Healthcare Services industry jobs in Newark, New Jersey

Description: Responsibilities for Care Coordinators include: Engaging members telephonically to coordinate services, community resources, and treatment needs Delivering a holistic approach to coordinated care based on the enrollee needs Identifying early risk factors and conducting ongoing assessments and documenting in an electronic file Creating, reviewing and revising Plan of Care plans and foc...
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We have an opening for a Per Diem (PRN) (as needed) Family Nurse Practitioner (FNP) or Adult Nurse Practitioner (ANP) to work at our employer health and wellness center Newark, NJ! Our schedule is 7-3pm OR 11am-7pm Monday -Friday and 7am-5pm on Saturday and Sunday. Our NP will primarily cover weekends but will be needed at times during the week for vacation/illness coverage. As part of Walgreens H...
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Sales / Sales Manager / Senior Healthcare Sales We are seeking competitive and dedicated Sales Consultants to sell our Fortune 500 clients’ Medicare supplemental benefit products in a booming market! As a Sales Consultant with Buffett Senior Healthcare (BSH), you will reap the rewards of selling recession-proof products to the Baby Boomer and senior healthcare market, which is increasing by 11,000...
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Description: The INSPIRIS Home Assessment program offers the opportunity to complete a full history and physical assessment for patients in the comfort of their own home during a single visit. The Nurse Practitioner is provided the necessary equipment and medical supplies needed to perform the assessments, and is required to submit documentation at the completion of the assessment. This position r...
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Sales / Sales Manager / Senior Healthcare Sales We are seeking competitive and dedicated Sales Consultants to sell our Fortune 500 clients’ Medicare supplemental benefit products in a booming market! As a Sales Consultant with Buffett Senior Healthcare (BSH), you will reap the rewards of selling recession-proof products to the Baby Boomer and senior healthcare market, which is increasing by 11,000...
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Job Summary: This position is a mid- level Auditor who supervises and executes audit work programs. Plans, executes and reports on audit results within established time frames and budgeted hours. Responsibilities: Executes audit testing and may oversee work of staff auditors Develops audit scope and work programs Provides guidance and critiques Model Audit Rule (MAR) work products Documents audit ...
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Appeals Res Analyst II – RN: Job Summary: This position is responsible for handling all Utilization Management medical appeal cases. Ensures that timeliness guidelines are met and appeal handled in compliance with regulatory requirements of various agencies including but not limited to NJ/Federal regulations. Responsibilities: Evaluates the necessity, appropriateness and efficiency of medical serv...
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Job Summary: Analyst in this role will meet with clients, both internal and external, to define customer data and analysis needs and determine deliverables based upon customer’s requirements. Responsibilities: Meet with customers to review business requirements and define parameters of the project Confirm deliverables and deadlines with the customer, using more negotiation and creativity in consul...
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Job Summary: The System Auditor III is responsible to support the development and execution of the annual IT audit plan and the achievement of department goals. This position also supports the operational and financial audit team in the execution of integrated audits that focus on both process level and underlying computer application controls, as well as pre-implementation reviews of new applicat...
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(FSE) FIELD SERVICE ENGINEER N. NJ MEDICAL IMAGING & CR EQUIPMENT PURPOSE OF THIS POSTING: My name is Howard Honeycutt, Senior Recruiter at CPG Search Partners of Charlotte, NC, phone 704/499-9407. Email hhoneycutt@cpgsearchpartners.com. For my global medical capital equipment/system client and leader in their field, I am searching for candidates with very specific experience as follows: My client...
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Job Summary: This is a senior level analyst position within the Actuarial department. The person will play an active role in the Medicare Part D bid from Actuarial perspective. Responsibilities: Coordinate activities between Actuarial and other departments within the company. Participate in the actuarial work coordinated by the Blue Cross Blue Shield Association. Read, summarize and analyze govern...
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Job Summary: This position will work independently to collaborate with sales and coordinate, drive, and write quality Request for Proposal (RFP) and Request for Information (RFI) submissions along with executing on multiple deadlines. Responsibilities: Coordinates and drives the RFP and RFI process including proofreading of all materials. Prepares for and attends strategy meetings, raising issues,...
