- Novo Nordisk Inc. (Plainsboro, NJ)
- …global ethics and compliance program. Relationships Reports to the Executive Director , Risk Insights & Management. Manages a team of compliance professionals ... knowledge and clear understanding of the Anti-Kickback Statute and False Claims Act, FDA rules and regulations regarding the promotion of pharmaceuticals,… more
- Merck & Co. (Rahway, NJ)
- Job DescriptionThe Associate Director , Business Insights & Analytics will be responsible for developing and communicating data-driven and actionable insights that ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Merck & Co. (Rahway, NJ)
- …are seeking a highly skilled and motivated Associate Principal Scientist/Associate Director with expertise in conducting outcome researching using real world data, ... patient level healthcare data, including but not limited to administrative claims , EHR/EMR, disease registry, and public-use databases. Develop machine learning… more
- AIG (New York, NY)
- Join us as a Complex Claims Director - Cyber, Media, & Technology to grow your experience in Claims . Make your mark in Claims Our Claims teams are the ... with empathy and efficiency. How you will create an impact As a Complex Claims Director , you will be responsible for handling all aspects of complex first party… more
- Lincoln Financial (Trenton, NJ)
- …#:** 74680 **The Role at a Glance** We are excited to bring on a highly motivated Claims Director to our Claims Organization! * As a Claims ... manage will oversee and ensure the fair, ethical and timely management of complex claims for your assigned area(s) of responsibility. You will also be directing and… more
- AIG (New York, NY)
- …with empathy and efficiency. How you will create an impact As a Complex Claims Director for Miscellaneous Professional Liability, you will have the unique ... Make your mark in Claims Our Claims teams are the proven problem solvers of choice for clients, delivering consistent technical excellence and showcasing our… more
- NJ Transit (Newark, NJ)
- … Claims Admin + Director Risk Management & Insurance + Director Claims Management Education, Experience and Qualifications: + Bachelor's Degree and ten ... Chief of Risk Management & Claims Finance Job Description: Move forward with us!...up to the amount subject to the Board of Director approval amount, managing all claim reserves and determining… more
- AIG (New York, NY)
- …responsible for handling Employment Practices Liability with opportunity to handle Director & Officers Claims , identifying, investigating, and resolving multiple ... Join us as a Claims Analyst III to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven problem… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Hackensack Meridian Health (Edison, NJ)
- …to transform healthcare and serve as a leader of positive change. The ** Director of Patient Financial Services for Claims Management** provides management of ... Meridian Health (HMH) network. Provides management, coordination, and standardization of claims production and transmission for all payers in HMH hospital billing,… more
- Axis (New York, NY)
- …for candidates taking part in the selection process. AXIS is seeking a Senior Claim Director , Specialty Complex Claims to join our North America Claims team. ... This role will report the Head of Specialty Complex Claims . As a direct report to the Head of...a direct report to the Head of Specialty Complex Claims , you should possess the ability to handle and… more
- MTA (New York, NY)
- …OCIP provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst, Assistant Director and Deputy Director ; actively ... $74,000 -$86,000 HAY POINTS : 372 DEPT/DIV : Risk and Insurance Management SUPERVISOR : Deputy Director , OCIP LOCATION : 2 Broadway HOURS OF WORK : 9:00 AM - 5:30 PM… more
- Atlantic Health System (Morristown, NJ)
- + Responsible for overseeing the claims function, ensuring the timely and proper disposition of all claims made against corporation, licensed professionals and ... claim through the resolution of the claim. Principal Accountabilities: Reviews new claims with in-house counsel regarding liability and management plan. + Engages in… more
- City of New York (New York, NY)
- …Within AO, exists Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP guidelines to recover inaccurate ... supervise staff (PAAII, PAAI, Eligibility Specialist II) involved in Claims processing. - Monitor and distribute cases in the...all staff under direct supervision. - Represent the Executive Director and/or Division Director (in their absence)… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** The Associate Director of Commercial Data Science, CNS, will play a pivotal role in driving data-driven decision making to enhance marketing strategy ... and brand performance. The Associate Director will work closely with cross-functional teams, including Marketing, Commercial Operations and Market Access, to ensure… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …nutraceutical products for the maintenance of everyday health We are seeking a Director , Global Clinical Development (GCD) who will be responsible for the design and ... a global health-care market. The duties assigned to the Director , Global Clinical Development include the following: + Consult...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Job Description** Otsuka is seeking a Director , Global Clinical Development (GCD), who will be responsible for the design and oversight of clinical research ... global health-care market. The specific duties assigned to the Director , Global Clinical Development include the following: + Consults...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible for certain assets ... the broader overall TA strategy determined by the Sr. Director , Franchise Lead CNS Early Assets. **Position Summary:** The...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
