- 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
- Conviva (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 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)
- …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 ... caring community and help us put health first** The Director , Full Stack Engineering works with partners across the...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… 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