- Merck & Co. (Rahway, NJ)
- …benefit plans, including its qualified and non-qualified pension and savings plans, health and welfare plans, and severance plans. - Responsibilities: A member of ... plan issues with respect to company-sponsored US, Puerto Rico and international health and welfare, pension, savings, life insurance, severance and disability plans,… more
- Eisai, Inc (Los Angeles, CA)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... you. Job Summary: The Area Business Leader (ABL) will engage with assigned health systems for Eisai's oncology portfolio and manage a team of sales professionals.… more
- Merck & Co. (North Wales, PA)
- …: - The Sr. Specialist ( SR ) will be an integral part of the Human Health Digital and Data Analytics (HHDDA) group. In this role, the SR will act as a strategic ... / analytical techniques in the role - - Experience working with pharmaceutical/healthcare claims , personal & non personal promotional data. - Minimum of 3 years of… more
- Eisai, Inc (Louisville, KY)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... about product access / safe administration by working with appropriate Health Care Providers. Complete ongoing clinical acumen and compliance training with… more
- Eisai, Inc (San Francisco, CA)
- …healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission. We're a growing pharmaceutical company that is breaking ... about product access / safe administration by working with appropriate Health Care Providers. Complete ongoing clinical acumen and compliance training with… more
- Merck & Co. (North Wales, PA)
- …of medical drugs and vaccines for the benefit of patients and global human health . Our Quantitative Sciences team uses big data to analyze the safety and efficacy ... claims of our potential medical breakthroughs. We review the...benefits include bonus eligibility, long term incentive if applicable, health care and other insurance benefits (for employee and… more
- Merck & Co. (North Wales, PA)
- …regulatory team meetings to ensure support for anticipated promotional messages and claims (aligned with marketing strategy) in clinical trial design and product ... BA or BS degree with an emphasis in science, health care or related fields.Preferred: Master's, PhD or PharmD...PhD or PharmD degree with an emphasis in science, health care or related fields.NOTICE FOR INTERNAL APPLICANTSIn accordance… more
- Merck & Co. (North Wales, PA)
- Job DescriptionResponsibilities:Utilize big data to analyze the safety and efficacy claims of potential medical breakthroughs.Review the quality and reliability of ... the right to require COVID-19 vaccinations for positions, such as in Global Employee Health , where the Company determines in its discretion that the nature of the… more
- Guardian Life (Harrisburg, PA)
- …Minimum 3 years insurance experience. + Direct Group Life and/or Supplemental Health claims experience strongly preferred. + Previous people leadership ... The **Group Supplemental Health & Life Claims Team Leader** will ensure accurate and fair review of claims , following plan provisions and guidelines. The… more
- Elevance Health (West Des Moines, IA)
- …III ( Health & Dental)** is responsible for keying, processing and/or adjusting health claims in accordance with claims policies and procedures. **How ... ** Claims Representative III ( Health & Dental)**...** Claims Representative III ( Health & Dental)** **Must be located within 50...you will make an impact:** + Participate in claims workflow projects. + Responds to telephone and written… more
- Prime Healthcare (Ontario, CA)
- …seeking new members to join our corporate team! Responsibilities TheVice President of Health Plan Operations and Claims is responsible for the development and ... to improve the quality and minimize process cost of Claims for all Prime Healthcare's self-insured Employee Health... Claims for all Prime Healthcare's self-insured Employee Health Plans. Through in-depth audit and review of … more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... providing world class service to external and internal customers. + Handle Accident & Health claims as part of the A&H team, handling claims such as A&D,… more
- AIG (Lenexa, KS)
- …skills and experience as a valued member of the team. Make your mark in Accident and Health Claims Our Claims teams are the proven problem solvers of choice ... claims experience of at least 5+ year(s) with exposure to Accident and Health claims , which include sickness and bodily type injury claims or any related… more
- USAA (Tampa, FL)
- …related to Centers for Medicare & Medicare Services (CMS) + Extensive experience working health claims and/or health insurance products with an insurance ... **Business Process Owner Senior** that will support Medicare Supplement Claims for USAA Life Company Claims Operations....Medicare Supplement Claims for USAA Life Company Claims Operations. This employee will report to the Life… more
- Elevance Health (Richmond, VA)
- ** Claims Representative I ( Health & Dental)** **Location:** Must live within 50 miles of the Mason, OH, Norfolk, VA, Richmond, VA, Grand Prairie, TX, Houston, ... IN, Atlanta, GA, Miami, FL, or Tampa, FL PulsePoints. The ** Claims Representative I ( Health & Dental)** is responsible for successfully completing the required… more
- Elevance Health (Roanoke, VA)
- **Title: Claims Representative I ( Health & Dental) - FHPS** **Location:** This position will work a **hybrid model (remote and office)** . The ideal candidate ... will live within 50 miles of our Elevance Health PulsePoint location at **602 S Jefferson St, Roanoke**...first 12 weeks of training. Start date: 1/6/2025.** The ** Claims Representative I** will be responsible for successfully completing… more
- LA Care Health Plan (Los Angeles, CA)
- …experience requirement. Demonstrated depth of knowledge and experience in processing Health Plan claims of a complex nature. Extensive experience ... Manager, Claims Job Category: Claims Department: ...(Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by… more
- Highmark Health (Pittsburgh, PA)
- …milestone reviews with the Delivery team. **A d** **eep understanding of the health ** **insurance** ** claims process** **will be essential** **.** This includes ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Senior...**Job Description :** **JOB SUMMARY** The Senior Product Manager, Claims will define the product strategy, vision, and value… more
- Humana (Indianapolis, IN)
- …locations** **with a potential in-office work requirement on occasion.** + 2+ years of health insurance claims experience, such as claims education, ... part of our caring community and help us put health first** Humana Healthy Horizons in Indiana is seeking... first** Humana Healthy Horizons in Indiana is seeking Claims Research & Resolution Professionals who are responsible for… more
- TEKsystems (Minneapolis, MN)
- …techniques to research and validate errors, isolate impacted claims , reprocess claims , and determine financial impact to members, health plans and/or ... benefit plans) will help them in this role. Skills: Claims , RxClaims, Pharmacy benefits, Health insurance, ...this role. Skills: Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst, Audit, support, analysis,… more
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