Top 3064 Plan manager Jobs in Princeton, Nj

Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ
Capital Health —Pennington, NJ
- $88,712.00 - $115,918.40 a year
- 8 hour shift
- Mid-level
- High school diploma or GED
- Analysis skills
- AD&D insurance
- Disability insurance
Warehouse Manager
Qiduo Innovation INC —Bordentown, NJ
- $80,000 - $100,000 a year
- Full-time
- Spanish
- Heavy lifting
- English
- Health insurance
- Dental insurance
Quick Apply
11d
Customer Experience Manager
Merola Tile —Manalapan, NJ
- $80,000 - $100,000 a year
- Full-time
- Mid-level
- Analysis skills
- US work authorization
- Paid holidays
- Health insurance
Quick Apply
6d
Programming Manager, Clinical Programming
Genmab —Princeton, NJ
- $117,840 - $176,760 a year
- Online Application
- Computer science
- Computer Science
- Writing skills
- Commuter assistance
- Paid parental leave
Operations Coordinator/Project Manager
Maniya Health: Primary & Urgent Care. Reimagined. —Township of Hamilton, NJ
- Full-time
- Private practice
- Urgent Care
- Primary Care
- Health insurance
- Dental insurance
Quick Apply
8d
Regional Manager
Diakon Logistics —Piscataway, NJ
- $90,000 - $110,000 a year
- Full-time
- Hybrid work
- Bachelor's degree
- Mentoring
- Warehouse
- Paid holidays
- Health insurance
Quick Apply
Strategy Manager
Burlington Stores —Burlington, NJ
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Paid holidays
- Disability insurance
Change Manager – North America
Haleon —Warren, NJ
- $135,712 - $186,604 a year
- Full-time
- Hybrid work
- Office
- Bachelor's degree
- Continuous improvement
- Paid parental leave
- Health insurance
Onsite Manager
Staffmark —South Brunswick Township, NJ
- $65,200 - $98,500 a year
- Microsoft Excel
- Mid-level
- 3 years
- Paid time off
- Opportunities for advancement
12d
Creative & Digital Project Manager
Inizio Medical —Yardley, PA
- $90,000 - $95,000 a year
- Remote
- Mid-level
- Leadership
- Communication skills
- Health insurance
- Paid time off
Service Manager
BEUMER Group —Somerset, NJ
- $115,000 - $125,000 a year
- Full-time
- Remote
- 5 years
- Mid-level
- Supervising experience
- Paid holidays
- Disability insurance
Quick Apply
Change & Release Manager
SHI International Corporation —Somerset, NJ
- $100,000 - $150,000 a year
- Full-time
- Bachelor's degree
- Travel
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Distribution Strategy Lead (174462)
Colgate-Palmolive —Piscataway, NJ
- $109,600 - $137,000 a year
- 6 years
- Bachelor's degree
- Travel
- Profit sharing
- Paid parental leave
RA Manager
Sandoz —Princeton, NJ
- $114,100 - $211,900 a year
- Full-time
- Hybrid work
- Writing skills
- English
- Office
- Health insurance
- Dental insurance
Registry Division Manager
Middlesex County —New Brunswick, NJ
- $65,000 - $85,000 a year
- Full-time
- 5 years
- Bachelor of Science
- Office
- Health insurance
- Dental insurance
9d
Sr. Facilities Project Manager
Rutgers University —Piscataway, NJ
- $108,670 a year
- Full-time
- Clean driving record
- 5 years
- Engineering
- Paid holidays
- Dental insurance
13d
Manager, Consumer & Brand Insights
Burlington Stores —Burlington, NJ
- $95,000 - $125,000 a year
- Full-time
- Microsoft Excel
- Marketing
- Office
- Paid holidays
- Disability insurance
Clinical Trial Liaison Manager
Recordati —Bridgewater, NJ
- $109,800 - $164,700 a year
- Weekends as needed
- Hybrid work
- 5 years
- English
- Mid-level
- AD&D insurance
- Paid holidays
TikTok Shop - Site Operations Manager
TikTok —Middlesex, NJ
- $102,600 - $143,640 a year
- Writing skills
- Mid-level
- 3 years
- Paid parental leave
- Paid holidays
Manager, , On & Off-Premise Account Lead - North & Central
Moët Hennessy —Edison, NJ
- $119,000 - $137,000 a year
- Weekends as needed
- Hybrid work
- Clean driving record
- 5 years
- Merchandising
- Commuter assistance
- Paid parental leave
12d

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Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ

Capital Health -
Pennington, NJ

Apply Now

Job Details

Full-time
$88,712.00 - $115,918.40 a year

Benefits

AD&D insurance
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance
Prescription drug insurance
Pet insurance

Qualifications

Contract management experience in healthcare
ICD-10
Data interpretation
Medical terminology

Full Job Description

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advanced technology. Capital Health is a dynamic health care resource accredited by the DNV that includes two hospitals, an outpatient center, satellite ED, and an expansive network of primary and specialty care. Capital Health Medical Group is made up of more than 600 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$88,712.00 - $115,918.40

Scheduled Weekly Hours:

Position Overview

Support Payor operations to enhance relationships and improve operational, efficiency with Commercial, Medicare, Medicaid and other insurance programs. Responsible for enhancing reimbursement, network access and reducing revenue cycle challenges.

