We interpreted Newtown, PA as Newtown, PA. Other options include: Newtown (Schuylkill County), PA
- Conduent (Hamilton, NJ)
- …be part of a culture where individuality is noticed and valued every day. The ** Medicaid Service Delivery Director ** is a strategic leader responsible ... to ensure service excellence, operational efficiency, and customer satisfaction. The Medicaid Service Delivery Director plays a critical role in… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....services, requested level of care, and/or requested site of service should be authorized. All work occurs with a… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...services, requested level of care, and/or requested site of service should be authorized. All work occurs within a… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The… more
- Humana (Trenton, NJ)
- …Medicaid , or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers. + Utilization ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...whether requested services, level of care, and/or site of service should be authorized. All work occurs within a… more
- SERV Behavioral Health System (Lawrenceville, NJ)
- …Disorder. JOB SUMMARY: Responsible for overseeing the clinical and administrative operations of service delivery for the assigned county on a day-to-day basis. ... and procedures. + Meets established program targets through census maintenance and service delivery . + Plan for and administer managerial, operational, fiscal,… more
- Humana (Trenton, NJ)
- …digital healthcare for the populations we serve, from data architecture to cloud service delivery and the architecture of digital customer experiences. The ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and… more
- Prime Therapeutics (Trenton, NJ)
- …+ 5+ years of experience in Pharmacy Benefits Management (PBM), Health plan or Medicaid clinical customer service . + Working knowledge of MS Office Suite and ... fuels our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services - Remote Nevada **Job Description Summary** Plays a key… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... part of our caring community and help us put health first** The Director , IT Portfolio Management for Enterprise Information Protection (EIP) develops and executes… more
- Humana (Trenton, NJ)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... and help us put health first** As the Associate Director , Salesforce Technology, you will be at the forefront...technology teams. Accountable leader for end to end projects delivery of technology roadmap, working in partnership with product… more
- Public Consulting Group (Trenton, NJ)
- …PCG helps school districts and state agencies across the country support the delivery of health-related services by helping schools access critical Medicaid ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
- Hackensack Meridian Health (Belle Mead, NJ)
- …primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). + Ensures delivery of excellent customer service resulting in a positive ... to validate patient identity. Conducts intensive screening of all Medicare, Medicaid and managed care patients to identify network status and coordination… more