially our patients covered under a Medicare arrangement (MSSP or MA). The MD will report to Vice President, Clinical ... more
    Mount Sinai Health System (03/04/25)
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