- Humana (Trenton, NJ)
- …caring community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Implementation Senior Business Project Manager to manage a ... change management and project management are best suited for this role. The Medicaid Implementation Senior Business Project Manager will serve as a… more
- Prime Therapeutics (Trenton, NJ)
- … business (Employer Markets, Health Insurance Marketplace, Commercial, Medicare, Medicaid , Specialty) or with unique Prime contract requirements; drive the ... we make. **Job Posting Title** Health Plan Account Dir Sr - Remote **Job Description** The Sr ...advanced degree + Experience working within assigned line of business or market segment (Commercial, Medicare, Medicaid ,… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is responsible ... and participates in committee review meetings within the Commercial, Medicare, Medicaid , and Health Insurance Marketplace for the assigned department. This position… more
- Humana (Trenton, NJ)
- …Medicaid products and capabilities to support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for ... Care Organization **OR** 2+ years of experience in strategy consulting supporting Medicaid managed care organizations. + Experience in business development or… more
- Public Consulting Group (Trenton, NJ)
- …and Grants Management + Assessments and Feasibility Studies PCG is looking for a Senior Consultant in Medicaid policy and funding as it relates to children's ... Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health,...children's behavioral health services. PCG is looking for a Senior Consultant in Medicaid policy and funding… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Director, Pharmacy Network Management - Remote **Job Description** The Senior ... market leading pharmacy reimbursement methodologies that support all of Prime's business assuring coordination with performance standards and corporate goals. + Lead… more
- Humana (Trenton, NJ)
- …an in-depth evaluation of variable factors. The Senior Technology Implementation Professional gathers and documents business system and functional ... a part of our caring community and help us put health first** The Senior Technology Implementation Professional delivers new technological solutions to meet … more
- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Business Systems Analysis Professional who is part of the System Optimization ... ensuring optimal performance and integration across the procurement landscape. The Senior Business Systems Analysis Professional performs analyses of systems,… more
- Humana (Trenton, NJ)
- …Coordinate business partner engagement with external regulators + Coordinate implementation and compliance with corrective action plans, as needed + Provide ... a part of our caring community and help us put health first** This Senior Compliance Professional role supports Humana's suite of Medicare and Commercial Dental and… more
- HealthEdge Software Inc (Trenton, NJ)
- **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits ... in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract terms,… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** The Senior Stars Improvement Professional develops, implements, and manages processes as part of the ... Northeast Region Medicare Stars Improvement Program. The Senior Stars Improvement Professional works via virtual and in-person collaboration with providers to… more
- Ascendis Pharma (Princeton, NJ)
- …+ Support of activities related to Inflation Reduction Act (IRA) implementation and/or other new legislative calculations + Interact with multiple layers ... conduct. Requirements + Bachelor's degree or higher preferred. + 5+ years business experience, preferably with a concentration in pharmaceutical data analysis, or… more
- Prime Therapeutics (Trenton, NJ)
- …to develop detailed design specifications according to standards. **Job Description** The Business Analyst will support the Colorado Medicaid Pharmacy Benefits ... and requests for ad hoc reports to support sales, implementation , new product development, specials. + Queries data warehouse...to adjust focus **Reporting Structure** + Could report to Business Analyst Lead, Manager, Director, Sr Director,… more
- Sanofi Group (Bridgewater, NJ)
- …for the company's products within the US for all of Sanofi's Pharma business [General Medicines & Specialty Care]. This senior leadership position will ... Legal, & Regulatory to ensure that pricing decisions support the company's business goals, market position, and compliance with regulatory requirements. The ideal… more
- Humana (Trenton, NJ)
- …use of ServiceNow, JSM, or other platforms as necessary. + Collaborate with senior leadership to integrate ITSM into business process operations, ensure IT ... exceptional stability and performance for our IT infrastructure. Leads design, implementation , and optimization of ITSM processes for the cloud environment, DevOps,… more
- Humana (Trenton, NJ)
- …that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of home health services, and ... in their personal and professional well-being, all from day one. The Home Solutions business segment is comprised of two major brands - CenterWell Home Health (CWHH)… more
- Sanofi Group (Bridgewater, NJ)
- …Interface with Trade, Customer service, Finance and Contract Operations to ensure timely implementation of price changes + Serve as primary interface for V&A to ... Authority documents on an as-needed basis, based upon the business needs of the respective brand plan. + Present...pricing and channel strategies at BUPC in preparation of implementation of pricing decisions + Interact, in partnership with… more
- Public Partnerships LLC (Trenton, NJ)
- …and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and ... to develop and enhance the products from concept to implementation to product go-live. + Research, Evaluate and Incorporate...strategies that deliver significant value to our customers and business . + Hold a high bar for execution and… more
- Ascendis Pharma (Princeton, NJ)
- …Princeton, NJ three (3) days/week and will report directly to the Senior Director, Pricing and Contracting Strategy. Key Responsibilities: + Contract Management: ... a keen understanding of Ascendis' policies around key contract terms. + Implementation and Execution: Lead contract implementation internally with Finance,… more
- Novo Nordisk (Plainsboro, NJ)
- …insights and intelligence to inform decision making & drives digitalization and business solutions to attain NNI goals. Finance, Insights & Enterprise Solutions ... maintaining our facilities and assuring the integrity and completeness of all business transactions. At Novo Nordisk, you will have the opportunity to build… more