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Remote Customer Service Jobs New Jersey
New Jersey Licensed Investigator II
effective investigation methods for individual cases Prepares and documents fraud cases, including evidence assembly for potential prosecution Required Qualifications, Training, and Education Bachelor's Degree required Minimum Company 2 years Company claims, customer...service, or relevant law enforcement experience required AHFI, CFE, or CPC certifications preferred In-depth knowledge Company health insurance operations required Working knowledge Company NJ Criminal and Civil Law relative to health insurance fraud preferred
New Jersey Licensed Pharmacy Specialist
regulatory turnaround times Required Qualifications: High School Diploma/GED required Minimum Company two (2) years experience as a Pharmacy Technician Preferred two (2) years experience in third party prescription program claim adjudication Prior customer...service experience required National Pharmacy Technician Certification (PTCB or ExCPT) required or a minimum Company 5 years relevant pharmacy experience
New Jersey Licensed RN
accurately and participate in quality improvement programs Required Qualifications: Associate's or bachelor's degree in nursing or a health-related field, or accredited diploma nursing school Minimum Company two years clinical experience Active unrestricted Company...Company Registered Nurse License Working knowledge Company case/care management principles and utilization management Basic knowledge Company healthcare contracts and benefit eligibility requirements
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New Jersey Licensed Account Manager
A company is looking for an Account Manager. Key Responsibilities Manage a portfolio of employer clients, ensuring regulatory compliance and alignment with client goals Conduct annual reviews and strategic planning sessions, providing insights on benefit optimization and compliance
New Jersey Licensed Pharmacy Specialist
A company is looking for a Pharmacy Specialist I. Key Responsibilities: Manage telephonic interactions regarding Pharmacy eligibility, coverage determinations, and claim issues Engage with healthcare providers to facilitate formulary compliance and optimize dispensing Process prior authorization
New Jersey Licensed Study Physician
A company is looking for a Study Responsible Physician (SRP). Key Responsibilities Contribute to the design and development of clinical trial protocols and related documents Review and approve protocol-specific deviation criteria and manage safety reporting Provide training to study monitors and
Remote Customer Service Agent
Company is looking to contract with qualified independent contractors who will provide customer support services....Jersey New York Niwot, Colorado Oregon Rhode Island St.
New Jersey Territory Sales Manager
A Company is looking for a Territory Sales Manager in New Jersey....Key Responsibilities Achieves new business production and profit objectives by managing agents in the assigned territory Terminates agents for lack of production or unprofitable results Increases the percentage of producing agents through training
New York & New Jersey Licensed Psychotherapist
A company is looking for a Senior Psychotherapist (LCSW) to provide remote mental health services in New York and New Jersey....York and New Jersey Active and unrestricted state license; willingness to obtain additional state licensure as needed Uphold HIPAA, state, and federal confidentiality laws at all times Strong desire to work with diverse populations, including the
New Jersey Licensed Mental Health Therapist
A company is looking for a Remote Mental Health Therapist (LCSW, LMFT, LPC, etc). Key Responsibilities Provide mental health care to clients through live sessions or messaging Manage cases, write client notes, and schedule appointments using the company app Utilize AI tools for session