- NJM Insurance (Trenton, NJ)
- NJM is seeking a Workers' Compensation (WC) Claims Specialist (I/II/ Sr .) . This is a full-time position and offers a hybrid schedule after training with a ... can vary depending on start time). Responsibilities: + Ensure quality management of claims in accordance with...and WC regulations for PA, CT, MD and/or DE claims . + Sr Level - 5+ years'… more
- Trustmark (Trenton, NJ)
- …our colleagues, clients and communities. **About the role** This role is a dedicated training position for Claims that resides in the Knowledge Management & ... and minimum of 2 years of experience in handling claims appropriately in accordance with the corporate claim philosophy,...in the evaluation and coordination of process changes and training due to new workflows, automation and/or new products.… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Manager, Market Intelligence Date: May 22, 2025 Req ID: 4800 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: TIS Strategic ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Compliance Manager - Monitoring & Transparency Date: Jun 6, 2025 Req ID: 4392 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst, Indirect Date: May 28, 2025 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more
- Humana (Trenton, NJ)
- …a part of our caring community and help us put health first** CenterWell Senior Primary Care (PCO) is a growing provider organization that currently operates about ... 340+ senior focused primary care centers in 15 states. The...(related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Sr . Manager Quality Management System is responsible for monitoring the effectiveness of the GxP Quality Management Systems regarding CAPA, Deviations, ... metrics and KPIs periodically for reporting. Leads the local Quality Review Team to provide guidance and training...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CenterWell (Trenton, NJ)
- …**Key Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality , audits, and reporting. Manage ... community and help us put health first** As a Sr . Business Intelligence Engineer for CenterWell Primary Care, you...operations & BI reporting and a passion for data quality and process improvement. The ideal candidate will have… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Senior Health Outcomes Researcher - Remote **Job Description** The Health Outcomes Researcher ... focused on drug utilization, combined medical and pharmacy drug claims , with a view to the impact on patient...of Principal Health Outcomes Researcher, Principal Data Scientist, or Sr Dir Health Outcomes, define and document complex study… more
- Cherry Bekaert (Trenton, NJ)
- **Description** **Summary of Responsibilities:** The Senior Associate will work closely with the Cherry Bekaert FAO (Finance & Accounting Outsourcing) team, ... for our clients in the insurance, service and related industries. The Sr . Associate will also assist in an administrative project management capacity, spearheading… more
- United Therapeutics (Trenton, NJ)
- …practices, you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training , Communications and Policy will ... experiences. Detail-oriented yet creative, you balance policy management with innovative training strategies that resonate across all levels of the organization. You… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission ... considerable latitude in determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims… more
- Atlas (Burlington, NJ)
- …at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We're just built to be better. ... Description** Atlas is looking for someone to join our Legal Team as ** Senior Litigation Counsel (Engineering / Construction)** to be located in one of our… more
- CenterWell (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of ... Humana's Healthy Horizon Medicaid business. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues where the… more
- Endo International (Cranbury, NJ)
- …work to bring the best treatments forward. Our shared values of Integrity & Quality , Innovation, Drive, Collaboration and Empathy guide our team and enable us to ... everyone we serve live their best life. **Job Description Summary** The Senior Buyer/Planner, Production Planning is responsible for analyzing and responding to… more
- Humana (Trenton, NJ)
- … claims opened for processing and certifications issued. The Senior Installation Administration Professional work assignments involve moderately complex to ... of our caring community and help us put health first** The Senior Installation Administration Professional establishes and manages relationships with internal and… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements ... other than those directly employed by the organization. The Senior Finance Reporting Professional/ Analyst + Analyzes and forecasts...all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an… more
- Highmark Health (Trenton, NJ)
- …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …working with information security, compliance stakeholders (eg, privacy, compliance, quality ) and IT teams to ensure end-to-end protection and compliance ... industry standards like NIST CSF and 800-53. + Report to CISO and senior leadership on the effectiveness of the cybersecurity architecture and provide strategic… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …Omnichannel & Content Enablement -this leader ensures that insights, content, tools, training , and systems are aligned to business priorities and delivered with ... **2. Field Enablement** + Oversee the strategy and execution of field training programs, sales technologies, and operational support. + Manage infrastructure for… more