- Sanofi Group (Bridgewater, NJ)
- **Job Title:** Specialist , Managed Care Operations **Location** : Bridgewater, NJ **About the Job** The Managed Care Specialist is ... and issues. The Specialist will work in close cooperation with Managed Care Operations colleagues and counterparts in Contract Development, the Account… more
- VNS Health (Manhattan, NY)
- …regulatory requirements related to all aspects of grievances and appeals for Medicare managed care organizations, Medicaid, home health care , managed ... appeals or related area such as medical or utilization management in a Managed Care setting required + Proficient verbal/written communication skills required +… more
- RWJBarnabas Health (Newark, NJ)
- …Per Week Essential Functions: + Work closely with New Jersey Medical School Managed Care Department + Process and maintain credentialing and re-credentialing ... 90 Bergen Street, Newark, NJ 07103 Job Overview: The Credentialing Specialist provides coordination and completion of credentialing and recredentialing activities… more
- Radformation (New York, NY)
- Work at Radformation Cancer rates increase year after year, yet high-quality care is not universal. By automating and standardizing the treatment planning workflow, ... aims to create a system where any patient anywhere can receive the same high-quality care . We strive daily to reduce cancer's global impact and help save more of the… more
- Radformation (New York, NY)
- Work at Radformation Cancer rates increase year after year, yet high-quality care is not universal. By automating and standardizing the treatment planning workflow, ... where any patient anywhere can receive the same high-quality care . We strive daily to reduce cancer's global impact...for every single person in need. The Deal Desk Specialist will play a pivotal role in the Sales… more
- Elevance Health (New York, NY)
- …equivalent background. **Preferred Experience, Skills, and Capabilities:** + Understanding of managed care or Medicaid/Medicare is strongly preferred. + ... **Medical Management Specialist ** **Location:** This is a virtual position. The...for providing non-clinical support to the Medical Management and/or Operations areas. **How you will make an impact:** +… more
- Hackensack Meridian Health (Hackensack, NJ)
- …& levels of appeal iv. Root cause analysis & trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate + Utilization ... **Overview** The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity… more
- S&P Global (New York, NY)
- …focused on partnering with clients to solve the regulatory challenges that impact operations , legal, and compliance teams. The team is supported by our commercial ... which is responsible for delivering and maintaining the Regulatory Compliance products and managed services. You will be working with both new and existing clients… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …of Experience Required: Administrative, coordination, communications, education Preferred: Training, Managed Care , Sales Specific Technical Skills Required ... & Development team, handle office duties and optimize office operations . The Training Coordinator will provide oversight of the...+ Able to work in a fast-paced environment + Managed long-term care knowledge + Medicaid knowledge… more
- RWJBarnabas Health (Somerset, NJ)
- …the care of the population served, as well as experience in clinical care operations , case management and/or patient throughput + Must have a working ... of incoming and outgoing transfers for higher level of care . This position requires securing physician specialist ...in interdisciplinary healthcare teams to facilitate the integration of managed care concepts within the daily practice… more
- BelovED Community & Empowerment Academy Charter Sc (Jersey City, NJ)
- …provide support. School Business Administrators oversee a school's accounting, business operations and finances, compliance with governing laws and regulations, and ... school Business Office personnel, including the school's Human Resource Specialist , who handles payroll, benefits administration, on-boarding and credentials… more