- Universal Health Services (King Of Prussia, PA)
- …of facilities. Position Summary: The Corporate Insurance team at UHS is looking for motivated Senior Program Manager - Claims to join our innovative team ... contribute to the maintaining of a rolling diary of claims . Essential Job Duties: + Maintain a rolling diary...Job Duties: + Maintain a rolling diary of 150-175 claims at any given time. + Work with Risk… more
- Bristol Myers Squibb (Trenton, NJ)
- …work and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Manager of Access Support Program Operations & Above ... product launches and additions into the BMS Access Support program . The Senior Manager will...contact, escalations, denials, coding, training, business reviews, staffing updates, program claims , invoices, and activity monitoring) +… more
- The Cigna Group (Philadelphia, PA)
- …personnel to support the business in ongoing claim operations. **Essential Functions** The Senior Manager of Claim Operations will oversee a team of 3-15 ... reducing total healthcare costs. Evernorth Accountable Care will be delegated select claims processing capabilities in certain geographic markets as part of its… more
- Takeda Pharmaceuticals (Exton, PA)
- …the best of my knowledge. **Job Description** **About the role:** Join Takeda as a Senior Manager , US Medical Ad/Promo Regulatory Review where you will serve as ... of proposed promotional and disease state materials. * May present to senior management, and present regulatory topics to cross-functional teams. * May serve… more
- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Project Solution Manager (Utilization Management) - Remote **Job Description ... IT, Claims and Clinical departments. This role will provide program expertise, project management planning, execution and reporting to individual project teams,… more
- PagerDuty (Trenton, NJ)
- …and sign-up for job alerts! PagerDuty is seeking a **Sr. Product Manager (Incident Analysis)** to join our diverse, customer-focused team! As **Sr. Product ... Manager ** , you will be part of the Incident...argue a viewpoint persuasively using data to support your claims . The base salary range for this position is… more
- Zurich NA (Philadelphia, PA)
- …role will be filled at either the Surety AVP Underwriting Officer OR VP, Senior Underwriting Officer. The hiring manager will determine the appropriate level ... Surety AVP Underwriting Officer OR VP, Senior Underwriting Officer 104776 What can go right...successful in your career + Experience a customized training program dedicated to those new joiners outside of the… more
- Crawford & Company (Philadelphia, PA)
- …We Touch Position Summary * Great Work Life Balance! * Monthly Bonus Program ! * Free CEU's for licenses and certificates* License and national certification ... employer and physicians. + Maintains contact and communicates with claims adjusters to apprise them of case activity, case...one of the below: + Certification as a case manager from the URAC-approved list of certifications (preferred); +… more
- Trinity Health (Philadelphia, PA)
- …of cleanliness, per local, regulatory and THS standards. Keeps the General Manager informed of issues affecting program costs, service capabilities, ... Full time **Shift:** Day Shift **Description:** Responsible for supporting the General Manager in oversight of the day-to-day operations of the Regional Health… more
- NJM Insurance (Trenton, NJ)
- …(Ewing), New Jersey corporate office, The Personal Lines Insurance Product Development Manager (the formal NJM title is: Senior Associate Insurance Product ... Insurance Product Development Manager Position Reports To: NJM Product Director General...created position, you will collaborate with members of NJM senior leadership and Personal Lines State Managers on a… more
- J&J Family of Companies (Horsham, PA)
- …translate business needs into innovative advanced analytics solutions. The Engagement Manager will influence decision-making at senior levels, uncover ... Advanced Analytics, Engagement Manager - Oncology - 2306153123W **Description** Johnson &...returns across different promotional channels and teams based on program impact (eg return-on-investment) **Qualifications** **Experience and Skills:** +… more
- Bristol Myers Squibb (Trenton, NJ)
- …to every treatment we pioneer. Join us and make a difference. **Summary/Scope:** The Senior Manager - Immunology Access & Reimbursement, will be a field-based ... personal lives. Read more: careers.bms.com/working-with-us . **Position: Access & Reimbursement Manager - Houston, TX** **Location: Houston, TX** At Bristol Myers… more
- Genesis Healthcare (Philadelphia, PA)
- …compensation plans*Tuition, Travel, and Wireless Service Discounts*Employee Assistance Program to support mental health*Employee Foundation to assist financially ... job grade, location, and length of service.The Floating Business Office manager oversees all business office functions within an assigned territory. These… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …50 and rated A++ by AM Best. Duties Business Impact:The Summer Associates Program is PHLYs exclusive internship experience. It will require students (interns) to ... your department on the overall company and its success. Program Overview/Benefits: + Program runs June 3...presentation + Attend weekly department overview presentations delivered by Senior Leadership to gain knowledge of the company and… more
- Walgreens (Philadelphia, PA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... champion an "earn while you learn" Pharmacy Technician Training Program recognized by ASHP & Department of Labor. This...of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including… more
- Pfizer (Collegeville, PA)
- …role.** + Technical evaluation of pharmaceutical industry data sources including claims , EHR, specialty pharmacy, sales, and customer master data. Evaluations will ... with an understanding of business drivers. + **Strong Data and Information Manager ** : Understands and uses analytical skills/tools to evaluate new and current… more
- The Cigna Group (Philadelphia, PA)
- …internal and external partners to improve Cigna's Medicare Star Ratings. Reporting to the Senior Manager of Stars Data Science, the Data Science Analyst will ... Healthcare, performing research and analysis within the Medicare Stars program . This position is located within the Medicare Stars...analyze data including healthcare claims , clinical outcomes and Stars quality measures to make… more
- Walgreens (Philadelphia, PA)
- …the pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...in relation to pharmacy errors and the Quality Improvement Program . + Strictly adheres to the Walgreen Co. policy… more
- Prime Therapeutics (Trenton, NJ)
- …depth perception and ability to adjust focus **Reporting Structure** + Reports to Manager , Director or Senior Director in the Consulting Analytics department ... experience conducting complex analysis on enterprise level data sets of pharmacy, claims , medical, and/or financial data + Extensive experience with analytic tools… more