- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients ... immigration support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- CVS Health (Trenton, NJ)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Ryder System (Trenton, NJ)
- …Director position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims ... property, and cargo claim. This position reports to the Senior Director of Claims and requires little...all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as… more
- Zurich NA (Trenton, NJ)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Trenton, NJ)
- …and strategies to customers in a consultative manner. The Senior Manager Analytic Consultant will: + Provide day-to-day oversight of customer-facing, ... with heart, each and every day. **Position Summary** The Senior Manager Analytic Consultant is an experienced...and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book… more
- Danaher Corporation (Philadelphia, PA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- Humana (Trenton, NJ)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Zurich NA (Trenton, NJ)
- VP, Senior Underwriting Manager - Programs 128905 Zurich North America is seeking a Vice President, Programs. We're looking for an inspiring leader to drive ... Program Administrators, agents, brokers, and customers, serving as a solutions provider . + Administer underwriting rules, insurance laws, and rating guidelines,… more
- World Insurance Associates, LLC. (Philadelphia, PA)
- …work, workflow, standard operating producers, and professional excellence standard. + Provide strong Employee Benefits technical expertise to clients and service ... collaborating with the team to resolve issues (eligibility, carrier coverage and claims issues, compliance; health care reform, HIPAA). + Lead the delivery of… more
- Walgreens (North Wales, PA)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- United Therapeutics (Trenton, NJ)
- …form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical ... audits, and driving corrective actions to completion. As a leader, you provide guidance and mentorship to your direct report, fostering precision, accountability,… more
- IQVIA (Wayne, PA)
- …and forecast processes. + Presents budget and forecast analysis and presentations for senior management. + Responsible for ** claims reconciliations and claims ... . + Identify and manage **payment data related to claims , rebill, and manage overrides.** + Audit readiness and...a team. + Proven record of results working with senior management. + Strong project management skills and the… more
- J&J Family of Companies (Titusville, NJ)
- …**Job Description:** Johnson & Johnson Innovative Medicine is recruiting for ** Senior ** **Director, R&D Data Science & Digital Health, Real-World Evidence (RWE)** ... and best practices to foster a scalable, data-driven culture. + Provide thought leadership in advanced methodologies (eg, comparative effectiveness, external control… more
- IQVIA (Wayne, PA)
- ** Manager , Medical Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services ... to superior client solutions as well as exceptional professional development. As a Manager , you will have the opportunity to directly address the most pressing… more
- Trinity Health (Langhorne, PA)
- …will provide **POSITION PURPOSE** Functions as the Patient Services Manager responsible for the direct supervision of local RHM supervisors and/or staff ... (RHM) Food & Nutrition Services (FANS) Department. The Patient Services Manager is responsible for successfully coordinating and directing all activities within… more
- Fujifilm (Trenton, NJ)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Trenton, NJ)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- CenterWell (Trenton, NJ)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Warminster, PA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
