- 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
- 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
- PPL Corporation (Allentown, PA)
- …**_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of the ... parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior...Manager position may be hired at the Intermediate, Senior or Lead level. Level offered will be determined… more
- PPL Corporation (Allentown, PA)
- …results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to… more
- PPL Corporation (Allentown, PA)
- …results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to… 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
- Zurich NA (Trenton, NJ)
- VP, Senior Underwriting Manager - Programs 128905 Zurich North America is seeking a Vice President, Programs. We're looking for an inspiring leader to drive ... Program Administrators, agents, brokers, and customers, serving as a solutions provider . + Administer underwriting rules, insurance laws, and rating guidelines,… more
- Humana (Trenton, NJ)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… 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 (Voorhees, NJ)
- …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
- PPL Corporation (Allentown, PA)
- …that support education, sustainability, and wellbeing. Overview The **Associate Project Manager ** is the single point of accountability for small to routine ... managers. Assignment may also include support of project leaders, project managers, senior project managers in support role to facilitate successful completion of… more
- United Therapeutics (Trenton, NJ)
- …form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical ... audits, and driving corrective actions to completion. As a leader, you provide guidance and mentorship to your direct report, fostering precision, accountability,… 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
- 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
- PPL Corporation (Allentown, PA)
- …Louisville Gas and Electric, Kentucky Utilities and Rhode Island Energy - provide an outstanding experience for our customers, consistently ranking among the best ... and leading teams in executing project plans. Guidance from Senior Project Managers or Project Managers would typically be...by the Project Leader for complicated projects. The **Project Manager ** position is the single point of accountability for… more
