141 Healthcare Professionals jobs in Oradell

POSITION SUMMARY:

The Healthcare Navigator is responsible for providing eligibility and enrollment assistance for the Medicaid, CHIP, and Federal Marketplace health insurance programs to patients of the health center and community residents.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• The Health Insurance Navigator will conduct outreach activities; and will provide education to existing health center patients and non-health center patients about affordable insurance options and Marketplace.
• Maintains expertise in eligibility, enrollment, and program specifications and conducts public education activities to raise awareness about the Marketplace.
• Assists individuals with enrollment applications and understanding of eligibility for individual plans.
• Stay abreast of regulatory guidelines and insurance plan eligibility, authorization, and system requirements.
• Resolves any remaining issues such as needing providing documentation to maintain eligibility or any enrollment issues with the health insurance companies and help them enroll.
• Collaborates with the Case Management team to create patient-centered communication to improve performance, reimbursement and streamline processes.
• Attends community outreach events, health fairs and informational forums as required by the organization.
• Assists in tracking enrollment metrics and patient payments.
• Monitor and efficiently reconcile electronic work queues.
• Provides support and assistance with financial reports, projects and audits as required.
• Act as a resource/point person for the registration and clinical support teams.
• Perform all duties as assigned.

QUALIFICATIONS:

• Required: Exchange Enrollment Facilitator Certificate or complete training within 30 days.
• 3+ years of Healthcare Insurance Enrollment experience preferred.
• Strong attention to detail
• Efficient with time management
• Excellent analytical and problem-solving skills.
• Proficient Microsoft Office skills, especially with Excel
• Complete all related training and certifications.

BENEFITS:

• 401(k)
• Health insurance
• Paid time off

SCHEDULE:

• Full-Time (5 days)
• Rotating weekends
• Work locations are subject to change.

Kenvue is currently recruiting for a:

What we do

At Kenvue, we realize the extraordinary power of everyday care. Built on over a century of heritage and rooted in science, we’re the house of iconic brands - including NEUTROGENA®, AVEENO®, TYLENOL®, LISTERINE®, JOHNSON’S® and BAND-AID® that you already know and love. Science is our passion; care is our talent.

Who We Are

Our global team is ~ 22,000 brilliant people with a workplace culture where every voice matters, and every contribution is appreciated.  We are passionate about insights, innovation and committed to delivering the best products to our customers. With expertise and empathy, being a Kenvuer means having the power to impact millions of people every day. We put people first, care fiercely, earn trust with science and solve with courage – and have brilliant opportunities waiting for you! Join us in shaping our future–and yours. For more information, click here.

Role reports to:

Location:

Work Location:

What you will do

The Senior Manager for US Oral Care Healthcare Professional is responsible for maximizing the company’s scientific leadership in the Oral Care Professional space. This leader will partner with Global, the US Listerine Brand team and multiple cross-functional partners to activate healthcare professional plans that align with the overall brand operating plans and ultimately drive business growth. This position is responsible for managing the strategic deployment and performance of the US Oral Care Professional Sales business.

Responsibilities

• Provide strategic leadership to cultivate an Oral Care Professional business model that ties to Listerine’s brand’s strategies and business objectives. Accountable for a holistic plan that leverages science, data and insights to engage with multiple HCPs audiences in a meaningful way across multiple touchpoints.

• Lead cross functional and Agency relationships (Creative AOR, Media Agency, etc.) to develop scopes of work, lead creative strategy deliver against business priorities and evaluate performance relative to brand objectives.

• Partner with US Consumer Professional Contracted Sales Organization (CSOs) to provide leadership, direction, and resource stewardship to the organizations field sales force. Lead and develop trusted relationships with 1 Sales Director, 5 District Field Managers, 1 Training Manager and 50+ Sales Reps. Collaborate to deliver strategic business priorities, sales guidance and ensure excellence in sales execution.

• Maintain comprehensive knowledge and understanding of current environment and industry trends, digital advancements, category and competitive analysis, stay abreast of latest competitive activities and sales.

• Manage brand budget and analytics to help deliver business objectives including Doctor recommendation growth and NPI goals.

• Lead Oral Care strategy and contracting with Dental Service Organizations (DSOs) and dental school partnerships.

• Plan and direct performance of 3 direct reports and several additional indirect reports; motivate employees, assist in goal setting, provide development opportunities and performance feedback, address issues and resolve problems.

• Maintain quality and compliance through timely training, strict compliance with procedures, exercising the highest integrity, embracing employee involvement and commitment to doing the right job the first time.

What we are looking for  

Required Qualifications

• A Bachelor's degree is required. 

• A minimum of 8 years experience in Healthcare, Pharmaceutical and/or Consumer Package Goods is required.

• Candidates must demonstrate critical thinking skills, have strong negotiation skills, be able to work in a team environment, and be customer/market oriented.

