Managed Care Jobs in East Orange (NJ)
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Search Results - Managed Care Jobs in East Orange (NJ)
CVS HealthEast Orange (NJ)
or higher
• Completion of state training modules
• Field mentoring, as required by the NJ Division of Aging Services
Preferred Qualifications
• Experience in case management and/or discharge planning
• Background in managed care
• Crisis intervention...
Prisma HealthJersey City, 9 mi from East Orange (NJ)
Overview
In this role you will support and influence the financial strategy behind payer contracts and managed care initiatives. You’ll analyze initiatives, model financial outcomes, and assist in contract negotiations to align with organizational...
CVS HealthEast Orange (NJ)
management and/or discharge planning background
• Managed care experience
• Familiarity with Medicaid and Medicare
• Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)
Education
• Minimum of an Associate Degree...
MJH life sciencesNew Brunswick, 23 mi from East Orange (NJ)
Overview
In this role you will be the analytics lead for our pharmacy and managed care brands, translating business questions into actionable analyses and building end-to-end data products. You will partner with editorial, sales, marketing...
CVS HealthEast Orange (NJ)
management and/or discharge planning background
• Managed care experience
• Familiarity with Medicaid and Medicare
• Proficiency using multiple systems and MS Office Suite (Outlook, Word, Excel, SharePoint, Teams)
Education
• Minimum of an Associate Degree...
Iselin, 15 mi from East Orange (NJ)icims.com
as a leader of positive change.
The Contracting Specialist, Managed Care supports initiatives for HMH Physicians, Physician Related Entities, Urgent Care and Facility, Pay for Performance (P4P) and Professional Behavioral Health Services during system and new...
Sanofi-Aventis Deutschland GmbHMorristown (NJ), 14 mi from East Orange (NJ)sanofi.com
Job title: Associate Director Managed Care Operations Location: Morristown, NJ About the Job The Associate Director of Managed Care Operations is a key operational role responsible for supporting and advancing the operational, regulatory...
Compass Healthcare Consulting and PlacementNew York, 12 mi from East Orange (NJ)
Compass Healthcare Consulting & Placement is conducting a search for Remote & Field, RN Care Managers for a Managed Care Plan servicing New York. The RN Care Manager position works as a Remote & Field Case Manager, working primarily from home...
Simpson Judge USANew York, 12 mi from East Orange (NJ)
providers and payors over reimbursement, managed care agreements and revenue cycle issues.
The work includes:
• Commercial and government healthcare reimbursement disputes.
• Managed care litigation and disputes involving payer audits, coding, billing...
MedixTMNew York, 12 mi from East Orange (NJ)
Utilization Management Registered Nurse (UM RN) with a strong background in Skilled Nursing Facility (SNF) operations, Medicare, and Managed Long-Term Care (MLTC). This is a 100% remote position, but candidates must reside in New York, New Jersey...
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