MINIMUM REQUIREMENTS
Education: Bachelor’s degree in Accounting, Business or related field. A high school diploma or equivalent and additional years of experience may be considered in lieu of a formal Bachelor's degree.
Experience: Four years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a Bachelor's degree. Eight years of progressively responsible experience in payor contracting and payor relation activities when accompanied by a high school diploma or equivalent. Prior management experience is preferred.
Other Credentials:
Knowledge and Skills: Knowledge of contract management systems; strong analytical and interpretive skills. Possesses excellent organizational, interpersonal, verbal, and written communication skills, leadership and problem-solving skills. Ability to effectively manage multiple projects simultaneously and ability to respond quickly in a fast-paced environment.
Special Training: Familiarity with medical terminology, CPT and ICD-10.
Mental, Behavioral and Emotional Abilities:
Usual Work Day: 8 Hours
Reporting Relationships
Does this position formally supervise employees? Yes

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS
Maintains and enhances relationships with payors to improve efficiency of revenue cycle, contracting and working relations.
In collaboration with VP of Payor Relations, assist in preparation to develop positive relationships and effective communication channels with payors to improve operational relationships and resolve issues
Attends payor meetings to review operational issues. Maintain and communicate with payor outstanding issues and needs.
Participates and supports payor contracting negotiation strategies and implementation.
Collaborates with senior leadership to align payer strategies with overall organizational goals.
Provides support and guidance to leadership to monitor and report financial performance of assigned payor contracts versus expectations to assure achievement of negotiated rates
Develops and monitors KPIs to monitor payor performance. Assess payor contracts to identify challenges and opportunities to improve hospital reimbursement and operational efficiency.
Utilizes data and other KPIs to recommend strategies to optimize payor mix and reimbursement rates.
Monitors and manages payor contracts to assure payor adherence to contracted terms. Identify operational challenges with contracts and provides recommendations during contract negotiations.
Monitors and measures payor issues that impact Revenue cycle, Quality and Utilization Review.
Escalate, address and resolve issues and disputes with payers in a timely and effective manner.
Monitors changes in market trends, healthcare laws, regulations and clinical policies that impact payor contracts and relationships. Provide recommendations to address such issues.
Communicates and facilitates sessions on key contract and policy changes and communicates findings with leadership of the organization. Takes necessary action based on Leadership feedback.
Manages and oversees the contract amendments, policy changes, etc. on a timely basis so that CH has an opportunity to appeal the change according to the contract terms.
Notify payors of charge increase in accordance with contract terms.
Monitors existing agreements to assure new services/facilities are contracted for in-network participation. Notify payors of any new service line.
Performs other related duties as required or assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT
Frequent physical demands include:

Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl

Continuous physical demands include: Keyboard use/repetitive motion , Talk or Hear

Lifting Floor to Waist 20 lbs. Lifting Waist Level and Above 10 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Color Discrimination, Accurate Depth Perception, Accurate Hearing
Anticipated Occupational Exposure Risks Include the following: N/A

IND123.

This position is eligible for the following benefits:

Medical Plan
Prescription drug coverage & In-House Employee Pharmacy
Dental Plan
Vision Plan
Flexible Spending Account (FSA)

Healthcare FSA

Dependent Care FSA

Retirement Savings and Investment Plan
Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
Disability Benefits – Long Term Disability (LTD)
Disability Benefits – Short Term Disability (STD)
Employee Assistance Program
Commuter Transit
Commuter Parking
Supplemental Life Insurance

Voluntary Life Spouse

Voluntary Life Employee

Voluntary Life Child

Voluntary Legal Services
Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
Voluntary Identity Theft Insurance
Voluntary Pet Insurance
Paid Time-Off Program

The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining base salary and/or rate, several factors may be considered including, but not limited to location, years of relevant experience, education, credentials, negotiated contracts, budget, market data, and internal equity. Bonus and/or incentive eligibility are determined by role and level.

The salary applies specifically to the position being advertised and does not include potential bonuses, incentive compensation, differential pay or other forms of compensation, compensation allowance, or benefits health or welfare. Actual total compensation may vary based on factors such as experience, skills, qualifications, and other relevant criteria.

Apply Now

Refine Your Search

plan manager jobs in princeton, nj

Manager Managed Care Contracting and Payor Relations - FT - Day - Managed Care Pennington NJ

Warehouse Manager

Customer Experience Manager

Programming Manager, Clinical Programming

Operations Coordinator/Project Manager

Regional Manager

Strategy Manager

Change Manager – North America

Onsite Manager

Creative & Digital Project Manager

Service Manager

Change & Release Manager

Distribution Strategy Lead (174462)

RA Manager

Registry Division Manager

Sr. Facilities Project Manager

Manager, Consumer & Brand Insights

Clinical Trial Liaison Manager

TikTok Shop - Site Operations Manager

Manager, , On & Off-Premise Account Lead - North & Central

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