Cms jobs in Jersey City, NJ - Page 4Create job alerts

Claims & Appeals Specialist – Medicare/Medicaid. Must be able to pick up equipment and do first week of training onsite in the West Village- then it is remote after that!. Review, investigate, and adjudicate claims in accordance with CMS, DOH, and plan guidelines.

AWS Serverless Administrator supporting CMS, you will be trusted to work on multi-account AWS enterprise environments, interacting effectively with customers and development teams, and implementing new infrastructure solutions for emerging new requirements. Amazon Web Services (AWS) Serverless Ad...

Senior Manager - Product Management - Card Management & Security. As a Senior Product Manager on the Card Management and Security (CMS) team, you will be instrumental in not only further enhancing these modern payment solutions, but also innovating and ideating on new features and services that a...

Literacy in computer applications, Microsoft Suite; Excel required; knowledge of SQL, CIS, and other City oriented systems. CMS ensures and assists the practitioners of the office with the prosecution of crimes in Manhattan and beyond, including homicides, domestic violence, assaults, narcotics c...

We are seeking a dynamic and detail-oriented Compliance Operations Manager to support the Chief Compliance Officer (CCO) in managing and operationalizing the six core pillars of our Compliance program: Compliance Management System (CMS), Testing & Monitoring, Bank Secrecy Act (BSA), Product Advis...

Manage and enhance our marketing websiteexperience with modern, designer-oriented CMS platforms (we use Plasmic) is a must. Oversee and manage a part-time freelance designer to support smaller-scale production tasks, ensuring efficiency and consistency in design output. B2B fintech start-up in th...

So, it is our pleasure to announce that we are currently seeking a full-time candidate for the role of Case Manager Supervisor (CMS) to join our team! Veterans preferred for specific VA Shelter locations. CASE MANAGER SUPERVISOR TASKS:. Supervisor is someone primarily responsible for providing da...

As a CMS Product Development Manager (Associate), your role will involve creating worldwide cash management products, alongside local CMS products.

The New York County District Attorney's Office (DANY) has an opening for an Expeditor in its Case Management Services Unit (CMS). The Expeditor will be responsible for the coordination and processing of new arrests coming through the Early Case Assessment Bureau (ECAB).

A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina...

Using AMA Coding guidelines, CMS coding regulations, ICD10 coding rules and coding industry standards. Trains clinical providers on coding guidelines, ensuring compliance around clinical documentation, coding guidelines. Manage and respond timely to provider inquiries via the coding hotline to en...

Company Overview At Memorial Sloan Kettering (MSK), we're not only changing the way we treat cancer, but also the way the world thinks about it. We're treating cancer, one patient at a time. These include The Joint Commission (TJC), Centers for Medicare & Medicaid services (CMS), New York & New J...

Strong working knowledge of regulatory requirements including, but not limited to: The Joint Commission (TJC) Centers for Medicare and Medicaid Services (CMS) Conditions of Participation Association for the Advancement of Medical Instrumentation (AAMI) Association of Perioperative Registered Nurs...

The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data strategy and execution of CMS and internal audit activities. The analyst will be expected to investigate and connect disparate data sources, with the support of experie...

On a periodic basis participate and represent Facilities Operations on surveys by Joint Commission, CMS, Safety Rounds, etc. Works with the Senior Director / Director Facilities Operations to manage and resolve personnel, staffing and resource issues. Serves as the key interface between site admi...

Registered Dietitian Required (CMS requirement).

Job DescriptionResponsibilities: • Learn and integrate a trauma-informed, client-centered approach, using an anti-oppressive lens, into your work with clients. Identify when a client is experiencing trauma reactions and help client stabilize;, • Conduct emergency shelter intakes for site vacanc...

As we expand our library of expert car repair and maintenance content, we're seeking knowledgeable automotive writers to join us in building trust and empowering millions of drivers. Content tools: Familiarity with CMS platforms (e. A chance to shape content that reaches millions of drivers and s...

Quality Control & Editorial Standards: Work in tandem with the producer to rigorously fact-check all copy, conduct thorough quality control checks on audio, and ensure all final products meet FOX News Audio's stringent editorial guidelines and CMS requirements. Audio Production Experience: 2-3 ye...

You should have strong visual design skills combined with extensive technical knowledge of designing and maintaining an enterprise Webflow CMS, ensuring an intuitive user experience. Translate designs into high-fidelity Webflow builds that reflect brand guidelines and best practices. Stay current...

The RN Coordinator will investigate and respond to written and/or verbal clinical appeals, expedited clinical grievances and potential quality of care grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS (Centers forMedicare & Medicaid Services), and D...

Maintain a basic knowledge of CMS and 3rd party coverage as necessary to facilitate patient care flow along the continuum, assuring continuity of care. Knowledge of healthcare procedures; Counseling/advising skills ; Decision-making and problem solving skills; Interpersonal/human relations skills...

Serves as the key interface between site administrative and facilities operations staff regarding plant and MEP equipment issues. On a periodic basis participate and represent Facilities Operations on surveys by Joint Commission, CMS, Safety Rounds, etc. Ensures that all enterprise-wide processes...

Job Description Summary Job Description The Director of Programs for People with Intellectual Disabilities provides strategic, operational, and programmatic leadership for programs serving individuals with intellectual and developmental disabilities (I/DD). Reporting to the Senior Vice President...

Job DescriptionSalary: Job Title: IT Project Manager Health Plan / CMS Mandates Client Industry: Information Technology Location: Remote Job Status: Full-Time or Contract Summary: Our client is looking for an experienced IT Project Manager with a background in health plans and hands-...

