- VNS Health (Manhattan, NY)
- …strategies to reduce claim errors and payment delays. + Oversees the day-to-day operations of the claims processing department, ensuring adherence to established ... Experience: + Minimum of 5 years of experience in healthcare claims processing, payment integrity , or related field required + Proven leadership and team… more
- City of New York (New York, NY)
- …Revenue, and Enforcement Administration (IREA) is responsible for supporting the integrity of social services programs administered by the New York City ... Office of Revenue that houses SNAP-CR. They establish SNAP claims for the agency according to the Federal SNAP...Principal Administrative Associate III to function as an Assistant Manager who will: - Directly and indirectly supervise staff… more
- Molina Healthcare (New York, NY)
- Molina Healthcare is hiring for a **Program Manager - Payment Integrity /Prepayment Solutions Implementation.** This role is remote and can be worked from states ... will have the following experience-** + Knowledge of claims / claims processing. + Experience working within Payment Integrity and/or Prepayment solutions.… more
- VNS Health (Manhattan, NY)
- …is seeking a dedicated Manager , Grievance and Appeals (RN)to lead the daily operations of our grievance and appeals processes. You will play a crucial role in ... Relations, Claims , Medical Director, third party administrator, pharmacy benefit manager , to achieve resolution of appeals and grievances. + Ensures the accuracy… more
- RWJBarnabas Health (Somerset, NJ)
- Senior Manager - Somerset, NJReq #:0000193987 Category:Leadership Status:Full-Time Shift:Day Facility:RWJBarnabas Health Corporate Services Department:Managed Care ... Dr. Somerset, 379 CAMPUS DRIVE, SOMERSET, NJ 08873 Job Overview: The Senior Manager is a highly analytical health care finance professional with experience in… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Compliance Manager - Monitoring & Transparency Date: Apr 9, 2025 Req ID: 4392 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. ... device manufacturers with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation is comprised of… more
- Mount Sinai Health System (New York, NY)
- …in the process. * Proactively communicates with pharmacy site staff, revenue integrity operations staff, and insurance companies (both pharmacy benefit managers ... management to optimize the payment cycle for retail and specialty pharmacy claims . Ensure maintenance and understanding of the overall workflow of pharmacy accounts.… more
- Ankura (New York, NY)
- …Life Sciences sector in matters relating to compliance with the federal False Claims Act; Anti-Kickback Statute; Food Drug and Cosmetic Act; Department of Justice ... guidance; and international compliance standards governing pharmaceutical and medical device operations . You will be joining a team of industry experts with… more
- The Robison Group (Newark, NJ)
- …FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. Department Surveillance Employment Type Full ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- Entergy (New York, NY)
- …Category Management, Supplier Diversity, Supplier Sustainability), Tax, Finance, Operations , Risk Management, Safety, Legal, Continuous Improvement. **Key Tenants ... provisions and administer contract change orders in collaboration with the project manager and the change order process + Execute contract governance and provide… more
- L'Oreal USA (Berkeley Heights, NJ)
- …Corporate and eCommerce Analyst Division: CDMO Location: Berkeley Heights, NJ Reports to: Manager - Consumer Experience Governance Who We Are: For more than a ... other channels for potential reputational risks. + Collaborate with the CX Manager to address escalated corporate issues and ensure consistent messaging. + Manage… more
- Axis (New York, NY)
- …collaborating with a variety of stakeholders across the business such as Finance, Claims , Operations , Reserving and Risk Funding. This role will report into ... the SOX manager . **What will you do in this role?** +...experience with SOX is strongly preferred. + Demonstrate high integrity and the ability to maintain confidentiality + Be… more
- EFI Global (New York, NY)
- …technical proficiency, in-depth industry knowledge and commitment to professional integrity . Together, our diverse backgrounds and collective insights empower ... the activities of other internal departments such as information technology, operations and business development. + Coordinates client invoicing, audits and accounts… more