- Novo Nordisk Inc. (Plainsboro, NJ)
- …& Contracting, and other field and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. ... organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence… more
- 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
- Novo Nordisk (Plainsboro, NJ)
- …& Contracting, and other field and home office stakeholders. External relationships include Managed Care & Medicare customers, Market Access and System Vendors. ... organization to guide enterprise-wide resource allocations, investment choices, drive core operations and develop insights to drive growth and operational excellence… 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
- 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
- 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
- Northwell Health (New York, NY)
- …to various inquiries from participating physicians, network staff, hospital staff, and managed care companies. + Resolves issues related to credentialing, ... managed care participation, claims payment, demographic changes, referrals, and accessibility....by senior leadership; collaborates with network staff to facilitate operations . + mentioned here, but considered related are not… 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
- Molina Healthcare (New York, NY)
- …or equivalent combination of education and experience **Required Experience** + Min. 3 years managed care experience + Experience in one or more of the ... following: Claims, Provider Services, Provider Network Operations , Hospital or Physician Billing, or similar. + Claims processing background including coordination… 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
- JPMorgan Chase (New York, NY)
- …firm with assets of more than $3.7 trillion, over 260,000 employees, and operations in over 60 countries. It operates across four business segments including Asset ... Outsourced Chief Investment Office ("OCIO team")** The OCIO team is a specialist group of portfolio managers providing highly customized investment advice and… more
