- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …launch coordinators, order management specialists, and trade event planners. + Provide coaching, training, and performance oversight for direct and indirect reports. ... order fulfillment metrics, and event KPIs. + Regularly update senior management on launch progress, supply risk, and order...+ Work with accounting and finance to validate credit claims from customers regarding FTS and ensure FTS doesnt… more
- CVS Health (Trenton, NJ)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Trenton, NJ)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Axis (Princeton, NJ)
- …our North America Claims team reporting to the Manager of Casualty Claims . This position requires senior claims management and handling expertise for ... opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a… more
- Axis (Princeton, NJ)
- …specialized insurance sectors **What Will You Do In This Role?** + Serving as a Senior Claims Specialist focused on management liability claims within AXIS' ... opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We stand...The Management Liability team is an engaging team handling claims in a variety of financial lines. The strength… more
- CVS Health (Trenton, NJ)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- WelbeHealth (Trenton, NJ)
- … claims with errors back to the claims team for corrections + Provide feedback to the Oversight & Monitoring Manager on claims processing errors, ... senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to… more
- WelbeHealth (Trenton, NJ)
- … senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while serving as a care provider and care plan to those ... pivotal role in ensuring timely and efficient processing of claims for our contracted specialty provider partners....procedures, or other established quality standards + Work alongside manager to establish and maintain claims processing… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **Job Summary** As the Senior Manager of Process, Policy & Governance reporting to the Senior Director, Procurement Operations; your primary focus will be ... emerging business need and leadership requests **Stakeholder Engagement:** + Provide training and guidance to internal Procurement team and...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- BAYADA Home Health Care (Pennsauken, NJ)
- **POSITION SUMMARY:** The Senior Paralegal or Senior legal Analyst will be responsible for varied work assignments for the Legal Division, including but not ... legal research and policy support; incident management of in-house claims ; and assistance with third-party claims such...payor inquiries and regulatory investigations of any nature. The Senior Paralegal or Senior Legal Analyst collaborates… more
- World Insurance Associates, LLC. (Mount Laurel, NJ)
- …work, workflow, standard operating producers, and professional excellence standard. + Provide strong Employee Benefits technical expertise to clients and service ... collaborating with the team to resolve issues (eligibility, carrier coverage and claims issues, compliance; health care reform, HIPAA). + Lead the delivery of… more
- J&J Family of Companies (Titusville, NJ)
- …**Job Description:** Johnson & Johnson Innovative Medicine is recruiting for ** Senior ** **Director, R&D Data Science & Digital Health, Real-World Evidence (RWE)** ... and best practices to foster a scalable, data-driven culture. + Provide thought leadership in advanced methodologies (eg, comparative effectiveness, external control… more
- Cardinal Health (Trenton, NJ)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Trinity Health (Langhorne, PA)
- …will provide **POSITION PURPOSE** Functions as the Patient Services Manager responsible for the direct supervision of local RHM supervisors and/or staff ... (RHM) Food & Nutrition Services (FANS) Department. The Patient Services Manager is responsible for successfully coordinating and directing all activities within… more
- Fujifilm (Trenton, NJ)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Subaru of America (Pennsauken, NJ)
- …all incoming field reports including electronic Quality Monitoring Reports, claims , Technical Helpline cases, Customer Advocacy Department cases, District Service ... Quality Manager reports, 2/10 cases, and Key Retailer Contact Reports...cause behind the trend. Enters SBR Technical Reports to provide flag-up to SBR on newly identified quality trends.… more
- Cardinal Health (Trenton, NJ)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Job Description** **Key Responsibilities… more
- CenterWell (Trenton, NJ)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Trenton, NJ)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
