- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients ... immigration support are not available for this position. The Senior Manager , Clinical Content Maintenance will serve...subject matter expert on CPT, HCPCS, ICD10CM coding and claims edit logic (including NCCI, LCDs, State Medicaid, MUEs,… more
- Ryder System (Trenton, NJ)
- …Director position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims ... property, and cargo claim. This position reports to the Senior Director of Claims and requires little...all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as… 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
- CVS Health (Trenton, NJ)
- …and strategies to customers in a consultative manner. The Senior Manager Analytic Consultant will: + Provide day-to-day oversight of customer-facing, ... with heart, each and every day. **Position Summary** The Senior Manager Analytic Consultant is an experienced...and actionable information. This role is responsible for medical claims and economics reporting and analytics for a book… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Senior Manager , Global Product Quality - Biologics is responsible for managing quality oversight of clinical and commercial products at CMOs under contract ... expectations and applicable GMP/GDP quality standards. This role will provide specialized Biologics Quality Assurance support, including oversight of upstream… more
- Danaher Corporation (Philadelphia, PA)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- Zurich NA (Trenton, NJ)
- VP, Senior Underwriting Manager - Programs 128905 Zurich North America is seeking a Vice President, Programs. We're looking for an inspiring leader to drive ... Program Administrators, agents, brokers, and customers, serving as a solutions provider . + Administer underwriting rules, insurance laws, and rating guidelines,… more
- Humana (Trenton, NJ)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …Development, Quality, Manufacturing, Global Regulatory Strategy). + Assess and provide regulatory strategy for CMC technical changes, process improvements, and ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- CVS Health (Trenton, NJ)
- …and every day. **Position Summary** We are seeking a highly skilled and experienced Senior Data Engineering Manager to lead and mentor our data engineering team ... position is open in a data engineering team that is responsible for processing Claims , Revenue, and Medicare Specific files and data from 30+ payors into our Data… more
- World Insurance Associates, LLC. (Philadelphia, PA)
- …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
- Walgreens (Voorhees, 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
- United Therapeutics (Trenton, NJ)
- …form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical ... audits, and driving corrective actions to completion. As a leader, you provide guidance and mentorship to your direct report, fostering precision, accountability,… more
- Utilities Service, LLC (Willow Grove, PA)
- **Description** **Job Title:** Sr. Retirement Analyst **Reports to:** Retirement Manager **Department:** HR Benefits **Location:** Willow Grove (Corporate Office) ... Retirement analyst will play a pivotal role in supporting the Retirement Manager to thoughtfully execute the Asplundh's complex and vast retirement offering… more
- IQVIA (Wayne, PA)
- ** Manager , Medical Affairs Strategy** **Overview** IQVIA is a leading global provider of advanced analytics, technology solutions, and clinical research services ... to superior client solutions as well as exceptional professional development. As a Manager , you will have the opportunity to directly address the most pressing… 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
- Comcast (Philadelphia, PA)
- …+ Provides and manages periodic investigation reporting to relevant senior stakeholders; + Designs and conducts employee trainings, including investigation ... and Security groups to coordinate investigative functions; + Facilitates employment claims through Comcast's alternative dispute resolution program; + Evaluates and… 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 (Warminster, PA)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Walgreens (Philadelphia, PA)
- …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
