• 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
    HireLifeScience (08/22/24)
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  • 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
    HireLifeScience (06/28/24)
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  • 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
    HireLifeScience (08/22/24)
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  • 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
    HireLifeScience (09/10/24)
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  • 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
    HireLifeScience (08/21/24)
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  • 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
    HireLifeScience (08/20/24)
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  • 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
    HireLifeScience (07/25/24)
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  • 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
    HireLifeScience (07/18/24)
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  • 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 ... (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
    WTW (07/25/24)
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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 ... 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 (09/05/24)
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  • Provider Contract/Cost of Care Analyst…

    Elevance Health (New York, NY)
    …or related field and a minimum of 3 years experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical ... **Anticipated End Date:** 2024-09-27 **Position Title:** Provider Contract/Cost of Care Analyst Senior-Analytics **Job Description:** **Provider Contract/Cost of … more
    Elevance Health (09/10/24)
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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 ... 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
    VNS Health (09/05/24)
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  • Clinical Care Manager -- AIM Program

    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 (09/04/24)
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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 ... State RN license.** **Position Purpose:** Assesses, plans, and implements complex care management activities based on member activities to enable quality,… more
    Centene Corporation (08/30/24)
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  • Care Coordinator, Utilization Management

    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 (08/28/24)
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  • Care Coordinator, Utiliz Mgmt RN - F/T…

    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
    Hackensack Meridian Health (08/20/24)
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  • Care Coordinator, Utilization Management…

    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
    Hackensack Meridian Health (07/29/24)
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  • Health Plan Quality Community Health Worker…

    Martin's Point Health Care (New York, NY)
    …medical record. + Proficiency of medical terminology. + Understanding of the managed care environment. + Demonstrated understanding of community services and ... Join Martin's Point Health Care - an innovative, not-for-profit health care...contributor, provider and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to… more
    Martin's Point Health Care (08/27/24)
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  • Manager, Contract & Formulary Compliance

    Teva Pharmaceuticals (Parsippany, NJ)
    …Formulary Compliance is responsible for supporting the development, performance and analysis of Managed Care data, post audit disputes, and PBM customer dispute ... presentation skills. **How you'll spend your day** + Review Managed Care Contracts, data, and perform analysis...audit initiatives according to Teva's rolling post audit schedule. Lead meetings, conduct analysis and work with TPA on… more
    Teva Pharmaceuticals (08/21/24)
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  • Program Director-Respite Care

    Comunilife (New York, NY)
    …management documentation, external networking/communication with contracted entities (hospitals and Managed Care Organizations). The Senior Program Director ... Program Director-Respite Care Job Details Job Location New York, NY...Job Category Management Description The Senior Program Director will lead the overall operation of our medical Respite service… more
    Comunilife (07/24/24)
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