- 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
- Ace Hardware (Pittsgrove, NJ)
- …convenience & quality that you have come to expect from Ace Hardware. **Equal Opportunity Employer** Ace Hardware Home Services of New Jersey is committed to ... the monthly books according to company policy. Code invoices and sets up new accounts. Reconcile bank accounts at least monthly, verifies deposits, and addresses… 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
- Elevance Health (Wilmington, DE)
- …considered for employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of ... companies, Carelon Insights, formerly Payment Integrity , is determined to recover, eliminate...identification, and documentation purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside of… more
- Walmart (Philadelphia, PA)
- …according to company policies and procedures for different membership and payment types assisting members with transactions utilizing selfcheckout area Assists with ... of Member Frontline Service associates on company processes and procedures teaching new technology and tool functionality delivering new program rollout training… more
- Nelnet (Trenton, NJ)
- Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and ... positive line of communication (based on mutual respect, trust, integrity , and clear, honest and open dialog) to maintain...and issues. + Advocate for client needs, such as new features, services and programs needed to enhance the… 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
- Walmart (Philadelphia, PA)
- …refunds and exchanges using appropriate procedures for different membership and payment typesProvides Pharmacy products and services to Members in accordance with ... 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
- 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
- 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
- Curtiss-Wright Corporation (Aston, PA)
- …product lines. **Location:** Aston, PA **Salary:** $115,000 to $130,000 plus bonus opportunity _Please note that the salary range information provided is a general ... **Your Challenge** + Work with engineering, manufacturing and sales to develop new product specifications to address issues and enhance existing product(s) or… 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
- Humana (Trenton, NJ)
- …delivering actionable insights to evaluate program effectiveness. This is a unique opportunity to lead strategic decision-making on data modeling approaches and data ... models to attribute members to providers and evaluate program effectiveness for new value-based programs + Design and develop value-based programs to scale while… 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
- 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 (Williamstown, NJ)
- …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
