- 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
- Trustmark (Trenton, NJ)
- …the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization. Ensures claims are processed in a timely manner ... in accordance and compliant with government regulations. Develops claims adjudication policies and procedures that maximize the accuracy of claims payments.… more
- Bristol Myers Squibb (Trenton, NJ)
- …at work and in their personal lives. Read more: careers.bms.com/working-with-us . **Summary:** The Senior Program Manager - Patient Access Support Services - ... patient contact, escalations, denials, coding, training, business reviews, staffing updates, program claims , invoices, and activity monitoring) + Manages… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pharmacist Account Manager - Remote in Raleigh, NC **Job Description ... products and services. Activities address impact on customers, operations, program integrity, pricing, quality, satisfaction, and outcomes. Develops and tracks… more
- Pfizer (Collegeville, PA)
- **ROLE SUMMARY** The Sr. Manager , Specialty Access Solutions is responsible for ensuring the quality and validity of data obtained from Pfizer contracted specialty ... in a compliant manner, these include: insights generation, field compensation, program performance calculation, SPP program performance, limited distribution… 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
- 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
- WSP USA (Philadelphia, PA)
- …of the client. This individual will be out of our Philadelphia, PA office. The Program Manager is a versatile senior leader who has demonstrated success ... levels of transit agencies. Your Impact + The Program Manager will be the senior...approving project change orders, amendments, change requests, and delay claims , including coordinating with the client's related departments. +… 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
- Bedrock Care (Philadelphia, PA)
- …Office Manager to ensure accuracy and compliance with Medicare Program guidelines. + Responsible for timely processing of each facility month-end closing. ... Regional Business Office Manager Full-time. Mon. - Fri. SNF Experienced Required...dedicated to providing compassionate and exceptional care to our senior residents. We are currently seeking a professional, energetic,… more
- Lincoln Financial Group (Trenton, NJ)
- …**Requisition #:** 73057 **The Role at a Glance** We are excited to bring on a Manager , Contracts to join our Group Protection Claims & Operations Team in one of ... Phoenix, AZ (Arizona); Work from Home _Background Details_ As the Contracts Manager , you will provide leadership, coaching and development to your team of… 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
- 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
- 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
- Walgreens (Wyncote, 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
- Ally (Trenton, NJ)
- …opportunities be, too? **The Opportunity** At Ally, every individual is a risk manager . In alignment with our risk culture, this position will ensure the appropriate ... ensuring applicable regulatory compliance, and preparing investigative reports for both senior leadership and FinCEN. * Utilize sound judgment and knowledge of… 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