- Travelers Insurance Company (Trenton, NJ)
- …for investigating, evaluating, reserving, negotiating and resolving assigned serious and complex Specialty claims . Provides quality claim handling ... case . + Work with Manager on use of Claim Coverage Counsel as needed. + Directly investigate each...and thus the technical expertise to evaluate severe and complex claims . + Able to make independent… more
- Evolent (Trenton, NJ)
- …with value-based care and programs - Preferred + Working knowledge of Medicare claims , episode and condition groupers, case /episode and risk adjustment, patient ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- MetLife (Bridgewater, NJ)
- …people) and includes responsibility over sales and broker data, underwriting, eligibility, case setup and billing. This involves a variety of data infrastructure. ... service teams. . Billing data: Support and expand the complex data ecosystem for billing data and extensive billing-related...and efforts. . Business growth: Support the sales, eligibility, case setup and billing areas to drive growth of… more
- J&J Family of Companies (Raritan, NJ)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... strategic decisions and RWE investments. **You will be responsible for:** Major responsibilities include leveraging deep industry expertise and gaining critical… more
- CDM Smith (Edison, NJ)
- …solicitations, teaming agreements, contracts, subcontracts and other agreements. * Resolving major subcontractor issues, including claims . * Advising division ... budget. * Overseeing the development of cost and pricing proposals for complex projects. * Developing pricing strategy and conducting cost negotiations for … more