- Aequor (Parsippany, NJ)
- …and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience- Minimum 2&plus years pharmaceutical/product ... and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experienceMinimum 2&plus years pharmaceutical/product focused… more
- Daiichi Sankyo, Inc. (Bernards, NJ)
- …not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare, Medicaid , product pricing, and government price reporting. Coordination with, and ... by senior management.Responsibilities- Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government contracts,… more
- Segal (New York, NY)
- We are recruiting for a Consultant to join our Health Compliance practice. The Role:The Health Compliance Consultant (lawyer) reports to the Deputy Director of ... and is widely recognized for their expertise. The health compliance consultant (lawyer) collaborates with benefits consultants and compliance staff members, advising… more
- Eisai, Inc (Nutley, NJ)
- …hear from you. Essential Functions Revenue Management Systems (Contracting, Medicaid , Govt. Pricing, Chargebacks) Technologies Leadership Drive definition of future ... to business processes and the overall Finance Revenue Management (Contracting, Medicaid , Govt. Pricing, Chargebacks etc.) function. Provide strategic oversight of… more
- City of New York (New York, NY)
- …is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant within the Central Intake Unit, who will: - Interpret ... TITLE. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to...Medicaid policies and procedures for assigned cases for individuals… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company, state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum 2+ ... Medicaid Claims Analyst Date: Aug 22, 2024 Location:...people to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …experience within a pharmaceutical company, state, and/or state agency or as a Medicaid consultant Preferred Experience: + Knowledge of government pricing and ... Manager, Medicaid Compliance & Analytics Date: Aug 23, 2024...make a difference with. **The opportunity** The Manager of Medicaid Compliance and Analytics will manage operations of … more
- Teva Pharmaceuticals (Parsippany, NJ)
- …a Pharmaceutical and/or med Device company , state and/or state agency or as Medicaid consultant or equivalent work experience Experience Preferred: + Minimum 2+ ... Medicaid Claims Analyst Date: Aug 24, 2024 Location:...us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid … more
- Elevance Health (New York, NY)
- Care Consultant Sr. (New York Provider Success) - JR126335 **Location** : Must reside **in the state of New York (NYC area preferred)** , and within 50 miles (1 hour ... 4 offices listed above, at least 1 day per week. The **Care Consultant Sr.** for **Provider Success** is responsible for consulting with providers (Commercial,… more
- Deloitte (New York, NY)
- …Human Capital practice. Work you'll do As a Government Health Actuary - Consultant in Deloitte's Human Capital Actuarial and Insurance Solutions Practice, you will ... health plan/insurance company experience + 1 + years' experience with Medicaid managed care capitation rate development and/or fee-for-service rate development +… more
- City of New York (New York, NY)
- …with essential benefits such as Cash, Food and Rental Assistance as well as Medicaid . The Office of the Medical Director aims to improve the health and well-being ... one (1) City Medical Specialist (Per Diem) to function as a Medical Consultant who will: - Indirectly supervise contracted clinical staff, share policies and… more
- Rising Ground (Brooklyn, NY)
- Overview Psychiatrist Consultant Per-Diem About Rising Ground Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. ... controlled substance + New York Ordering/Prescribing/Referring/Attending status to prescribe to Medicaid population. + An active Health Commerce Account to execute… more
- IQVIA (Bridgewater, NJ)
- …Matter Expert (SME) within a functional or technical workstream (eg, Medicaid , Master Data Management, Chargebacks, Government Pricing, Testing, Managed Care ... * Expertise in one or more of (but not limited to) the following: + Medicaid + Master Data Management + Chargebacks + Government Pricing + Testing + Managed Care… more
- Molina Healthcare (New York, NY)
- …urgency, communication and follow through to closure. * Knowledgeable of State Medicaid contract Service Level Agreements. Demonstrates SME knowledge of MCO contract ... compliance requirements that impact processes. * Facilitates and leads processes and activities to complete deliverables impacting assigned healthplans including, but not limited to, RFP Responses, audit response/coordination, and evaluation of new contract… more
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …not limited to, areas of GPO/PBM and trade/distribution agreements, Medicare, Medicaid , product pricing, and government price reporting. Coordination with, and ... **Responsibilities** - Lead drafting and negotiating contracts for commercial, Medicaid and Medicare coverage, as well as other government...support functions in an in-house capacity, as a legal consultant , and/or at a law firm in a practice… more
- Atlantic Health System (Morristown, NJ)
- …crisis intervention and community resource knowledge and skill. 4. Serves as consultant to emergency department staff in identifying patient problems and disposition ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- Atlantic Health System (Morristown, NJ)
- …activities and clinical research. + Serve as a clinical expert and leadership consultant to nursing, healthcare team members, and the larger community. Benefits + ... - its highest - twelve consecutive times, and the Centers for Medicare and Medicaid Services awarded us again with its highest five-start rating in 2020. Morristown… more
- The Mount Sinai Health System (New York, NY)
- …preferably as CDM coordinator, revenue cycle analyst or coding consultant is preferred. Nursing or clinical or materials management/purchasing background ... interpersonal and communication skills. + Must have strong understanding of Medicare, Medicaid and third party payor rules and regulations and thorough knowledge of… more
