722 Jobs in Monroeville, New Jersey

Prime Healthcare Services

Regional Manager - Managed Care - SCDNNJ Admin-Corporate

Denville, New Jersey

Full Time

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Prime Healthcare Services

Dispatcher

Newark, New Jersey

Other, Full Time

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Quest Diagnostics

Medical Laboratory Scientist II- On Call- Blood Bank

Hackensack, New Jersey

Full Time

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Preferred Care, Inc.

Licensed Practical Nurse (LPN)- $500 Sign on Bonus

Newark, New Jersey

Part Time, Full Time

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Cloud Big Data Technologies

Phlebotomist II Part-Time

Plainsboro, New Jersey

Part Time

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SKECHERS

Retail Assistant Store Manager (Full Time)

Millville, New Jersey

Full Time

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Broadmead Medical Services Inc

K-12 Teacher - Elementary, Middle, High School Teacher

Newark, New Jersey

Full Time

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Broadmead Medical Services Inc

ON CALL RN

Galloway Twp, New Jersey

Full Time

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Prime Healthcare Services

Licensed Practical Nurse – LPN – Galloway

Millville, New Jersey

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Cloud Big Data Technologies

Position Details: AWS IoT Architect

Edison, New Jersey

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Prime Healthcare Services

Certified Case Counselor II - Infectious Diseases Clinic

Newark, New Jersey

Full Time

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Amsurg

Front Desk Receptionist

Oakhurst, New Jersey

Contractor, Full Time

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Uncommon Schools North Star Academy

RN - Shift Supervisor (Per Diem)

Browns Mills, New Jersey

Per Diem

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Tephra

Position Details: MES Functional Consultant-Internet of Things

Edison, New Jersey

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Uncommon Schools North Star Academy

Registered Nurse - Cardiac Cath Lab

Passaic, New Jersey

Full Time

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NexDine

Housekeeper / Laundry & Linen Technician- $500 Sign on Bonus

Voorhees, New Jersey

Full Time

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Elgen Manufacturing Company, INC

Prime Healthcare Services

Regional Manager - Managed Care - SCDNNJ Admin-Corporate

Denville, New Jersey

Full Time

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Overview

At Saint Clare's Health, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint Clare's Health is actively seeking new members to join its award-winning team!

Saint Clare's Health includes CMS 5-Star Rated hospitals and is an award-winning provider of safe, high quality, compassionate care, serving the communities of Morris, Warren and Sussex counties. Its network of hospitals and healthcare facilities include Denville Hospital, Dover Hospital, Behavioral Health Centers in Boonton, Denville, and Parsippany, and an Imaging Center in Parsippany, among other satellite locations. The hospitals have received multiple quality awards including Leapfrog “A” ratings for patient safety; Healthgrades recognition for orthopedic surgery, treatment of stroke, heart care, various surgical procedures, and more. For information, visit www.saintclares.com.

We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Responsibilities

Regional Manager, Managed Care is responsible for managed care contract management and payer relations. The Regional Manager will work on contract negotiations (language and rates); manage ongoing payer relationships; monitor regulatory, provider manual, and related process changes; maintain managed care infrastructure; assist in the measurement of payer compliance with contract terms; JOC management; and assist hospital, business office and physician group management in resolution of issues related to managed care agreements.

Qualifications

EDUCATION, EXPERIENCE, TRAINING 1. Bachelor of Business/health/management field or relevant bachelor’s degree2. Minimum of 3 years of contract negotiation/managed care experience at a healthcare provider or managed care company preferred.3. Analytical skills with emphasis on contract development, assessment and negotiation, financial analysis problem solving and project/time management.4. Excellent verbal and written communication skills

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