• Ability to work effectively within a fast-paced, rapidly evolving, highly complex, matrixed environment is required.

• High level of drive and commitment with a strong bias for action and prioritization is required.

• A proven track record to develop and deliver brand, marketing and customer strategies is required.

• A leader and team-builder that inspires followership across large, geographically dispersed teams is required.

• Ability to work closely with cross functional and other internal teams is required.

• This position requires up to 25% domestic travel.

Desired Qualifications

• A Master's degree is preferred.

• Experience in brand marketing management is preferred.

• People management experience is preferred.

• Ability to influence key partners with ideas that build value is preferred.

• Outstanding verbal and written communication skills, as well as demonstrated ability to work confidently and respectfully at all levels of an organization, both internally and externally is strongly preferred.

• Create & promote an agile, inclusive, people-first environment in the workplace is strongly preferred.

•  Proficient in a variety of applications (Excel, Word, Outlook, PowerPoint, Teams), and the ability to pick up new applications and processes quickly is strongly preferred.

#LI-SR1

What’s in it for you

Annual base salary for new hires in this position ranges:

This takes into account a number of factors including work location, the candidate’s skills, experience, education level & other job-related factors.

• Competitive Benefit Package*

• Paid Company Holidays, Paid Vacation, Volunteer Time & More!

• Learning & Development Opportunities

• Kenvuer Impact Networks

• This list could vary based on location/region

*Note: Total Rewards at Kenvue include salary, bonus (if applicable) and benefits. Your Talent Access Partner will be able to share more about our total rewards offerings and the specific salary range for the relevant location(s) during the recruitment & hiring process.

Kenvue is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on merit without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

If you are an individual with a disability, please check our Disability Assistance page for information on how to request an accommodation.

Our client is seeking a seasoned Senior Healthcare Planner to support strategic development and operational planning for their main campus, including a significant new building project. This is a high-impact role that sits at the intersection of healthcare delivery, facility design, and operational optimization. This is a hybrid position based in Westchester County, NY.

Starting at $160,000/year.

Senior Healthcare Planner 's Responsibilities and Duties:

• Lead campus-wide planning initiatives tied to ongoing construction and operational enhancements.
• Identify critical clinical and support functions and recommend improvements to workflows, space utilization, and patient experiences.
• Translate clinical and operational needs into actionable plans, collaborating with leadership, clinical stakeholders, architects, and construction teams.
• Present findings, proposals, and updates to senior leadership with clarity and confidence.
• Partner across disciplines to align physical space with long-term institutional goals.

• Deep experience in healthcare, preferably from a hospital, design/architecture, or consulting firm with healthcare clients.
• Background in planning, operations, or construction with a strong understanding of how healthcare facilities function.
• Demonstrated ability to drive process improvements in complex environments.
• Strong communication and leadership skills, with experience presenting to executives.

Looking for a Business Analyst with Healthcare experience. Location: Parsippany, NJ 5 Days Onsite Contract to Hire Requirement - BA with Healthcare (SME) Experience: Data collection and reporting, Strategic planning, Project leadership, and mentoring roles. Experience with EHR. Preferred Certifications: Certified Business Analysis Professional (CBAP)

Arete Technologies, Inc. offers a set of innovative Consulting and Outsourcing services, bridging the gap between requirements and outputs of various dexterous and facile companies worldwide. The thrust of providing global deliverables with focus on providing paramount and unsurpassed services combined with cost saving solutions to the clients.

We understand the business requirements in the present day corporate scenario and aspire to provide world-class services enabling the organization to burgeon and flourish while keeping the work-life balance intact. The Global delivery mechanism followed at Arete Technologies, Inc. saddles proficient schemas and unconventional channels to provide one-stop solutions for all your workforce needs.

Our team is an exquisite amalgamation of vast experiences of over 30 years in IT Consulting and Staffing industry. Connoisseurs in the field of staff augmentation for IT, we operate on 24 by 7 model with an aim of providing affordable and adept professionals with an assurance of satisfaction for both Consultants and Clients.

We are pre-eminent service providers in the field of staff augmentation, IT Consultancy, Software development, Web Development providing unexcelled services and focusing on both the employers and employees.

MUST HAVE:

Required Qualifications:

• Undergraduate Degree in IT, business management or healthcare-related field
• 7+ years of demonstrated experience as a Business Analyst
• 3+ years of healthcare data claim content experience. Must be familiar with claim structure data components and relationships
• 1+ years of experience working knowledge of administrative claims data and medical coding systems

Preferred Qualifications:

• Deep understanding of health care industry concepts (cost of care, health risk, quality of care, etc.)
• Familiarity with analytic grouping methodologies, including Symmetry ETG, ERG, EBM Connect, and DRG
• 5+ years working in a health care setting, preferably in a managed healthcare company
• Experience with statistical concepts
• Experience with project and/or product management and lifecycles
• Experience with Agile / Scrum and other SDLC methodologies

Local candidate only

Best Regards

Alka Bhatia

Apicha Community Health Center aims to improve community health by providing access to comprehensive primary care, preventive health services, mental health, and supportive services. The center is dedicated to delivering high-quality services that enhance the quality of life. It also advocates for and offers a welcoming environment for underserved and vulnerable populations.