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Job Summary: This position is responsible for assisting with the administration of daily operations within the HR Shared Services Center. The position will process and maintain confidential records, provide Peoplesoft administrative support, provide customer service to employees, conduct presentations during new hire orientation, and coordinate special benefit events.- Answers employees' questions...
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Job Summary: This full time dedicated position is responsible for managing the overall UAT and ORT efforts within the Members Edge enterprise transformation program. This position will develop and implement the specific UAT and ORT strategy for the program. This position is responsible to work with the MembersEdge Project Owners to deliver quality business user acceptance and operational testing r...
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Job Summary: This position is responsible for Consumer Field Sales, Consumer and Commercial Inside Sales activity of Horizon BCBSNJ and / or its subsidiaries products and services that contribute to the overall profitability of the company. This position develops new prospects and establishes relationships with existing customers to produce new sales. Responsibilities: Facilitates the enrollment p...
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Job Summary: This position is responsible for Consumer Field Sales, Consumer and Commercial Inside Sales activity of Horizon BCBSNJ and / or its subsidiaries products and services that contribute to the overall profitability of the company. This position develops new prospects and establishes relationships with existing customers to produce new sales. Responsibilities: Facilitates the enrollment p...
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Job Summary: This position is accountable for the management of the sales and account team staff, the conservation of existing accounts, and the sale of additional lines of business. This position will have overall responsibility for the administration and servicing of all clients in the Consumer, Senior and Dental markets. Responsibilities: Manage multiple distribution channels - consumer and sen...
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Quality Auditor II – RN Job Summary: Responsible for the quality review of claims to enhance the clinical, network, and case management services offered by Horizon Casualty Services, Inc. (HCS) Also responsible for coordinating all aspects of continuing clinical, nursing, and Certified Case Manager (CCM) in-service programs and medical consultant services. Responsibilities: Performs audits on clai...
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Job Summary: This position is responsible for Consumer Field Sales, Consumer and Commercial Inside Sales activity of Horizon BCBSNJ and / or its subsidiaries products and services that contribute to the overall profitability of the company. This position develops new prospects and establishes relationships with existing customers to produce new sales. Responsibilities: Facilitates the enrollment p...
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Job Summary: The Broker Commission Quality Analyst ensures Broker Commission policies, procedures and controls are enforced. Responsible for ensuring required client signed documents are secured on Salesforce, and that the approved broker commissions are fully aligned with amounts in premium rates and paid to the broker. Reconcile the accounts to be renewed each month with the Underwriting group a...
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Job Summary: This position is responsible for Consumer Field Sales, Consumer and Commercial Inside Sales activity of Horizon BCBSNJ and / or its subsidiaries products and services that contribute to the overall profitability of the company. This position develops new prospects and establishes relationships with existing customers to produce new sales. Responsibilities: Facilitates the enrollment p...
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Please note this position is for a Limited Duration Employee (LDE) with an estimated end date of May, 2016. Hence, the project and position will commence on or about May, 2013 and end May, 2016. Limited Duration Employees are full time employees of Horizon BCBSNJ and may receive full benefit packages including paid vacation, holidays, 401K match and annual bonuses. This Program Manager I position ...
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Please note this position is for a Limited Duration Employee (LDE) with an estimated end date of May, 2016. Hence, the project and position will commence on or about May, 2013 and end May, 2016. Limited Duration Employees are full time employees of Horizon BCBSNJ and may receive full benefit packages including paid vacation, holidays, 401K match and annual bonuses The Program Manager – Master Data...
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We have an opening for a FULL TIME Family Nurse Practitioner (FNP) or Adult Nurse Practitioner (ANP) to work at our employer health and wellness center Newark, NJ! The schedule is 11am-7pm Monday -Friday. Our NP will cover one weekend per month (7am-5pm). As part of Walgreens Health and Wellness division, Take Care Health Systems Employer Solutions (www.takecareemployersolutions.com) is the manage...
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The Insurance Risk Management Analyst provides support for timely and effective insurance, claims, and risk financing for the risk management program. Utilizes data management and spreadsheet capabilities to assist in administering current programs and respond to both internal and external customer requests. Responsibilities: Coordinate Insurance Program renewals including gathering underwriting d...
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