- Elevance Health (Woodbridge, NJ)
- ** Medicaid Product Management Director for Vision** **Location:** Alternate locations may be considered. This position will work a hybrid model ( remote and ... will live within 50 miles of one of our PulsePoint locations. The ** Medicaid Product Management Director for Vision** responsible for leading the development,… more
- Molina Healthcare (New York, NY)
- …while working with editing, graphics, data and writing resources * Support Director , Proposal Writing (Writing Director ) on opportunity, start-up activities, ... documentation, proposal management tools, and user repositories * Supports Writing Director on competitive analysis activities and post-proposal activities * Assists… more
- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... client services experience in healthcare or pharmacy benefit management, preferably in Medicaid . + 5 years of leadership / people management experience. + Must… more
- Evolent (Trenton, NJ)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Mathematica (Princeton, NJ)
- Director of Data Science ( Remote Eligible) **Job ID** 2255 **Position Description:** Mathematica applies expertise at the intersection of data, methods, policy, ... our benefits here: https://www.mathematica.org/career-opportunities/benefits-at-a-glance We are seeking a motivated ** Director of Data Science** to lead a practice of… more
- Molina Healthcare (New York, NY)
- …and medical claims * Knowledge of HMO, PPO, POS, MCO, Medicare, Medicaid , Market Place products, laws, rules and regulations **Preferred Education** * Master's ... degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other reporting software * ICD-9, ICD-10 CPT-4, HCPCS coding **Preferred License, Certification, Association** Professional… more
- Humana (Trenton, NJ)
- …our caring community and help us put health first** The Associate Director - Value-based Specialty and Vendor Support role builds templates, standard documentation, ... case studies, and disseminates best in class knowledge. The Associate Director requires a solid understanding of how organization capabilities interrelate across… more
- Vibrant Emotional Health (New York, NY)
- Job Title: Senior Director of Clinical Services Department: Community Services Reports to: Vice President of Community Programs Location: ( Remote /In-House) ... wellness can be a reality for everyone. Position Overview: The Senior Director will be responsible for leading and transforming Mental Health Service Delivery… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic and ... the development of long-term growth plans and profitability goals The Director , Corporate Strategy, Long-Term Financial Planning oversees an organization's strategic… more
- Humana (Trenton, NJ)
- …venture investments. The broad scope of transactions includes provider centric assets, Medicaid , Medicare, Homecare, and IT services. The Director of Investment ... is based in Humana's office in Washington DC, Louisville, or Chicago, although remote candidates may be considered in exceptional cases. The team follows a hybrid… more
- Bristol Myers Squibb (Princeton, NJ)
- …personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Neuroscience Director , Patient Access Strategy & Marketing is responsible for building, ... partnering with a matrix team while developing and mentoring a team. The Director will incorporate a patient centric approach in their commitment in helping minimize… more
- Humana (Trenton, NJ)
- …Join us in shaping the future of healthcare through AI excellence. The Director of Data Science is responsible for spearheading the development and implementation of ... various departments, including data engineering, product, and business leaders. The Director will help identify opportunities for AI applications, oversee the… more
- NYU Rory Meyers College of Nursing (New York, NY)
- Position Summary Reports to the Associate Dean of Clinical Administration. The Director of Dental Insurance Strategy is a visionary leader responsible for expanding ... as a leading provider of comprehensive dental care. Additionally, the Director will design and implement innovative self-pay payment strategies, providing patients… more
- Humana (Trenton, NJ)
- …quality care, member satisfaction and innovation are key to our success. **Location:** remote Against that backdrop, we are seeking a visionary leader who will join ... the Health Quality and Stars (HQS) leadership team as the Director , Competitive Intelligence to drive the strategic vision of the company's Stars competitive… more
- City of New York (New York, NY)
- …Bureau of Human Resources seeks to hire an Administrative Manager, NM/L-III (Senior Director , Office of Compliance Services). DUTIES WILL INCLUDE BUT NOT BE LIMITED ... existing employees are cleared utilizing the local and federal Medicaid compliance (OMIG and HHS) databases. Reviewing tasks and...& BUDGET APPROVAL" "This position MAY be eligible for remote work up to two days per week, pursuant… more
- Molina Healthcare (New York, NY)
- **_ Remote and must live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support ... regulatory requirements. * Monitors and reports network adequacy for Medicare and Medicaid services. * Develops strategies to improve EDI/MASS rates. * Educates and… more
- Prime Therapeutics (Trenton, NJ)
- …**Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The Senior Compliance Analyst assists in the ... or other highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must...focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance… more
- Pearson (Trenton, NJ)
- …counseling service line serving students with diverse learning needs. Reporting to the Director of School Service Delivery, this role collaborates closely with the ... Director and the Therapy Services Lead to develop and...throughout the school year cycle. This is a full-time, remote , 12-month role. **Core Tasks and Responsibilities** Collaborate on… more
- Pearson (Trenton, NJ)
- …strategy, planning, and execution of the LivePsych service line. Reporting to the Director of School Service Delivery, this role collaborates closely with the ... Director and the Therapy Services Lead to develop and...projects throughout the school year. This is a full-time, remote , 12-month position. **Core Tasks and Responsibilities** Collaborate on… more
- Goddard Riverside (New York, NY)
- …assistance with applications and recertifications for benefits, including Medicare, Medicaid , long term care, SNAP, HEAP, accessing Food Resources, referrals ... + Assistance staff members, Nurse, Volunteers, Consultants and Program Director + Provide emergency assistance and outreach if needed...hospital and rehab visits, or escort to appointments + Remote work if necessary We are committed to building… more