- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... a key member of Eisai's US Ethics & Compliance team , responsible for implementing the execution and evolution of...in Nutley, NJ (Tuesday Wednesday and Thursday). Key Responsibilities Lead the development and execution of the annual Ethics… more
- Eisai, Inc (Nutley, NJ)
- At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care ... interfaces with cross-functional teams and partners with the research HEOR field team in the execution of customer centric research activities and development of… more
- TYLin (New York, NY)
- …working collaboratively with project teams and external counsel as needed. + Build, lead , and mentor a dedicated legal team specializing in alternative delivery ... based in a major hub city where TYLin has strong operations or legal team presence (eg, Chicago, Toronto, New York, San Francisco, Vancouver - other cities will… more
- FlexStaff (Chappaqua, NY)
- …Number** 168166 Claims Management Specialist Are you a seasoned medical insurance professional with a passion for leadership and operational excellence? ... your chance to make a meaningful impact! Join the team and lead a dedicated group of...Qualifications: - Minimum of 3-5 years of experience in medical insurance billing and claims management, with… more
- Axis (New York, NY)
- …and process improvements. This role will be responsible to the Agile value stream team lead , ensuring alignment with our Agile principles and goals. **What will ... culture. As a member of AXIS, you join a team that is among the best in the industry....request for candidates taking part in the selection process. ** Claims Business Analyst** **How does this role contribute to… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management Claims team is seeking a talented risk professional to support our rapidly growing and evolving corporate auto ... large transportation fleets. A day in the life * Lead strategy on complex auto claims , handling...compensation package, in addition to a full range of medical , financial, and/or other benefits. For more information, please… more
- Guardian Life (New York, NY)
- ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
- Walmart (Elmsford, NY)
- …up orders are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise identifying shrink ... helps to attract the best talent Respect the Individual: Works as a team builds strong and trusting relationships communicates with impact energy and positivity to… more
- Guardian Life (New York, NY)
- …accuracy/quality, call deflection) and track value realization with executive stakeholders. + Lead , mentor, and grow a high-performing team of data scientists; ... **Position Overview** ** Lead Data Scientist, Document Intelligence & AI Agents**...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate… more
- Axis (New York, NY)
- …entrepreneurial, disciplined and ethical corporate culture. As a member of AXIS, you join a team that is among the best in the industry. At AXIS, we believe that we ... taking part in the selection process. **Underwriting & Product Lead - US Media** **New York, Los Angeles** **Job...decisions, strengthening broker relationships, developing and leading a matrixed team of underwriters, all while owning the US Media… more
- The Cigna Group (New York, NY)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, ... NYC office two times per month._** The **Provider Contracting Lead Analyst** serves as an integral member of the...serves as an integral member of the Provider Contracting Team and reports to the Contracting Manager or Market… more
- CVS Health (New York, NY)
- …The Specialty Pharmacy AI team is seeking a highly motivated and experienced Lead Data Scientist to play a role in designing and executing AI solutions, with a ... Generative AI. The individual will serve as the technical lead for a portfolio of 3 to 5 AI...projects and will work in collaboration with a small team of talented data scientists to execute these projects.… more
- Guardian Life (New York, NY)
- As the **Dental Network Strategy & Delivery Lead ** you will be an integral part of the Dental Network Strategy & Strategic Partnerships team within the Group ... critical to the company's success and the Network Strategy team has been established to strengthen and monitor the...with leaders and key stakeholders across dental network, product, claims , service, finance and other business areas to pressure… more
- WTW (New York, NY)
- **Description** As a Health and Benefits Lead Associate you will contribute to a wide variety of complex projects involving the design, financing and ongoing ... health and benefits projects involving the design and management of group medical , dental, wellbeing, life, disability and absence management benefits for clients.… more
- Molina Healthcare (Yonkers, NY)
- …Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and collaborates ... **Job Summary** The Lead Analyst, Quality Analytics and Performance Improvement role...and Performance Improvement role will support Molina's Quality Reporting team . Designs and develops reporting solutions to assist HEDIS… more
- Molina Healthcare (Yonkers, NY)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... analytic / programming tools. + Coordinates and oversees report generation by team members and distribution schedule to ensure timely delivery to customers, ensuring… more
- Mount Sinai Health System (New York, NY)
- …healthy and out of the hospital. Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount Sinai. The team includes 400+ employees ... analytics, operations, and product development expertise. The Managed Care Contracting Team within MSHP is responsible for the negotiation, implementation and… more
- Molina Healthcare (Yonkers, NY)
- …and opportunities. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical ... support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,...reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments… more
- Axis (New York, NY)
- … of his/her direct reports. + Close collaboration with the Specialty Complex Claims team with regard to coverage disputes, including litigation and arbitration ... + Developing and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and… more
- Molina Healthcare (New York, NY)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the...support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost,… more
