- Lyric (Newtown Square, PA)
- …references, specialty society guidance, industry trends and paid claims data, the New Opportunity Consultant identifies areas where claim overpayments may occur. ... **ESSENTIAL JOB RESPONSIBILITIES & KEY PERFORMANCE OUTCOMES** + Recommend new proposals for pre- payment claim edits to...nurse is a plus. + Current working knowledge of pre- payment editing and payment integrity .… more
- Lyric (Newtown Square, PA)
- …and internal partners to deliver services to Lyric post payment integrity customers. Responsibilities + Research new customer specific value opportunities; ... create SQL queries, analyze data; size opportunity and present potential value back to leaderships (40%)...further automation of repetitive tasks. (10%) + Support the payment integrity team in a variety of… more
- Lyric (Newtown Square, PA)
- …in ways that inform, advise, and influence adoption, ensuring clients strengthen their payment integrity programs while advancing Lyric's market impact and value ... and inform Lyric's clients. + Familiarity with affordability, claims operations, payment integrity , utilization management, medical policy and/or benefit policy… more
- City National Bank (Trenton, NJ)
- …regulatory requirements. * Collaborate with product management to identify enhancements and advance new payment ideas that align with client and market trends. * ... *SENIOR TECHNICAL SALES CONSULTANT - INTEGRATIONS/ PAYABLES* WHAT IS THE OPPORTUNITY ? We are seeking a highly skilled Senior Technical Sales Consultant -Payables… more
- Public Consulting Group (Trenton, NJ)
- …of funds and banking relationships to ensure seamless processing of payment programs and associated management of issues related to payments distribution ... and invoicing. + Provides strategic leadership related to new technology and advancements for paying and providing financial management services to various … more
- American Express (Trenton, NJ)
- …with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice ... to help them manage travel expenses and make purchases through proprietary payment solutions and expense management tools. The Vice President, US Acquisition is… more
- IQVIA (Wayne, PA)
- …Management both with direct clients and payees. + Identify and manage ** payment data related to claims, rebill, and manage overrides.** + Audit readiness ... **Liaison with pharmacies, PBMs, and health plans** to resolve payment discrepancies. + Educate providers on billing processes and...programs. + Identifies and monitors areas of risk and/or opportunity and their financial impact on the business. +… more
- Lumen (Trenton, NJ)
- …and shape the future. **The Role** This advanced role is responsible for producing new sales and growing brand awareness within a defined territory by selling the ... position, with limited field engagement, this role will target mostly new logo acquisition and development through well-supported sales and prospecting motions,… more
- JPMorgan Chase (Philadelphia, PA)
- …role, preferably within a technology company, and are seeking your next career opportunity . This is the team for you! As an I **mplementation Manager** within ... Product Management and Technical Operations by managing end-to-end implementation projects for new and existing clients in an effective and expedient manner to… more
- Norstella (Trenton, NJ)
- …promises that we can keep, and goals that push us to new heights. Our integrity offers us the opportunity to learn and improve by being honest about what ... leadership skills to effectively manage and grow the practice.Itoffers an exciting opportunity to build and expanda newconsulting practice, supported by data and… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …healthcare company with the corporate philosophy: "Otsuka people creating new products for better health worldwide." Otsuka researches, develops, manufactures, ... only be done by Otsuka. Every day is a new chance to invent and to create so that...and ensuring the highest standards of scientific and medical integrity . The incumbent will be responsible for the design… more
- University of Pennsylvania (Philadelphia, PA)
- …including purchasing, reimbursement, memberships, monitoring expenses, processing, and payment follow-up. Prepare appropriate paperwork and scheduling for all ... projects - purchasing, reimbursement, memberships, monitoring expenses, processing & payment . Processing Concur reimbursements, assisting with travel arrangements, scheduling… more
- Walmart (Willow Grove, PA)
- …refunds and exchanges using appropriate procedures for different membership and payment types Provides Pharmacy products and services to Members in accordance ... and feedback Complies with company policies procedures and standards of ethics and integrity by implementing related action plans using the Open Door Policy: and… more
- IQVIA (Wayne, PA)
- …**Adaptability & Learning:** + Demonstrated ability to quickly learn and master new , highly detailed, domain-specific knowledge (eg, Quality Payment Program) and ... from conception to ongoing maintenance, with a primary emphasis on ensuring data integrity , quality, and adherence to US healthcare standards. The goal is to deliver… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …and Commercial teams to ensure scientific alignment and appropriate integration of new evidence into educational content + Provide leadership and mentorship to team ... members and vendors to ensure high standards of scientific integrity , external experts and stakeholder (eg, KOL) experience and operational excellence + Create and… more
- CDM Smith (Philadelphia, PA)
- …ID:** 42017BR **Business Unit:** NAU **Job Description:** CDM Smith currently has a new opportunity for a Client Service Leader within our North Transportation ... Group to lead our Pennsylvania/ New York/ New Jersey transit practice. In this...core values of Excellence, Shared Commitment, Initiative, Teamwork, and Integrity . Knowledge and understanding of the consultant business model.… more
- St. Luke's University Health Network (Sellersville, PA)
- …departments to ensure excellent patient experience, clean claim submission, and payment for services. May require occasional travel between campuses or regional ... of patients in hospital information system to maintain the integrity and accuracy of electronic medical records. Identify and...Number, NPI and UPIN via appropriate website for all new provider entries for outpatient services to ensure results… more
- Walmart (Willow Grove, PA)
- …tools to process customer purchases using appropriate procedures for different payment types and items sold Receives and stocks merchandisesupplies from distribution ... developing and mentoring others recognizes others contributions and accomplishments Act with Integrity : Maintains and promotes the highest standards of integrity … more
- Walmart (Philadelphia, PA)
- …returns refunds and exchanges using appropriate procedures for different membership and payment types Sells Optical products and services by assisting Members with ... developing and mentoring others recognizes others contributions and accomplishments Act with Integrity : Maintains and promotes the highest standards of integrity … more
- Norstella (Trenton, NJ)
- …promises that we can keep, and goals that push us to new heights. Our integrity offers us the opportunity to learn and improve by being honest about what ... Explore emerging trends in NLP and LLM advancements, aiming to leverage new potential applications and improve existing systems. **Qualifications:** + Bachelor's or… more
