• Novo Nordisk Inc. (Philadelphia, PA)
    …elements in the market to identify and leverage business opportunities Analyze impact of managed care in the territory and its effect on prescribing decisions ... in helping people living with chronic disease achieve greater health outcomes. If you are passionate about being a...align to audience needs Leverage understanding of impact of managed care in the territory and how… more
    HireLifeScience (01/18/25)
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  • Employee Health / Managed

    Bishop McCarthy Center (Vineland, NJ)
    Employee Heath/ Managed Care ...Control Registered Nurse has oversight over functions of the employee health program which include pre employment ... screening, employee verification, annual PPD testing, Covid testing, work related injury follow-up, knowledge of infection control practices. Case Manager ressponsciblitlies include gathering information to submit to insurnace companies for continued stay… more
    Bishop McCarthy Center (01/12/25)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Wilmington, DE)
    …as a Case Manager is preferred. + Certification in the American Association of Managed Care Nurses preferred. + Broad clinical knowledge base of disease ... to drive personalized health management and improve health outcomes for optimal consumers. Performs care ...processes strongly preferred. + Prior managed care and case management experience preferred.… more
    Elevance Health (01/03/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Wilmington, DE)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... **Provider Contract/Cost of Care Consultant** **We are offering a $5,000 sign-on...project lead. * Uses analytic tools to track both health risks and compliance, as well as supporting the… more
    Elevance Health (01/07/25)
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  • Community Based Health Manager - MSW

    Virtua Health (Marlton, NJ)
    …Competent computer and technology experience Basic understanding of Medicare, Medicaid and managed care . Required Education: Graduate of an approved School of ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
    Virtua Health (01/20/25)
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  • Case Manager RN - Camden & Surrounding Counties

    CVS Health (Stratford, NJ)
    …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....Qualifications** + Case management and/or discharge planning experience + Managed Care experience + Crisis intervention skills… more
    CVS Health (01/08/25)
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  • Provider Contract/CofC Analyst Sr.

    Elevance Health (Wilmington, DE)
    …preferred * SAS, SQL or other programming logic suggested, but not required * Managed Care / Health Insurance / Payor reimbursement knowledge preferred ... a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as...Locations: New York In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (01/11/25)
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  • Outcomes Manager

    Virtua Health (Voorhees, NJ)
    …or integrated behavioral health setting; understanding of Medicare, Medicaid, managed care and discharge planning. (3-5 years preferred) Excellent verbal ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
    Virtua Health (11/21/24)
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  • Outcomes Manager

    Virtua Health (Marlton, NJ)
    …Clinical Social Worker. Basic understanding of Medicare, Medicaid and managed care . Discharge planning or home health background. Excellent verbal and ... the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health ...Marlton - Rt 73 and Brick Road Employment Type: Employee Employment Classification: Regular Time Type: Full time Work… more
    Virtua Health (01/17/25)
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  • Practice Manager

    Virtua Health (Voorhees, NJ)
    …and health insurance guidelines and practices, including commercial, Medicare and managed care payers. Solid knowledge of and ability to use, electronic ... equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by… more
    Virtua Health (01/11/25)
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  • Dir Financial Ops Dept - Payment Integrity…

    Elevance Health (Wilmington, DE)
    …situations strongly preferred. + Proven leadership experience working in the managed care /healthcare insurance industry most notably in Payment Integrity ... locations. **Carelon Payment Integrity** is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to… more
    Elevance Health (01/18/25)
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  • Intensive Case Manager

    Crozer Keystone Health System (Chester, PA)
    …A registered nurse; Working knowledge of Community Services, Entitlement Programs and Managed Care plans required. Associates Degree in Social Sciences and ... Provides targeted case management services to ensure mental health consumers have access to all services that...employee 's record of responsiveness. * Ensures continuity of care by informing consumers, family and concerned others of… more
    Crozer Keystone Health System (12/20/24)
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  • Pharmacy Contract Analyst

    Highmark Health (Wilmington, DE)
    …Contract development **Preferred** + 3 years in the Healthcare industry + 3 years in Managed Care + 3 years of Pharmacy benefitmanagement + 3 years in ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (01/10/25)
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  • FCA Recall Specialist

    MarketSource (Williamstown, NJ)
    …+ Insurance (Basic/Supplemental Life & AD&D) + Short and long-term disability + Health & Dependent Care Spending Accounts (HSA & DCFSA) + Transportation ... Inc., an Allegis Group Company, develops and delivers innovative managed sales solutions for enterprise customers. MarketSource provides the...benefits + Employee Assistance Program + Time Off/Leave (PTO, Vacation or… more
    MarketSource (01/21/25)
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  • Project Manager - EPC Solar Hybrid Job Details…

    Black & Veatch (Wilmington, DE)
    …benefits portfolio is a key component of this commitment and offers an array of health care benefits including but not limited to medical, dental and vision ... **Together, we own our company, our future, and our shared success.** As an employee -owned company, our people _are_ Black & Veatch. We put them at the center… more
    Black & Veatch (12/31/24)
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  • Clinical Services Associate (Medical Assistant)

    Penn Medicine (Voorhees, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health ...care for our patients starts with the best care for our employees. Our employee benefits… more
    Penn Medicine (01/21/25)
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  • Clinical Services Associate

    Penn Medicine (Woodbury Heights, NJ)
    …pertinent to patient service and billing procedures: including basic knowledge of all managed care plans and which insurers require a copayment or referral. ... coordination with specialists, ancillary services, hospitals, labs, home care agencies, and all other involved health ...care for our patients starts with the best care for our employees. Our employee benefits… more
    Penn Medicine (01/14/25)
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  • VP, HOA Regional Account Executive

    Banc of California (Sewell, NJ)
    …or others and will be expected to report potentially unsafe conditions. The employee shall comply with occupational safety and health standards and all ... or others and will be expected to report potentially unsafe conditions. The employee shall comply with occupational safety and health standards and all… more
    Banc of California (01/10/25)
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  • Supervisor Project Controls Nuclear

    PSEG (Salem County, NJ)
    …enjoy a comprehensive range of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll be offered several health ... -related benefits including medical, vision, dental, well-being and behavioral health programs. We also offer a retirement program, 401(k) with company match,… more
    PSEG (01/08/25)
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  • Chemistry Superintendent

    PSEG (Salem County, NJ)
    …enjoy a comprehensive range of benefits, with a focus on supporting your whole health . Starting on day one of your employment, you'll be offered several health ... -related benefits including medical, vision, dental, well-being and behavioral health programs. We also offer a retirement program, 401(k) with company match,… more
    PSEG (12/07/24)
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