- Merck & Co. (Rahway, NJ)
- …are seeking a highly skilled and motivated Associate Principal Scientist/Associate Director with expertise in conducting outcome researching using real world data, ... patient level healthcare data, including but not limited to administrative claims , EHR/EMR, disease registry, and public-use databases. Develop machine learning… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …global ethics and compliance program. Relationships Reports to the Executive Director , Risk Insights & Management. Manages a team of compliance professionals ... knowledge and clear understanding of the Anti-Kickback Statute and False Claims Act, FDA rules and regulations regarding the promotion of pharmaceuticals,… more
- Lincoln Financial (Trenton, NJ)
- …#:** 74680 **The Role at a Glance** We are excited to bring on a highly motivated Claims Director to our Claims Organization! * As a Claims ... manage will oversee and ensure the fair, ethical and timely management of complex claims for your assigned area(s) of responsibility. You will also be directing and… more
- AIG (Jersey City, NJ)
- Job Description Casualty Coverage and Mass Tort Complex Director At AIG, we are reimagining the way we help customers to manage risk. Join us as a Casualty Coverage ... and Mass Tort Complex Director to play your part in that transformation. You'll...that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging… more
- Citizens (Cherry Hill, NJ)
- …career with exciting new challenges and opportunities to stretch yourself. As the Director of First Line Risk, you will represent the first line of defense ... of Risk Managers and/or Senior Risk Managers primarily supporting the Fraud and Claims line of business Qualifications: + 8-12+ years experience in Risk Management,… more
- NJ Transit (Newark, NJ)
- … Claims Admin + Director Risk Management & Insurance + Director Claims Management Education, Experience and Qualifications: + Bachelor's Degree and ten ... Chief of Risk Management & Claims Finance Job Description: Move forward with us!...up to the amount subject to the Board of Director approval amount, managing all claim reserves and determining… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Director of Patient Financial Services for Claims Management** provides management of ... Meridian Health (HMH) network. Provides management, coordination, and standardization of claims production and transmission for all payers in HMH hospital billing,… more
- Axis (Red Bank, NJ)
- …for candidates taking part in the selection process. AXIS is seeking a Senior Claim Director , Specialty Complex Claims to join our North America Claims team. ... This role will report the Head of Specialty Complex Claims . As a direct report to the Head of...a direct report to the Head of Specialty Complex Claims , you should possess the ability to handle and… more
- Atlantic Health System (Morristown, NJ)
- + Responsible for overseeing the claims function, ensuring the timely and proper disposition of all claims made against corporation, licensed professionals and ... claim through the resolution of the claim. Principal Accountabilities: Reviews new claims with in-house counsel regarding liability and management plan. + Engages in… more
- AIG (Jersey City, NJ)
- Job Description Casualty Coverage and Mass Tort Complex Director Estimated Travel Percentage (%): 10 to 20% Relocation Provided: No At AIG, we are reimagining the ... us as a Casualty Coverage and Mass Tort Complex Director to play your part in that transformation. You'll...that transformation. You'll work with some of the best claims and underwriting minds in the industry addressing challenging… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Associate Director of Commercial Data Science, CNS, will play a pivotal role in driving data-driven decision making to enhance marketing strategy ... and brand performance. The Associate Director will work closely with cross-functional teams, including Marketing, Commercial Operations and Market Access, to ensure… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical research ... global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following: + Consults...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …nutraceutical products for the maintenance of everyday health We are seeking a Director , Global Clinical Development (GCD) who will be responsible for the design and ... a global health-care market. The duties assigned to the Director , Global Clinical Development include the following: + Consult...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets ... the broader overall TA strategy determined by the Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Associate Director , Channel Strategy and Patient Affordability** The Associate Director , Channel Strategy and Patient Affordability reports to the Executive ... Director , Channel Strategy and Patient Affordability. The Associate ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …transform the health experience, one connection at a time, together. The ** Director , Digital Health Corporate Counsel** will be responsible for providing legal ... their business. The position will report to the Executive Director , Deputy General Counsel. The Director will...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Hunterdon Health Care System (Flemington, NJ)
- …clinical care. The Director will oversee all of the billing and claims submissions for all hospital based provided services to ensure that documentation and ... Position Summary The Director , HMG Hospital Based Services will support the...nephrology, hospitalists and other hospital-based departments as designated. The Director is responsible for ensuring that the appropriate level… more
- Abbott (Princeton, NJ)
- …of Care and the i-STAT System, please visit https://www.pointofcare.abbott . **Sr. Director , Global Strategic Marketing: A Unique Leadership Opportunity** As the Sr. ... Director , Global Strategic Marketing, you will lead our Global...establishing a pipeline of new product and novel product claims innovations, partnering with cross-functional colleagues to develop new… more
