- Merck & Co. (Jersey City, NJ)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... of customers within their assigned geography.- These customers may include health care providers such as physicians, nurses, pharmacists as well as quality… more
- Eisai, Inc (Nutley, NJ)
- …related to Neuroscience and products.Experience with utilization of outcomes studies in managed care or large healthcare organization environment.Eisai is an ... provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... etc.) across the Americas. Reporting to the Americas Infrastructure Lead , the associate provides extensive, broad-based technical leadership, management experience… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... platform hardware/software, and networks). Essential Functions Strategy and Business Alignment 45% Lead the definition and design of high value solutions which align… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... improve customer experiences and outcomes. The incumbent will be a thought leader within the organization proposing and implementing innovative approaches to enhance… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... evolving regulatory requirements, user needs and business and functional requirements. Lead the development, support and rollout of relevant technologies and… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... office-based (hybrid) in Nutley, NJ. Essential FunctionsSummary of Job Responsibilities: Lead and executekey omnichannel projects within the HCP Neuro omnichannel… more
- Collabera (Newark, NJ)
- …or an active New Jersey Registered Nurse License. Required Skills: Knowledge of managed care principles and medical terminology. Proficiency in PC's and related ... on programs and audit standards. Serve as an in-house representative and project lead for state audits. Analyze audit findings and produce various reports as… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... regulatory/legal requirements are met. Essential FunctionsSummary of Job Responsibilities: Lead and executekey omnichannel projects within the HCP Neuro omnichannel… more
- Eisai, Inc (Nutley, NJ)
- …provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking through ... evolving regulatory requirements, user needs and business and functional requirements. Lead the development, support and rollout of relevant technologies and… more
- Fidelity TalentSource LLC (Jersey City, NJ)
- …systems and shell scriptingExperience with Amazon Web Services (AWS), having managed services and applications in a large AWS cross-account environment using ... Fidelity Investments. Our global, diverse team of hundreds of forward-thinking professionals lead with agility and creativity to build solutions that bridge the gap… more
- WTW (New York, NY)
- …Wealth and Career and Risk and Broking. The Managed Care Growth Leader is the primary client lead managing the totality of the Willis Towers Watson ... (WTW) relationship for clients within the Managed Care Industry. This individual is accountable...business while managing existing revenue and profit streams + Lead the development and execution of client account plans… more
- VNS Health (Manhattan, NY)
- … care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... are action-oriented, time-specific and cost effective. * Implements specific care management activities and or interventions that lead...by operational needs. Clinical expertise in geriatrics, Long Term care and Managed care experience… more
- VNS Health (Manhattan, NY)
- … care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... are action-oriented, time-specific and cost effective. + Implements specific care management activities and or interventions that lead...operational needs. + Clinical expertise in geriatrics, Long Term care and Managed care experience… more
- VNS Health (Manhattan, NY)
- …Managed Long Term Care health plans, preferred + Experience in a managed care environment, preferred + Experience in excel, preferred CAREERS AT VNS ... team to achieve excellence in the daily operations of care coordination with a focus on quality, compliance, and...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- Centene Corporation (New York, NY)
- …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... State RN license.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
- VNS Health (Manhattan, NY)
- …Experience: + Minimum two years of experience in health related field required + Care management and/or managed care experience preferred + Proficiency in ... OverviewProvides telephonic clinical care management services using evidence-based practices to ensure...leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to… more
- VNS Health (Manhattan, NY)
- …coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case ... a recognized leader and innovator in patient-centered and community-focused health care . At VNS Health, you'll have the opportunity to meaningfully impact lives.… more
- Hackensack Meridian Health (Hackensack, NJ)
- …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... our mission to transform healthcare and serve as a leader of positive change. The ** Care Coordinator, Utilization Management** is a member of the healthcare… more
- Hackensack Meridian Health (Hackensack, NJ)
- …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... our mission to transform healthcare and serve as a leader of positive change. The **Case Management Care... leader of positive change. The **Case Management Care Coordinator, Utilization Management** is a member of the… more