Job DescriptionSalary: $110,000 - $140,000 Location:Remote Job Type: Full-time About Us! At Ready Computing, we specialize in data-centric IT solutions that help organizations across healthcare, supply chain, finance, and manufacturing optimize their technology and data strategies. With of...

Job Description THE ORGANIZATION The Center for Justice Innovation is a community justice organization that centers safety and racial justice. Since our founding in 1996, the Center has partnered with community members, courts, and the people most impacted to create stronger, healthier, more jus...

Job Description BronxWorks helps individuals and families improve their economic and social well-being. From toddlers to seniors, we feed, shelter, teach, and support our neighbors to build a stronger community. In all aspects of our work, we strive for the highest ethical and performance standar...

Job Description We are seeking an experienced Millwork and Fixture Project Manager to oversee the planning, execution, and completion of millwork and fixture projects. The ideal candidate will manage multiple projects simultaneously, ensuring quality craftsmanship, timely delivery, and cost effic...

Job Description Arizent is looking for a Client Program Manager, Demand Generation to join our team. This is a great opportunity for a proactive, organized project manager who thrives in a client-facing role and enjoys turning ideas into results. In this role, you’ll be the main point of cont...

Community Health Coach will conduct in-person care management visits to identify and provide appropriate interventions based on the psychosocial, environmental, and spiritual needs of the member. Community Health Coach will be knowledgeable in and adhere to CMS/DOH regulations and policies. The C...

Job DescriptionSalary: $6,500/month The Social Media Director is responsible for creating content, scheduling posts, and monitoring social media metrics. As the Social Media Director you will develop and champion the Okayplayer brand across Instagram, Facebook, Pinterest, Twitter, TikTok, and Yo...

Job Description Job Title: Sportsbook Promotions Associate Location: United States (Remote) Department: Sportsbook Revenue Operations Type: Full-Time - Contract About our Sportsbook: We’re defining what it means to build and deliver the most extraordinary sports and entertainment experiences. ...

Job DescriptionBenefits: • Competitive salary, • Dental insurance, • Employee discounts, • Health insurance, • Opportunity for advancement, • Paid time off We are looking for a versatile and detail-oriented Marketing Coordinator to oversee and execute various...

Job DescriptionREMOTE JOB& Departments -& Nephrology, Cardiology, Endocrinology, Health Plans, Federally Qualified Health Centers (FQHCs), and Hospitals.& About SciometrixAt Sciometrix, our goal is to deliver the best-in-class personalized care with utmost compassion enabling patients to lead hea...

We are seeking a Formulary Operations Pharmacist to lead operational support for Medicare Part D formulary management and utilization oversight.This role encompasses the strategic evaluation, seamless implementation, and ongoing maintenance of formulary systems while ensuring compliance with CMS ...

Experience with content management systems (CMS) and marketing automation tools is a plus Focus on measurable results, tying creative work to business outcomes like lead generation, brand awareness, and customer engagement Creative and strategic thinking to address complex challenges while adapti...

The position of Data Engineer in the Analytics and Reporting Department is responsible in managing encounter data submission to NYSDOH, CMS and other regulatory entities as responsibility includes troubleshooting EDI mapping issues, Encounter data reporting errors, monitoring Encounter Data Quali...

The New York County District Attorney’s Office (DANY) has an opening for an Assistant Supervisor in its Case Management Services Unit (CMS).In this position, the Assistant Supervisor is responsible for providing supervisory support to employees in Case Support Services.Responsibilities include bu...

HonorVet Technologies is seeking a travel nurse RN Infection Control for a travel nursing job in New York, New York. • Specialty: Infection Control, • Discipline: RN, • Start Date: 08/25/2025, • Duration: 8 weeks, • 40 hours per week, • Shift: 8 hours, days, • Employment Type: Travel Job Tit...

Experience with leading systems supporting international trade including:Enterprise Resource Planning (ERP), Global Trade Management (GTM), Customs Management (CMS), Trade Compliance, Export Documentation and Transport Management (TMS). Lead, International Trade Business Process Lead. Be a leader...

Adherence to the Official Coding and Reporting guidelines, AHA Coding Clinic determinations, and CMS and other regulatory compliance guidelines and mandates. Candidate must understand and be willing and able to assume roles and responsibilities other than these to meet the needs of MedReview Oper...

Job Description About the Role: Callen-Lorde Community Health Center is seeking an Associate Director of Behavioral Health to provide clinical leadership and operational oversight at our Bronx location. This role ensures high-quality behavioral health services, compliance with city, state, and f...

Codice Posizione: 2024-283-TO-SEOSEM. Software Partner Italia ricerca 1 SEO/SEM Specialist da inserire in un team di progetto presso i clienti della Società. Conoscenza almeno base degli strumenti di gestione dei siti internet (CMS) e delle tematiche SEO/SEM.

We are seeking a talented Grievance & Appeals Specialist who will be responsible for responding to written/verbal grievances, complaints, appeals, and disputes submitted by members and providers in accordance with NCQA, CMS, State, and other regulations.They will process appeals and grievances to...

Software Partner Italia ricerca 1 SEO/SEM Specialist da inserire in un team di progetto presso i clienti della Società. Conoscenza almeno base degli strumenti di gestione dei siti internet (CMS) e delle tematiche SEO/SEM. Codice Posizione: 2024-283-TO-SEOSEM.

Job Description The Safe Horizon DV Shelter Program provides safe and confidential spaces for DV Survivors and their children. We are committed to providing these services with empathy, compassion, professionalism, non-judgement, and respect. Our spaces respect survivors’ right to self-determinat...

Job Description Job Title: Assistant General Manager – Upscale Restaurant Job Summary: We are seeking a passionate and experienced Assistant General Manager (AGM) to join our leadership team at a high-end, upscale dining establishment. The ideal candidate will be a hands-on leader with a strong ...