722 Jobs in Readington, New Jersey

Prime Healthcare Services

Regional Manager - Managed Care - SCDNNJ Admin-Corporate

Denville, New Jersey

Full Time

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Amsurg

OR Registered Nurse (RN)

Mountainside, New Jersey

Contractor, Full Time

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LVMH

Maintenance Supervisor 1st Shift DC Operations

Cranbury, New Jersey

Full Time, Contractor

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Deborah Heart and Lung Center

RN - Telemetry (4 Lesser)

Browns Mills, New Jersey

Full Time

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Tephra

Position Details: Big Data Cloud Architect-Digital / Assurance : Big Data Testing

Edison, New Jersey

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Prime Healthcare Services

Nurse Practitioner - Infectious Diseases Clinic

Newark, New Jersey

Other

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KIPP OKC College Prep

Middle School Teacher: Newark, NJ

Newark, New Jersey

Full Time

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Uncommon Schools

Inspection and Service Coordinator

Pleasantville, New Jersey

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Broadmead Medical Services Inc

Subway Sandwich Artist

Hampton, New Jersey

Full Time, Part Time

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Elgen Manufacturing Company, INC

Position Details: Big Data Cloud Architect- Digital : Big Data Platforms

Edison, New Jersey

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DAVITA

Solaris and Storage System Administrator

Piscataway, New Jersey

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ZOLL Medical Corporation

Account Executive (Mortgage Consultant) - Jersey City, NJ

Jersey City, New Jersey

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Deborah Heart and Lung Center

RN - Telemetry (4 Lesser) Per Diem

Browns Mills, New Jersey

Per Diem

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Blueknight

Plant Operator

Gloucester City, New Jersey

Full Time

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RSMC Services,Inc

Systems Administrator Specialty Senior

Berkeley Heights, New Jersey

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KIPP OKC College Prep

Elementary School Teacher: Newark, NJ

Newark, New Jersey

Full Time

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Prime Healthcare Services

Patient Care Assistant - Med Surg

Passaic, New Jersey

Full Time

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Arrow Search Partners

Elementary School Teacher in Residence: Newark, NJ

Newark, New Jersey

Full Time

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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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