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Medical Director - Medicaid (NJ)
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Store Associate
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Behavioral Health Medical Director (Aetna Better Health of New Jersey)
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Territory Sales Executive - Elizabeth, NJ
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Utilization Management Nurse Consultant
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Registered Nurse - RN - Home Infusion - Part-time - Lakewood - Bonus available
CVS Health - Trenton, NJ
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important...
Pharmacy Precert Nurse
NJM Insurance Group - Trenton, NJ
Reporting directly to the Medical Director and indirectly to Medical Services, the Pharmacy Precert Coordinator supports our Workers' Compensation line of business by performing prospective and retrospective Utilization Review of pharmaceutical/medication requests in accordance with regulatory guidelines, where appropriate, and to ensure requests are clinically supported based upon NJM Medic...
Equity Investment Analyst
NJM Insurance Group - Trenton, NJ
NJM Insurance Group is seeking an Equity Investment Analyst to join its Investments Department. This role is responsible for conducting research and monitoring the stock market and economic conditions to determine appropriate financial decisions that benefit NJM. The Equity Investment Analyst will report into the Equity Portfolio Manager. This position will be based out of NJM's West T...
Complex Claim Specialist (Workers' Compensation Claims) – Hammonton or West Trenton, NJ
NJM Insurance Group - Trenton, NJ
NJM's Workers' Compensation Claims Team is seeking an experienced Complex Claim Specialist. This is a full-time position and offers a hybrid schedule after training. The Complex Claim Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage ...
Quality Control and Compliance Associate
NJM Insurance Group - Trenton, NJ
Reporting to the Medical Services QC Supervisor in our West Trenton, New Jersey corporate office, the QC & Compliance Associate is responsible and accountable for conducting complete and thorough reviews of medical bills and participating in targeted compliance and process audits to support the department. This role also supports the MSA QC Supervisor in completing compliance c...
Worker's Compensation Paralegal
NJM Insurance Group - Trenton, NJ
We are looking for a Workers' Compensation Paralegal who thrives in both a collaborative and independent environment; where diversity within their team and organization is valued. The ideal candidate is one who seeks opportunities to advance development, proactively shares knowledge and expertise and is receptive to new ideas; someone who can demonstrate flexibility in their rol...
Vendor Management Analyst
NJM Insurance Group - Trenton, NJ
Reporting to the designated Administrator, the Vendor Management Analyst (IT Contracts) is responsible for creation, execution, and maintenance of vendor and contract relationships. This role will own the Vendor Management relationship and contract process from initiation to termination. The Vendor Management Analyst (IT Contracts) will also be responsible for developing and maintaining busi...
Business Technical Analyst
NJM Insurance Group - Trenton, NJ
Business Technical Analyst Location: NJM - West Trenton Description NJM's Administrative Services department is seeking a Business Technical Analyst to join its Business Process Unit (BPU). This position will be responsible for representing the department on business and technology solution efforts, including participating in requirements elicitation, a...
Mail & Document Processor Associate
NJM Insurance Group - Trenton, NJ
At New Jersey Manufacturers (NJM), a top-rated insurance company, we are seeking a Mail & Document Processor, Associate in our West Trenton office. This role does require working in the office. The Document Processor, Associate is responsible for, but not limited to, ensuring, and maintaining customer satisfaction according to company standards with regard to the timelines...
Claims Account Specialist (Workers' Compensation Claims) - West Trenton, NJ
NJM Insurance Group - Trenton, NJ
NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. T...
