- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Humana (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to … more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- … will lead a small team of experienced employee relations experts who together solve complex problems on a regular basis. The Director is expected to stay ... **Job Summary** Otsuka Pharmaceutical Company is a global healthcare company with the corporate philosophy: "Otsuka-people creating new products for better health… more
- Humana (Trenton, NJ)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- Mount Sinai Health System (New York, NY)
- …in clinical, revenue cycle & encounter data models. + Extensive knowledge of healthcare /medical data such as hospital/physician claims , utilization data, and ... **Job Description** ** Director of Revenue Intelligence -Patient Financial Services- Corporate...preferred. + 7 years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …our focus to ultra-rare neurological conditions. **Job Summary** The Executive Director , Sales and Marketing, Neurology Rare Disease will be responsible for ... This role involves leading HCP and patient engagement, understanding the evolving complex journey to diagnosis, leading account teams, and aligning with the broader… more
- Evolent (Trenton, NJ)
- …Management** and **Product Management** , leveraging advanced analytics to solve complex healthcare challenges and support impactful decision-making that ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Pfizer (New York, NY)
- The ** Director , Patient Affordability Analytics** is responsible for leading and innovating data assets and strategies for the creation and measurement of Pfizer's ... patient affordability and copay programs. The Director will be integral in helping develop data and...affordability data/analytics platforms. + Display and implement knowledge of healthcare industry and trends that could affect Pfizer's patient… more
- Evolent (Trenton, NJ)
- …or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...+ At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider,… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- Evolent (Trenton, NJ)
- …rates, turnaround times, PMPM, trend drivers), with a working knowledge of healthcare claims and reimbursement methodologies. + Experience presenting actionable ... Be Doing: + Strategic Data Analytics & Insights: Lead advanced analyses of healthcare authorization, claims , membership data, and clinical outcomes to uncover… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- Otsuka is a global healthcare company that has been in business for more than 100 years driven by the corporate philosophy: "Otsuka people creating new products for ... research programs targeting various unmet specialty disease areas. The Executive Director , Compliance Program Optimization (CPO), will facilitate execution of the… more
- Merck (Rahway, NJ)
- … healthcare data, including but not limited to administrative claims , EHR/EMR, disease registry, and public-use databases. Develop machine learning algorithms ... are seeking a highly skilled and motivated Associate Principal Scientist/Associate Director with expertise in conducting outcome researching using real world data.… more
- Akumin (New York, NY)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- Humana (Trenton, NJ)
- …Medical Director (CMD) relies on medical background to review health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions regarding the appropriateness and… more
- City of New York (New York, NY)
- …for the City of New York, you will receive excellent benefits, including healthcare , vision benefits, dental benefits, as well as the opportunity to participate in ... York City Employees' Retirement System Membership and Service Division seeks a Deputy Director . Under the direction of the Membership and Service Director , the… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing ... Access, or payer experience + Thorough understanding and knowledge of US healthcare economics and the drivers of pharmaceutical demand, including pricing and… more
- J&J Family of Companies (Titusville, NJ)
- …Ph.D. is highly preferred. **Competencies:** + Proven experience working with healthcare claims , electronic health records (EHRs), and specialty pharmacy ... Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more
- Humana (Trenton, NJ)
- …to put those customers at the center of everything it does. The Director , Data Technology Solutions devises an effective strategy for executing and delivering on ... IT business initiatives. The Director , Data Technology Solutions requires an in-depth understanding of how organization capabilities interrelate across the function… more
- Bristol Myers Squibb (Princeton, NJ)
- …patient access to medications and treatment. As a key contributor, the Associate Director will lead complex and high-volume program launches and management ... their personal lives. Read more: careers.bms.com/working-with-us . **SUMMARY:** The Associate Director , PASS Program Strategy and Marketing will play a critical role… more