- Lincoln Financial (Trenton, NJ)
- …**Requisition #:** 74647 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... coaching and development to perform in this fast-paced environment. As a Claims Customer Care Associate , you will be responsible for answering claimants… more
- CVS Health (Trenton, NJ)
- …organizational, and interpersonal skills. + Previous experience with DG system claims processing. **Education** + Associate 's degree or equivalent experience ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... 25% in New Jersey_ Help us elevate our member care to a whole new level! Join our Aetna...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- CVS Health (Trenton, NJ)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... Eastern Standard Time (EST). Help us elevate our member care to a whole new level! Join our Aetna...advocate for themselves. The TOC team will review prior claims to address potential impact on current case management… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …Otsuka Precision Health is a health experience company that brings personalized care within reach through products and services for mental and physical well-being. ... **About This Role** We are seeking a strategic, entrepreneurial Associate Director to drive the evolution of OPH's connected...solutions that enhance peoples' lives, we also work to care for our teammates' professional and personal growth and… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** Responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintains ... detailed/accurate account documentation. Follow up on open claims thoroughly, accurately, promptly, and with all supporting documentation. Responsible for… more
- Travelers Insurance Company (Trenton, NJ)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to… more
- Evolent (Trenton, NJ)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both… more
- Walmart (Bensalem, PA)
- …are aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides ... you'll do ** How You'll Make An Impact: + Provide evidence-based vision care to ensure patients health and well-being by recommending and prescribing medications and… more
- Walgreens (Hillsborough, NJ)
- …pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Bristol Myers Squibb (Princeton, NJ)
- …in their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary** Associate Director, AI Innovation and Excellence, is a pivotal role with ... Familiarity with pharmaceutical data sources (eg, clinical trial data, real-world data, claims data, longitudinal data) + Proven track record applying AI to support… more
- Haleon (Warren, NJ)
- …control of. In an environment that we're co-creating. And a culture that's uniquely ours. Care to join us. It isn't a question. As a valued member of the innovation ... passion to give our customers and our consumers more. The Innovation Associate Manager will be responsible for developing new innovation platforms, product ideas… more
- J&J Family of Companies (New Brunswick, NJ)
- …https://www.jnj.com/innovative-medicine Johnson & Johnson's Innovative Medicine, is recruiting for an Associate Director of Oncology Data Science. You will report to ... computational science, outcomes research or related field in health care area. + A minimum of 5 years industry...Familiarity with healthcare relevant datasets, such as EHR, insurance claims or registry data. + Strong working knowledge of… more
- Walmart (Langhorne, PA)
- …Floor in accordance with Company policies and procedures by properly handling claims and returns, zoning the area, arranging and organizing merchandise, and ... digital tools to drive sales, improve the shopping experience, and elevate associate engagement; utilizing hand held technology to make immediate business decisions… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account ... + Perform other duties as assigned **Skills** + Insurance Claims + Medical Billing + Explanation of Benefits (EOB)...hourly rate dependent upon experience. $18.81 - $26.65 We care about your well-being - mind, body, and spirit… more
- Walmart (Langhorne, PA)
- …thinking You will make an impact by: * Ensuring high-quality products are taken care of and available for our members * Ensuring shelves are clean, maintaining ... area in accordance with Company policies and procedures by properly handling claims and returns; zoning the area; receiving and stocking merchandise; setting up,… more
- Walmart (Edison, NJ)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... company-paid life insurance **-Paid time off benefits** include PTO, parental leave, family care leave, bereavement, jury duty, and voting. You will also receive PTO… more
- Highmark Health (Trenton, NJ)
- …is responsible for assisting in the processing and investigation of non-complex health care claims to determine the legitimacy of claim charges. The incumbent ... services and charges; will monitor internal referrals from sources such as claims , customer service, Medicare C&D Compliance, and Fraud Hotlines; will alert… more
- Humana (Trenton, NJ)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized. All work occurs… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …Specialty Medicine products at different stages of development for a global health- care market. The specific duties assigned to the Director, Global Clinical ... research experience (as a general guideline, 1-3 years for Associate Director level; 3-6 years for Director and 6-9...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more