- Prime Therapeutics (Trenton, NJ)
- …of that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Program Manager ( Claims Exp) - Remote **Job Description** ... The Senior Program Manager is accountable for leading and...to manage competing priorities and deadlines **Preferred Qualifications** + Claims experience (RxClaims) **Physical Demands** + Ability to travel… more
- CVS Health (Trenton, NJ)
- …by developing and implementing service strategies, managing a team of Claims Operations resources, monitoring service quality and performance metrics, resolving ... **What you will do** + Lead a team of Claims processors (approximately 20 employees) serving the Self-Funded segment...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Ascendis Pharma (Princeton, NJ)
- …to grow and develop their skills. Ascendis Pharma is looking to hire a Senior Manager , Contract Operations to join our team. Responsibilities will include ... demonstrating strong leadership, project management, and communication skills. As the Senior Manager , Contracting Operations, you will be responsible for… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Position Summary** The Senior Manager , Fleet & Samples Operations oversees the execution of field fleet logistics and pharmaceutical sample distribution. The ... day to day operations and issue resolution. Escalate issues as appropriate to senior management. + Proactively source and develop ideas to improve fleet program… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …+ Status Reporting: Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate political acumen, ... **About This Role** The BA/PrM shall partner with the Program Lead and Technical Lead to deliver the ...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CVS Health (Trenton, NJ)
- …day. **Position Summary** In this National Ancillary Team role, the Network Management Senior Manager will negotiate, execute, and conduct high level review and ... * Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or… more
- CVS Health (Trenton, NJ)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager Data Consultant plays a crucial role in the overall planning and ... and non-technical audiences + Experience with healthcare datasets including claims , providers, members, authorizations. + Advanced Excel skills including pivot… more
- Bausch Health (Bridgewater, NJ)
- …areas by utilizing knowledge of the Market Access landscape, PlanTrak data, Patient Claims data, and Formulary data. + Conducts analytics in Market Access space ... various industry data sources such as: IQVIA Rx and Claims data (xPonent, PlanTrak, FIA/LAAD) or Symphony Rx and...eligible for participation in either (i) our annual bonus program or (ii) a sales incentive plan. Benefits package… more
- Zurich NA (Trenton, NJ)
- …This role will be filled at either the AVP, Underwriting Officer or VP Senior Underwriting officer level. The hiring manager will determine the appropriate level ... AVP, Underwriting Officer Or VP Senior Underwriting Officer 118181 Zurich North America is...and 10 or more years of experience in the claims or underwriting support areaOR + Zurich approved Apprenticeship… more
- Zurich NA (Trenton, NJ)
- …role will be filled at either the Surety AVP Underwriting Officer OR VP, Senior Underwriting Officer. The hiring manager will determine the appropriate level ... VP, Senior Underwriting Officer 120961 Zurich is currently looking...successful in your career + Experience a customized training program dedicated to those new joiners outside of the… more
- Walgreens (Somerville, NJ)
- …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
- Walgreens (New Brunswick, NJ)
- …of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Code 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 regarding… more
- General Motors (Trenton, NJ)
- …Sales and Service Agreement. This review may include dealership practices relative to warranty claims and policy claims . These claims must comply with ... Specific responsibilities include: * Determining the compliance of these claims with the rules and policies * Constructing a...PREFERRED: * Wholesale field experience as a District Sales Manager , District Service Manager , Field Warranty … more
- Terumo Medical Corporation (Somerset, NJ)
- …State transparency reporting obligations, and measuring the effectiveness of the compliance program . The Senior Compliance Manager -Monitoring & Transparency ... wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Compliance Manager -Monitoring & Transparency, will support the Director… more
- BrightView (Hamilton, NJ)
- …you can grow to be your brightest. We're looking for a Regional Equipment Manager . Can you picture yourself here? The Regional Equipment Manager is responsible ... vendors, including on-site mobile maintenance service providers. + Support warranty claims , repair escalations, and issue resolution with dealers and manufacturers.… more
- Walgreens (Pennington, NJ)
- …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...Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager… more
- Walgreens (Monroe Township, NJ)
- …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
- Actalent (Bridgewater, NJ)
- …to job sites across New Jersey. + Work under the direction of a Project Manager to inspect beams, draw sketches, and create drawings. + Conduct site surveys and ... + Ability to communicate independently with clients. + Experience in insurance claims , site investigation, and root cause analysis. Work Environment The work… more