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50 Jobs in Woodbridge, NJ

  • Health Insurance Exchange Pharmacist - CarelonRx

    Elevance Health - Woodbridge, New Jersey
    ... , DIS, and formulary management. How you will make an impact: Lead Health Insurance Exchange formulary management processes. Responsible for all member, stakeholder, and provider ...
  • Commercial Formulary Pharmacist - CarelonRx

    Elevance Health - Woodbridge, New Jersey
    ... , and formulary management. How you will make an impact: Leads Commercial formulary management processes. Responsible for all member, stakeholder, and provider communications regarding ...
  • Population Health Management Pharmacist – CarelonRx

    Elevance Health - Woodbridge, New Jersey
    ... Population Health Management Pharmacist – CarelonRx Location: The ideal candidate ... , to deliver member-centered, lasting pharmacy care. The **Population Health Management ...
  • Director II of Account Management - Carelon Behavioral Health

    Elevance Health - Woodbridge, New Jersey
    ... insightful analytics to improve the delivery of care. The Director of Account Management will lead and ... : Provide Leadership and Strategic Direction: Lead account management teams to ensure business meets ...
  • Nurse Case Mgr II

    Elevance Health - Woodbridge, New Jersey
    ... **Responsible for care management within the scope of licensure for members with complex and chronic care needs ... management plan to address objectives and goals as identified during assessment. Implements care plan by ...
  • Provider Network Management Director (US)

    Elevance Health - Woodbridge, New Jersey
    ... Provider Network Management Director Location: This position will work a hybrid ... . The Provider Network Management Director develops the provider network by managing the ...
  • Nurse Case Manager II

    Elevance Health - Woodbridge, New Jersey
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs ...
  • Nurse Case Manager SR

    Elevance Health - Woodbridge, New Jersey
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs ...
  • Nurse Case Manager SR-1

    Elevance Health - Woodbridge, New Jersey
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs ...
  • Nurse Case Manager II

    Elevance Health - Woodbridge, New Jersey
    ... drive personalized health management and improve health outcomes for optimal consumers. Performs care management activities within the scope of licensure for members with complex and chronic care needs ...
  • Social Work Case Manager Sr

    Elevance Health - Woodbridge, New Jersey
    ... Managers and Management on the development, implementation, and progress of social work goals, and the ... and psychosocial self-management, develops strategies to support healthcare needs and implements plans ...
  • Nurse Audit Lead – Carelon Payment Integrity

    Elevance Health - Woodbridge, New Jersey
    ... Nurse Audit Lead – Carelon Payment Integrity Location: The ideal candidate will live ... , and prevent unnecessary medical-expense spending. The Nurse Audit Lead is responsible for ...
  • LTSS Service Coordinator-Auditor (Remote)

    Elevance Health - Woodbridge, New Jersey
    ... to, potential for high risk complications) are coordinated with the clinical healthcare management ... are appropriate. Documents audit findings, identifies issues and informs management ...
  • Investigator II

    Elevance Health - Woodbridge, New Jersey
    ... enforcement. May interface internally with Senior level management and legal department throughout ... procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred ...
  • Nurse Case Mgr I

    Elevance Health - Woodbridge, New Jersey
    ... evening shifts per month, 11:30am-8:00pm **Responsible for performing care management within the ... . Conducts assessments to identify individual needs and a specific care management plan to address objectives ...
  • Program Manager

    Elevance Health - Woodbridge, New Jersey
    ... . The Program Manager is responsible for the development and ongoing management of one or more ... facing experience in program/project management; or any combination of education and experience, which ...
  • Pharmacist Program Manager

    Elevance Health - Woodbridge, New Jersey
    ... pharmacy care. The Pharmacist Program Manager will lead initiatives to manage and optimize ... . This role is responsible for the holistic management of drug spend through proactive clinical program ...
  • Project Manager Sr.

    Elevance Health - Woodbridge, New Jersey
    ... medium size projects across business units, regions or the enterprise. Applying project management ... management methodology. Determines project scope; develops resource, risk, quality, cost, and scope ...
  • Process Improvement Director- Enterprise HEDIS

    Elevance Health - Woodbridge, New Jersey
    ... and minimum of 10 years of process improvement experience with planning, project management, business ... managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a ...
  • Network Management Rep - Dental Provider Data

    Elevance Health - Woodbridge, New Jersey
    ... Network Management Rep - Dental Provider Data Location: This position will work a ... Health PulsePoint locations listed on the requisition. The Network Management Rep provides ...
  • Account Service Coordinator - Northeast

    Elevance Health - Woodbridge, New Jersey
    ... administrator (TPA) of medical benefits, also providing medical management, human resource consulting, and ... submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are ...
  • Regional Sales Manager IS Lead

    Elevance Health - Woodbridge, New Jersey
    ... Regional Sales Manager IS Lead Location : The territory for this position is the ... /Morristown PulsePoint locations. The Regional Sales Manager IS Lead is responsible for serving ...
  • Strategy Consulting Manager

    Elevance Health - Woodbridge, New Jersey
    ... advanced analyses to uncover growth opportunities, provide recommendations to senior management, and ... opportunities and provides recommendations to senior management. Demonstrates thought leadership, team ...
  • CarelonRx Account Manager II

    Elevance Health - Woodbridge, New Jersey
    ... and a minimum of 2 years of related experience in account management, sales, or managing business ... , and Experiences:** Proven health insurance plans account management and client retention ...
  • Provider Contract/Cost of Care Analyst Senior-Analytics

    Elevance Health - Woodbridge, New Jersey
    ... analyst who will lead medical cost trend deep dives to uncover root-cause trend drivers and support ... analytic support to Medical Directors, contract negotiators and management on cost of care issues to help ...
  • Proposal Director Sr.

    Elevance Health - Woodbridge, New Jersey
    ... Proposal Director Sr. is responsible for leading the proposal management for multiple prime bids with ... proposal management artifacts such as proposal outlines, compliance matrices, win themes, and proposal ...
  • Stop Loss Actuarial Analyst III

    Elevance Health - Woodbridge, New Jersey
    ... prepares management reports Assists in training of actuarial trainees, analysts and specialists ... managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a ...
  • Provider Contract Analyst Senior

    Elevance Health - Woodbridge, New Jersey
    ... management on cost of care issues to help reduce costs without compromising quality of care. **How you ... property of Elevance Health. Who We Are Elevance Health is a health company dedicated to ...
  • Provider Contract Analyst Senior

    Elevance Health - Woodbridge, New Jersey
    ... management on cost of care issues to help reduce costs without compromising quality of care. **How you ... property of Elevance Health. Who We Are Elevance Health is a health company dedicated to ...
  • Nurse Case Mgr II (US)

    Elevance Health - Woodbridge, New Jersey
    ... EST , Friday 11:30am-8:00pm EST **Responsible for care management within the scope of licensure ... individual needs and a specific care management plan to address objectives and goals as identified during ...
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