- CHRISTUS Health (Lindale, TX)
- …CHRISTUS services. These services will be provided by monitoring cases and claims , analyzing biometric and health risk assessment data, organizing disease management ... programs and proactively interacting with members, physicians and other providers. Incumbent oversees integrated data warehouse including program utilization, disease management programs and contracted provider network support. Responsibilities: Oversee the… more
- Lyra Health (Lubbock, TX)
- …twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra ... Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions.About the RoleLyra is committed to addressing urgent and costly mental health needs with specialized support where it's needed most. Our Center… more
- Merck & Co. (Rahway, NJ)
- …analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization ... deliver measurable impact in commercial pharma landscape.Knowledge in mining medical claims , consumer data with a strategic/inquisitive mindset and proven record of… more
- Aequor (Golden Valley, MN)
- …The Certifications Specialist is responsible for assuring compliance of third-party claims and certifications. This Certifications Specialist position is a technical ... globally to support business needs. Key Accountabilities: Provide global claims and certification expertise and collaborate cross-functionally to leverage… more
- Merck & Co. (North Wales, PA)
- …as a deep technical understanding of Life Sciences data sets (eg, claims , electronic health records) and advanced modeling approaches. Using this expertise, this ... orchestration engines.Proven experience with Life Sciences data sets-such as claims data, electronic health records (EHRs), and prescription data.Strong expertise… more
- Formation Bio (New York, NY)
- …consistent, and actionable. You'll work across healthcare (EHR, claims , real-world data), commercial/pharma (pricing, formulary, market data), biomedical ... industries. Deep expertise in at least one data domain (eg, healthcare/EHR/ claims , commercial/pharma, biomedical/scientific, or finance), with a track record of… more
- Eisai, Inc (Nutley, NJ)
- …Code - Federal Food, Drug, and Cosmetic Act - Anti-Kickback Statute - False Claims Act - OIG/DOJ Guidance - Federal and State Transparency laws - Foreign Corrupt ... Practices Act Proven project management skills with the ability to prioritize and manage multiple initiatives Proficiency in Excel and PowerPoint; experience with Veeva, Concur, and CRM systems strongly preferred Excellent communication skills with the ability… more
- Aequor (Golden Valley, MN)
- …of lab testing. Results will be used, by our customers, to support claims listed on food labels. **This position involves potential exposure to common allergens ... including but not limited to milk, eggs, fish, shellfish, tree nuts, peanuts, wheat, soybeans, and sesame.** Key Accountabilities: Organize workload and prioritize samples to maximize output and meet deadlines. Execution of laboratory methods as written.… more
- Eisai, Inc (Nutley, NJ)
- …research studies. Experience in analyzing and collecting patient-reported outcomes, claims and EMR databases. Demonstrated ability to work collaboratively in ... and lead cross-functional teams.Leadership and people management experience is desirable. Expertise in the design and execution of HEOR studies, including the writing of protocols and analytic plans for prospective and retrospective studies.Application of… more
- Eisai, Inc (Atlanta, GA)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws).Experience networking, establishing, and maintaining strong business relationships across multidisciplinary matrix teams within Eisai.Sr. Area Business Leader- OncologyMinimum 5 years of sales management experience in a… more
- Eisai, Inc (Pittsburgh, PA)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer influence network, preferred.Experience in business analytics to understand and analyze… more
- buyer (New York, NY)
- …understanding of finance operations within a healthcare setting. Claims experience.Exceptional communication and stakeholder management skills.Proven ability ... to document complex workflows and translate technical concepts into plain language.Strong project coordination or project management background.Familiarity with training design and delivery is a plus.Preferred SkillsExperience in healthcare finance operations,… more
- Wegmans Food Markets (Gambrills, MD)
- …relationships and demonstrating patience, empathy, care, and compassionTroubleshoot rejected insurance claims and address issues to achieve the best outcome for ... customersFollow department processes and procedures to input information, dispense medication, and verify informationEnsure the department is running smoothly by assisting with tasks, maintaining appropriate inventory levels through ordering, and rotating and… more
- Wegmans Food Markets (North Wales, PA)
- …relationships and demonstrating patience, empathy and compassion Troubleshoot rejected insurance claims and address issues to achieve the best outcome for patients ... Follow department processes and procedures to input information, dispense medication and verify informationEnsure the department is running smoothly by assisting with tasks, maintaining appropriate inventory levels through ordering, rotating and stocking drugs… more
- Axis (Short Hills, NJ)
- …taking part in the selection process. About the Team AXIS is hiring a Claims Specialist - Primary Casualty for its North America Claim Team. This role involves ... managing primary claims for AXIS US Primary Casualty policies. How does...contribute to our collective success? The individual will manage claims by investigating, analyzing, and evaluating coverage and for… more
- Sedgwick (West Hills, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | West Hills, CA Are you looking for an opportunity ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on … more
- Sedgwick (San Diego, CA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE -California Exp Required) Are you looking ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Axis (Alpharetta, GA)
- …request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims Specialist to join ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management and handling expertise for both the oversight and… more
- Insight Global (Downers Grove, IL)
- Job Description Insight Global is seeking a Sr Claims Adjuster to support an established 3rd Party Administrator company out of Illinois. In this role, you will be ... investigating, evaluating, and resolving the most complex and high-exposure claims with minimal supervision. This includes determining coverage, assessing liability… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Complex Claims Advisor (REMOTE) **PRIMARY PURPOSE** **:** To develop targeted solutions and ... provide added technical guidance and oversight to commercial trucking auto claims and ensure matters are resolved optimally while creating a culture of continual… more
