• 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
    HireLifeScience (01/11/25)
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  • Specialist , Managed Care

    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
    Sanofi Group (11/22/24)
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  • Specialist - Rebate Operations

    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
    Novo Nordisk (01/11/25)
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  • Specialist , Grievance and Appeals

    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
    VNS Health (01/23/25)
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  • HHG Clearings/SIT Specialist

    HomeSafe Alliance (Trenton, NJ)
    …better than the last. **About the Role** HomeSafe Alliance is seeking a Clearing/SIT Specialist to support the Operations team by providing immediate support to ... **Title:** HHG Clearings/SIT Specialist **_HomeSafe Alliance_** is the single global household...an organizational level as well as continuously optimizing the operations experience. + Oversee all portions of clearing process… more
    HomeSafe Alliance (01/25/25)
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  • Senior IT Support Specialist

    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 (01/11/25)
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  • Deal Desk Specialist

    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
    Radformation (01/16/25)
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  • Medical Management Specialist

    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
    Elevance Health (01/22/25)
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  • Sales Specialist

    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
    S&P Global (11/20/24)
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  • Training Coordinator

    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
    Centers Plan for Healthy Living (12/03/24)
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  • Nurse Coordinator RN

    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
    RWJBarnabas Health (12/31/24)
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  • Senior Clinical Strategist / Behavioral Health…

    CVS Health (Trenton, NJ)
    …and projects with demonstrated outcomes + 4+ years demonstrated experience in managed care Utilization Management to include prior authorization, concurrent ... 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 heart at… more
    CVS Health (01/07/25)
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