- Centene Corporation (New York, NY)
- …benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Oversees the member experience through the lens of voice of the customer ... gaining in-depth insights into the underlying factors shaping the member experience . The role extends beyond observation... experience data, to influence the long-term experience strategy of Medicare . + Performs other… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Preferred: + Bilingual with English as a primary language + 3 plus years of, Medicare or Sales experience . + Valid Driver's License and access to personal ... performing all required tasks assigned by the Sales Field Manager . Incumbent will be responsible for educating and enrolling...Health & Accident License Preferred: 3 plus years of, Medicare or Sales experience SCOPE INFORMATION #… more
- CVS Health (Trenton, NJ)
- …compassionate. And we do it all with heart, each and every day. As a Senior Manager within the Aetna Medicare Pharmacy team, you will play a critical role in ... processes, including Medispan review. + Support and assist with Medicare Part D guidance and information in member...state of residence + 5+ years of relevant work experience in product management, strategy, or a related field… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The HIRM ... 5 out of 5 stars from the Centers for Medicare and Medicaid Services, for 6 consecutive years. This...employer group coverage to aid the resident and/or family member to better understand their benefits. + Be knowledgeable… more
- CVS Health (Trenton, NJ)
- …multiple projects and priorities at the time and committed to improving member experience and program performance. **Position Duties & Responsibilities** + ... Sales teams, Customer Service, Operations, Claims, Case Management, etc. + Partners with Member Experience team, marketing and sales in deploying local member… more
- Humana (Trenton, NJ)
- …+ BSN or MSN degree + Case Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see ... caring community and help us put health first** The Compact licensed telephonic Care Manager works from home in a call center environment. They assess and evaluate… more
- Humana (Trenton, NJ)
- …assessments and/or evaluations while maintaining compliance with CMS regulations. The Care Manager Telephonic Nurse must also assess for member physical, ... community and help us put health first** The Care Manager , Telephonic Nurse utilizes clinical nursing skills to support...patient education for adult acute care + Managed care experience + Previous Medicare /Medicaid experience … more
- CenterWell (Trenton, NJ)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- Humana (Trenton, NJ)
- …development life cycle) within Healthcare Product solutions, or other equivalent experience + Certified Product Manager (CPM), SAFe Product Owner/Product ... Manager (POPM), or equivalent + Epic experience / certifications **Additional Information:** + **Travel:** Willingness to...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our… more
- Cognizant (Trenton, NJ)
- **Product Owner Health Sciences, Consulting Manager ** **About the Role:** As a Product Owner for Sales & Enrollment Platforms, you will make an impact by leading the ... Sales and Enrollment capabilities. You will be a valued member of the Sales & Enrollment team and work... onboarding for individual, group, and government-sponsored health plans ( Medicare , Medicaid, ACA), ensuring compliance with CMS, ACA, and… more
- CVS Health (Trenton, NJ)
- …with members to evaluate the medical needs of the member to facilitate the member 's overall wellness. The ICM care manager develops a proactive plan of care ... hours Monday - Friday 8-5 pm EST. **ICM Case Manager RN** **WFH Flexible** **Position Summary:** Help us elevate...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… more
- Danaher Corporation (New York, NY)
- …improving health care through fast, accurate, molecular diagnostic systems and tests. As a member of our team, you'll get to make an immediate, measurable impact on ... (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer… more
- Humana (Trenton, NJ)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical... - Provider Practice Management role is a critical member of the multidisciplinary clinical initiatives team within Clinical… more
- CVS Health (East Brunswick, NJ)
- …Standard business hours Monday-Friday 8:00am-5:00pm EST. **Position Summary** The ICM Case Manager develops a proactive plan of care to address identified issues to ... long-term outcomes as well as opportunities to enhance a member 's overall wellness. **Our Mission** Join our Aetna team...life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range… more
- Amgen (New York, NY)
- …General Medicine, and Rare Disease- we reach millions of patients each year. As a member of the Amgen team, you'll help make a lasting impact on the lives of ... transform the lives of patients while transforming your career. **Key Account Manager - Cardiovascular** **Live** **What you will do** The Cardiovascular Account … more
- Humana (Trenton, NJ)
- …advanced agentic AI decision-making across our organization. As a Lead Technical Product Manager (PM-T), you will be responsible for shaping the vision, defining the ... success metrics (eg, engagement uplift, gap closure, reward adoption, member satisfaction) and experimentation frameworks. + Oversee instrumentation and analytics… more
- Cognizant (Trenton, NJ)
- …optimization of Elv Sales and Enrollment capabilities. You will be a valued member of the Sales & Enrollment team and work collaboratively with business ... improvements in digital quoting, application intake, eligibility verification, and member onboarding for individual, group, and government-sponsored health plans (… more
- Humana (Trenton, NJ)
- …the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top talent to ... We are seeking a dynamic and experienced Lead Product Manager to join our team (known internally as Lead,...safe AI solutions that will revolutionize and improve healthcare experience and outcomes for our customers. Join our rapidly… more
- CenterWell (Trenton, NJ)
- …from 7am-3:30pm EST.** + **Required to work every other holiday.** The **Care Manager , Telephonic Nurse** helps to ensure optimal continuity of care for patients ... appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a… more
- J&J Family of Companies (Titusville, NJ)
- …America **Job Description:** **Johnson and Johnson Innovative Medicine is recruiting for a Manager , Market Access Insights and Analytics, GTN (Gross to Net) to be ... of the way. Learn more at https://www.jnj.com/innovative-medicine **Purpose:** The Manager , Market Access Insights and Analytics, GTN is responsible...a focus on major channels such as MCO / Medicare Part D / Medicaid/ Chargebacks + Partner with… more