• Managed Care Leader

    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 ... more
    WTW (01/24/25)
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  • Senior Vice President, Managed Care

    Hackensack Meridian Health (Edison, NJ)
    …** at Hackensack Meridian _Health_ includes: + **Contract Negotiation & Network Management:** + Lead all managed care contract negotiations for HMH and its ... more
    Hackensack Meridian Health (02/07/25)
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  • Director, Ethics & Compliance Advisor, US…

    Gilead Sciences, Inc. (Parsippany, NJ)
    …understanding of market access functions such as payer contracting, reimbursement, pricing, and managed care . + Invest time and effort in building strong ... more
    Gilead Sciences, Inc. (01/11/25)
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  • Social Work Care Coordinator

    VNS Health (Manhattan, NY)
    care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... more
    VNS Health (02/12/25)
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  • Social Work Care Coordinator

    VNS Health (Manhattan, NY)
    care management services and authorizes/ coordinates services within a capitated managed care system. Communicates and collaborates with primary care ... more
    VNS Health (02/11/25)
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  • Pharma Field Sales - Endocrinology Diabetes…

    Novo Nordisk (Brooklyn, NY)
    …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... more
    Novo Nordisk (02/14/25)
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  • Manager Care Coordination

    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 ... more
    VNS Health (02/07/25)
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  • Care Coordinator, Registered Nurse (RN)…

    Hackensack Meridian Health (Edison, NJ)
    …applicable. + Write Care Plans in EPIC Healthy Planet for high-risk patients being care managed . + Other duties and/or projects as assigned. + Adheres to HMH ... more
    Hackensack Meridian Health (01/21/25)
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  • Pharma Field Sales - Obesity Care

    Novo Nordisk (Little Falls, NJ)
    …in the market to identify and leverage business opportunities + Analyze impact of managed care in the territory and its effect on prescribing decisions, and ... more
    Novo Nordisk (02/12/25)
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  • Office Coordinator - Wound Care Center…

    Hackensack Meridian Health (Edison, NJ)
    …knowledge and understanding of the different types of commercial carriers and managed care organizations, + effectively communicating specifics to persons ... more
    Hackensack Meridian Health (01/23/25)
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  • Director, Corporate Accounts

    Mitsubishi Chemical Group (Jersey City, NJ)
    … that is responsible for oversight, leadership, management, and tactical execution of the Managed Care team. This person will focus and direct the strategy for ... more
    Mitsubishi Chemical Group (02/11/25)
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  • Care Manager

    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 ... more
    VNS Health (02/11/25)
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  • Senior Care Manager (RN)

    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 ... more
    Centene Corporation (02/09/25)
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  • Care Manager

    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 ... more
    VNS Health (01/28/25)
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  • Clinical Care Manager (RN) -- CMO

    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 ... more
    VNS Health (01/14/25)
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  • Senior Care Manager (RN)

    Centene Corporation (Queens, NY)
    …guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities ... more
    Centene Corporation (02/06/25)
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  • Nurse Navigator - Transitions of Care

    Hackensack Meridian Health (Edison, NJ)
    …(BSN) or 1 year experience for non BSN HackensackUMC employees. + Knowledge of managed care principles. + Knowledge of Quality Improvement Program - New Jersey ... more
    Hackensack Meridian Health (01/18/25)
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  • Health Homes Care Manager

    Graham Windham (Brooklyn, NY)
    …necessary documents for monthly care management billing to Health Home/ Managed Care Organization. Position Qualifications: + Bachelor's degree in health ... more
    Graham Windham (01/16/25)
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  • Provider Contract/Cost of Care Consultant

    Elevance Health (Morristown, NJ)
    …or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical ... more
    Elevance Health (02/08/25)
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  • Care Coordinator, Utilization Management

    Hackensack Meridian Health (North Bergen, NJ)
    …benefits, communication of information to insurance company, billing certifications, concurrent managed care denial appeals and retrospective medical record ... more
    Hackensack Meridian Health (02/06/25)
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