Position Summary:

We’re looking for a compassionate, respectful professional full-time professional Healthcare Case Manager for our Jackson Heights location. The successful candidate will ensure the quality care of the Apicha CHC’s patients by promoting quality, and cost-effective outcomes. Provide case management services to children, families, and adults to ensure the services they receive are appropriate for their specific needs. A Healthcare Case Manager also works with the patient’s support systems to make sure care arrangements are in line with the needs of the patients with the input of the Care Team from multi discipline.

Job Responsibilities:

• Client Services and Direct Care – provide proactive primary case management to Apicha’s Primary Care Clinic including intake, comprehensive assessment/reassessment, and individualized care plan development to ensure access to medical care and other services including communication with Apicha multidisciplinary care learn at regular intervals to ensure patients have positive health outcomes.

• Work closely with the multidisciplinary care team, patient’s families/social support, and other services providers with interdisciplinary approaches at regular intervals to ensure patients have positive health outcomes conducting monitoring and evaluation of progress.

• Engage patients and families in developing positive, trusting relationships to healthcare.

• Help to manage emotional distress on the part of the patient or their family in resolving crisis situation. Use discretion and judgment when determining an appropriate course of action.

• Build and maintain professional relationship with patients, as well as business type relationship with outside service providers.

• Manage conflict, promote change and growth, and facilitate self-management of all patients.

• Provides clinic-based health education in conjunction with regularly schedules primary care visits.

• Obtain prior authorization for pharmacy and/or medical services as required by patient’s health insurance plan.

• Represent Apicha CHC to promote services and recruit patients specifically individual with low income and/or community of color including participate in events

• Collaboration and Services – use strong collaborative abilities to put together plans for patient care by working with patients and their families to discover their specific needs and coordinating with outside companies to ensure proper care.

• Identify, coordinate and link patients with additional services, e.g. specialty care, entitlements, mental health and substance use treatment, comprehensive case management, community follow-up case management, AIDS Drug Assistance Program (ADAP), as needed and report outcome to the multidisciplinary care team including timely follow-up.

• Response to telephone, e-mail, referral inquiries of services available at the Agency and other requests for information in timely manner.

• Work as a part of multidisciplinary care team and for continuous quality improvement (CQI) activities as a part of Department of Support Services.

• Communicates in a timely manner with the multidisciplinary care team (medical providers, therapist, patient’s legal guardian, psychiatrist, pediatrician, and other specialty case manager) about missed or rescheduled appointments and any special assistance required, i.e. interpreter, transportation, and/or cultural to ensure continuity of care.

• Participates internal and external meetings/trainings including assists as requested and appropriate.

• Compliance – maintains patient’s records in an updated (real-time), organized, and legible condition including completes and submits pertinent forms, reports, and summaries in a timely manner.

• Maintain accurate records of services rendered.

• Maintain accurate reporting in both electronic and paper record to ensure and meet all documentation and data reporting requirements of the center.

• Adheres to Apicha CHC policy and procedure as required that inclusive of NYC, NYS, and Federal requirements, as well as Apicha’ s Department of Support Services.

  Qualifications:

• Bachelor’s degree in related field (i.e., health, nursing, mental health, child and family studies, public health, or other human services fields) with 2 years of qualifying experience required. May consider bachelor’s degree in non-related field with 4 years of relevant work experience.

• Experience working with target populations strongly preferred. The target populations: including but not limited to: children and family, individuals with Serious Mental Illness, developmental disabilities, serious substance use disorders (SUDs), Individuals with high risk of or living with HIV/AIDS, chronic hepatitis, and other individuals with social needs.

• Fluency in Spanish or one of Asian languages preferred.

• Excellent written and verbal communication skills in English required.

• Ability to work effectively in both a collaborative as well as individual setting

• Ability to use and adapt to various applications (Outlook, Word, Excel, PowerPoint, eCW, eICARE, AZARA, HCS, MAPP, Healthix, PSYCKES, etc.) required.

• Excellent customer service skills to assist in resolving patients and/or providers concerns.

• Ability to work flexible hours including some evenings and weekends required.

• Ability to multitask and manage multiple projects in a stressful environment is strongly recommended.

At Apicha, we believe that serving the needs of our staff is just as important as serving the needs of underserved people of New York City as such we are proud to offer our team members a competitive employee benefits package which include 11 Paid Holidays, vacation and sick leave, Health Insurance Coverage, Flexible Spending Account, Life Insurance, Employee Assistant Program just to name a few.