Healthcare Claim Project Manager Jobs in New Jersey

... - Minimum of 4-6 years Project Management experience, with experience in ... experience, with experience in the Healthcare Insurance industry. PMP Certification Required! ... -claims experience would be preferred..

... is currently recruiting for a Project Manager for our healthcare client located in Newark, NJ. ... client located in Newark, NJ. Project Manager: Description: Pricing/Reimbursement tools and methodologies .....

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

Job Information Humana Manager, Pharmacy and Medical Trend in Jersey City New Jersey Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy ..

Description The Hospital Engagement Executive will interface with contracted Hospital Systems in the Northeast to support our growth and profitability objectives. This person represents the Humana/Hospital relationship internally and externally across ..

Job Description Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... Livingston New Jersey Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through science.In oncology, hematology, immunology and cardiovascular disease - and one of the most diverse and ..

... immediate need for a full-time Claim Edit and Denial Specialist. Responsibilities ... position is responsible for resolving claim edits and rejections related to ... experience working facility coding related..

Job Information Humana Manager, Fraud and Waste-Remote US in ... City New Jersey Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Description The Care Manager, Telephonic Behavioral Health 2 , ... wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work ... of action. Responsibilities The Care Manager, Telephonic Behavioral..

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Description The Senior Product Manager role is a part of ... customer use. The Senior Product Manager will need to build relationships ... home anywhere The Senior Product Manager ideates,..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Jersey City New Jersey Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of ..

Medical Coding Claim Edit and Denial Specialist Job ... immediate need for a full-time Claim Edit and Denial Specialist. Responsibilities ... position is responsible for resolving claim edits and rejections..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. Responsibilities There are 4 shifts available for this role. All ..

Job Information Bristol Myers Squibb Associate Director, Medical Safety Assessment Physician in Princeton New Jersey At Bristol Myers Squibb, we are inspired by a single vision - transforming patients' lives through ..