- Formation Bio (New York, NY)
- …curated data assets. You'll partner closely with domain experts in areas like claims , EHR, and biomedical research - ensuring their deep knowledge is translated into ... harmonization across healthcare and pharmaceutical datasets. Partner with domain experts ( claims , EHR, pharma, research) to align technical standards across diverse… more
- Everglades Equipment Group (Fort Myers, FL)
- …and other reports as needed May process warranty and/or product improvement claims including the computation of charges, submission and follow-up Other related ... duties as instructed by management Job Requirements Basic knowledge of accounting practices Ability to use standard desktop load applications such as Microsoft Office and internet functions Knowledge of office procedures General understanding of… more
- Lundbeck (Dallas, TX)
- …access and reimbursement, account management or relevant roles Experience in claims reimbursement, including billing and coding; managed care coverage processes and ... practices; distribution of specialty medications; andrelevant aspects of patient support programs Experience delivering educational presentations in person Strong problem-solving skills related to complex patient access challenges across payers, infusion… more
- Eisai, Inc (Nutley, NJ)
- …time management skillsExperience in the design and programming of claims analysis and observational studies is desirableEffective interpersonal skills; projection ... of professional image and credibility; teamwork oriented and inclusiveRecord of peer-reviewed publication of original work in HEOR is desirableEisai Salary Transparency Language:The annual base salary range for the Associate Director, Global Value & Access is… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …any outstanding credits are not treated as unclaimed funds and that related claims must be resolved directly with dispensing entities outside the formal dispute or ... complaint process Responsible for compiling, analyzing, creating and presenting 340B chargeback and MFP rebate reports and supports ad- hoc requests Supports changes and updates to Government Contracts & Operations department 340B and MFP administration work… more
- Formation Bio (New York, NY)
- …and understanding of modalities found within EHR datasets incl. Billing claims , lab results, visit notes, images Experience in biomedical feature engineering, ... eg variable transformations and derivatives You're fluent in SQL and Python, and you've built and maintained production-grade pipelines that support analytics, science, or operational workflows. You have hands-on expertise with modern data infrastructure,… more
- Eisai, Inc (Cincinnati, OH)
- …(eg, PhRMA Code; Federal Food, Drug, Cosmetic Act; Anti-Kickback Statute; False Claims Act, OIG/DOJ Guidance; Foreign Corrupt Practices Act; and federal and state ... transparency and disclosure laws) preferred.Demonstrated skills at building and maintaining professional relationships with key customers and others in the customer influence network, preferred.Experience in business analytics to understand and analyze… more
- Formation Bio (New York, NY)
- …to manage multiple law firms / global patent portfolios Experience drafting claims and prosecuting patents (with experience litigating / disputing patents as a ... bonus) Strong understanding of regulatory exclusivities and competitive intelligence Ability to operate independently from day one while building strong internal relationships What Sets You Apart: Experience with Chinese or JPAC pharmaceutical partnerships and… more
- AdaptHealth LLC (Roseville, CA)
- …is required. * Relevant experience in health care, insurance customer services, claims , billing is preferred. * Valid and unrestricted driver's license in the ... state of residence. AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual's race, color, religion, creed, sex, national origin, age, disability, marital… more
- Sedgwick (Shreveport, LA)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote **ARE YOU AN IDEAL ... are seeking a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team. The ideal candidate...ideal candidate will have at least 5 **years** of claims handling experience, with a strong background in New… more
- Sedgwick (Columbia, SC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Liability Claims Examiner | General Liability & Auto with BI experience | NY Licensing ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...needs. **ARE YOU AN IDEAL CANDIDATE?** To analyze **Liability** claims on behalf of our valued clients to determine… more
- Robert Half Management Resources (Nashville, TN)
- Description Our mission driven client is looking for a Medical Claims Manager to join their team in Nashville, Tennessee. In this contract role, you will handle ... auditing and reviewing pharmacy claims to ensure compliance and accuracy. This position requires...an exciting opportunity to apply your expertise in medical claims and insurance processes. Responsibilities: * Conduct comprehensive audits… more
- Sedgwick (Little Rock, AR)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Workers Compensation (REMOTE - Exp in : TN/AR/MS/KY/AL/GA/FL) Are ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**:** To analyze complex or technically difficult workers' compensation claims to determine benefits due; to work with high… more
- Sedgwick (Raleigh, NC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Adjuster Liability (REMOTE- Bodily Injury Exp Needed) "Telecommute Central and ... best brands? + Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. + Deliver innovative customer-facing… more
- Sedgwick (Houston, TX)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Commercial Trucking | Remote **PRIMARY PURPOSE** : To supervise ... operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor… more
- ICW Group (Orlando, FL)
- …why you want to be here! **PURPOSE OF THE JOB** The Manager of the Major Claims Unit leads a team of Major Claims professionals responsible for handling complex, ... high-value, and catastrophic claims . This role ensures operational excellence, delivery of optimal claim outcomes and reduction of financial exposure. The manager… more
- Sedgwick (Raleigh, NC)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability (REMOTE- Must be licensed, Bodily Injury Exp) **Must be ... workers compensation knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...**ARE YOU AN IDEAL CANDIDATE?** To analyze workers compensation claims on behalf of our valued clients to determine… more
- USAA (Phoenix, AZ)
- …what truly makes us special and impactful. **The Opportunity** As a dedicated Manager, Claims Operations you will lead and be accountable for auto, and other ... claims operations member service employees who are responsible for...understand how their work and contributions support the overall claims and Enterprise strategies. + Proactively identify opportunities to… more
- Sedgwick (Greensboro, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - Liability (REMOTE) Are you looking for an opportunity to join ... operation of multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor… more
- Adecco US, Inc. (Washington, DC)
- Adecco is assisting a local client recruiting for ** Claims Examiner Workers Compensation** opportunities in **Remote** . This is an excellent opportunity to join a ... in the door with a Company that inserts company selling points. If ** Claims Examiner Workers Compensation** sounds like something you would be interested in, and… more
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