- Insmed Incorporated (Bridgewater, NJ)
- …in HEOR research including burden of illness studies, patient evidence studies, medical claims and electronic health records database analyses, economic models, ... Director collaborates with key stakeholders across the company including Training/ Medical Excellence, Field-based/ Medical Outcomes Liaisons (MOLs)/ Medical… more
- Insmed Incorporated (Bridgewater, NJ)
- …subject matter expert including burden of illness studies, patient evidence studies, medical claims and electronic health records database analyses, economic ... team members and others across the company including market access, marketing, medical affairs, and clinical development to support Insmed's business needs. This is… more
- Insmed Incorporated (Bridgewater, NJ)
- …implements HEOR research including burden of illness studies, patient evidence studies, medical claims and electronic health records database analyses, economic ... collaborates with stakeholders across the company including market access, marketing, medical affairs, and clinical development to support Insmed's business needs.… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …progressively responsible, relevant experience; at least 3 years in pharmacy or medical claims , formulary analysis, contract analysis, rebate administration, or ... utilization management controls required In-depth knowledge of US healthcare systems & strong understanding of payer formulary concepts and processes required Ability to perform analysis; identify trends and insights; and translate into actionable insights… more
- Merck & Co. (North Wales, PA)
- …software packages.Programming expertise with electronic healthcare databases (electronic medical records and insurance claims ); efficiently manipulates ... large databases including complex data preprocessing, filtering, and manipulation; experience with sampling strategies for large databasesExperience working with coding systems such ICD-9, ICD-10, CPT, NDCUnix operating system experience; SQL experience;… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... regulatory needs, including sales and marketing, scientific exchange and other medical activities, monitoring, co-promotions, and FDA standards for a variety of… more
- Daiichi Sankyo, Inc. (Basking Ridge, NJ)
- …pharmaceutical therapies to improve standards of care and address diversified, unmet medical needs of people globally by leveraging our world-class science and ... Integrated Product Development Plans, Target Product Profiles and Target Product Claims , and presentation of product development plans and budget to internal… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... Contract Operations team ensuring timely and accurate review and processing of claims .Serve as a subject matter expert supporting internal and external business… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... sales and script data (DDD, NSP, Xponent, DataView, longitudinal patient data, claims data, etc.)A minimum of 10 years' experience in the pharmaceutical industry… more
- BioAgilytix (Durham, NC)
- …entities, including but not limited to workers compensation, unemployment claims , verification of employment, etc. Assists with the development, implementation, ... (HDHP with HSA; PPO), Dental Insurance, Vision Insurance, Flexible Spending Account ( medical ; dependent care), Short Term Disability | Long Term Disability Life… more
- Merck & Co. (North Wales, PA)
- …and serving as the promotional regulatory expert with marketing, legal, and medical teams to ensure that promotional practices are consistent with regulatory ... regulatory team meetings to ensure support for anticipated promotional messages and claims (aligned with marketing strategy) in clinical trial design and product… more
- LC Staffing (Kalispell, MT)
- …for the doctors and hygienist for efficient use of staff timeGather dental medical and insurance information from patientsCollect payment or file insurance claims ... on behalf of our patientsSubmit treatment plans, prepare claim forms and assist in payment resolution from third party payersPrepare billing statementsWork with AR accountsPost payments to patient accountsPrepare daily depositsGet in touch! Call or text ###… more
- Promise Healthcare (Champaign, IL)
- …approximately 1:8 telephone only (varies with the number of providers)Team-based care: Medical team includes a team of eight (physicians, NPs and PAs)Integrated care ... and PsychiatryPaid malpractice with 100% tail insurance covered through the Federal Torts Claims Act (FTCA)$2,500 CME ($2,800 with DEA) and 40 hours per year for… more
- Serco (Washington, DC)
- **Position Description** Serco is seekinga motivated Assistant Program Director for Medical Claims Review to join our talented and fast-paced Public Sector ... of corrective actions based on findings. The Assistant Program Director for Medical Claims Review would be responsible for management the medical and… more
- CVS Health (Tallahassee, FL)
- …and deliver solutions to make health care more personal, convenient and affordable. The Medical Claims Adjuster will review and adjust claims ; adjudicates ... resource materials to manage job responsibilities. Required Qualifications: + 2+ years Medical claims processing experience + Demonstrated ability to handle… more
- CVS Health (Lansing, MI)
- …and deliver solutions to make health care more personal, convenient and affordable. The Medical Claims Adjuster will review and adjust claims ; adjudicates ... dollar amount level on customer service platforms by using technical and claims processing expertise. * Applies medical necessity guidelines, determine coverage,… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… more
- Robert Half Accountemps (Novi, MI)
- …Stressful conditions may arise when workload becomes more demanding than normal. Requirements Claims Processing, Medical Claims Robert Half is the world's ... review process per approved client-specific telephonic scripts. * Track scheduled incoming claims documents for timeliness, as applicable (eg medical records;… more
- Robert Half Accountemps (Glen Allen, VA)
- … collections work. Responsibilities: * Assist the collections team in managing and processing medical bills * Handle medical claims with accuracy and ... inquiries * Process customer credit applications efficiently * Use skills in Medical Billing, Medical Claims , and Medical Collections to perform tasks… more
- Kelly Services (Glastonbury, CT)
- We are looking to hire a **Lead Medical Claims Specialist** to support our client in Glastonbury, CT. **Hours:** 11:30 am to 8 pm Monday to Friday **Pay:** $26+ ... and/or claims team. 2. Provides customer service and will processes medical claims for specific programs. 3. Processes or adjust medical insurance … more
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