- 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
- 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
- Elevance Health (Wilmington, DE)
- …combination of education and experience which would provide an equivalent background. + ** Claims Auditor Senior :** Requires a HS diploma or GED and a ... ** Claims Auditor I, II and Senior **...or any combination of education and experience which would provide an equivalent background. + ** Claims Auditor… more
- JPMorgan Chase (Wilmington, DE)
- …and collaborating across one of the world's most innovative financial organizations. As a Senior Product Associate in Claims and Disputes, you contribute to the ... growth and career mobility. **Job responsibilities** + Partners with the Product Manager to identify new product opportunities that reflect the needs of our… more
- CVS Health (Trenton, NJ)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… 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
- RxBenefits (Philadelphia, PA)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Colliers Engineering & Design (Exton, PA)
- …a unique and collaborative workplace where you can succeed. We are seeking a Senior Project Manager who is passionate about sustainability. You will provide ... to scheduling, logistics, sequencing, cost, quality, and progress as well as negotiate claims and change orders. + Review and evaluate project related materials such… 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 (Chadds Ford, 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
- 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
- Cardinal Health (Trenton, NJ)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… 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
- 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
- Subaru of America (Pennsauken, NJ)
- …all incoming field reports including electronic Quality Monitoring Reports, claims , Technical Helpline cases, Customer Advocacy Department cases, District Service ... Quality Manager reports, 2/10 cases, and Key Retailer Contact Reports...cause behind the trend. Enters SBR Technical Reports to provide flag-up to SBR on newly identified quality trends.… 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
