- HomeSafe Alliance (Trenton, NJ)
- …as needed to ensure prompt recovery of claim expenses. + Work with the Director of Claims and Claims Managers to ensure any concerns or issues ... role is a remote opportunity responsible for ensuring the claim settlements meet or exceed customer expectations and comply...settlement practices, trends, or areas of concern to the Director of Claims . Responds to internal and… more
- Travelers Insurance Company (Trenton, NJ)
- …Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is ... related conferences and forums. **What Will You Do?** + Claim Strategy: + For specific national line of business...management of legislative and regulatory issues customer service and claim technical support. + Collaborates across Claim … more
- Ankura (Philadelphia, PA)
- …About Our Opportunity: Ankura's Construction Disputes & Advisory practice is seeking a Director to be based in our Philadelphia office. Directors typically possess 5 ... records + Analyzing financial statements and other pertinent documentation + Reconciling claim amounts to accounting systems and to insurers' calculations + Using… more
- Penn Medicine (Plainsboro, NJ)
- …living your life's work? Penn Medicine Princeton Health is hiring for a Director of Patient Safety. We are looking for someone recent/direct experience working with ... management. Experience in Performance Improvement/Quality will also be considered. The Director , Patient Safety reports to the Vice President and Chief Medical… more
- Sedgwick (Philadelphia, PA)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director **PRIMARY PURPOSE** **:** To expand and enhance the company's top ... towards, CPCU and/or ARM designation required. **Experience** Five (5) years of claim outsourcing relationship building in the MGA/MGU or Group Captive or Insurance… more
- Penn Medicine (Philadelphia, PA)
- …including but not limited to, self-pay collection rates, bad debt, charge lag, claim edits, and enrollment edits. The Associate Director Revenue Cycle Management ... day. Are you living your life's work? **Job Title:** Associate Director of Revenue Cycle Management **Department:** RAD-O-RBO-Data Admin **Location:** Centre Square… more
- J&J Family of Companies (Skillman, NJ)
- Director RA Dietary Supplements - 2407024953W **Description** Kenvue is currently recruiting for: Director , Regulatory Affairs, Dietary Supplements This position ... reports to the Senior Director , Regulatory Affairs and is based at Skillman, NJ...Dietary Supplement industry to shape internal product development & claims , ingredient review and labeling processes such that they… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- CVS Health (Trenton, NJ)
- …health programs and services to its membership. Aetna is looking for a medical director to be part of a centralized team that supports the Medical Management staff ... providers related to precertification, concurrent review, and appeal request. The medical director is a work-at-home position located anywhere in the US. The Medical… more
- Norstella (Trenton, NJ)
- Senior Director , RWD Analytics and Innovation Company: Citeline Location: Remote, United States Date Posted: Sep 13, 2024 Employment Type: Full Time Job ID: R-408 ... to patient. **The Role:** We are seeking a dynamic and visionary Senior Director of RWD (Real-World Data) Analytics and Innovation to lead real-world data special… more
- CVS Health (Trenton, NJ)
- …license without encumbrances and willing to obtain the other. In the Medical Director role you will provide oversight for medical policy implementation. You will ... timely and consistent responses to members and providers. **As a Medical Director you will focus primarily on overseeing utilization review / quality assurance… more
- Bedrock Care (Royersford, PA)
- Parkhouse Rehabilitation & Nursing Center is looking to add to our Dynamic Team! Director of Human Resources Salary: 58K - 62K Director of Human Resources Shift: ... off. + 6 paid holidays. + Career Advancement The Director of Human Resources is responsible for the overall...+ Responsible for filling out and maintain all unemployment claims + Prepares employee separation notices and related documentation,… more
- Evolent Health (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Senior Director , Partner Operations** The Senior Director , Partner Operations serves as ... the go-to expert on client priorities. **Collaboration Opportunities** The Senior Director , Partner Operations role also collaborates with internal teams as… more
- CVS Health (Trenton, NJ)
- …and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop, ... and interprets medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through the… more
- Taiho Oncology (Princeton, NJ)
- Associate Director , Outcomes Research & Real World Evidence Princeton, NJ, USA Req #389 Wednesday, September 4, 2024 Looking for a chance to make a meaningful ... Value Proposition: Join our growing Medical Affair team in the role of Associate Director , Outcomes Research & RWE. Your expertise will play a pivotal role in… more
- J&J Family of Companies (Trenton, NJ)
- Director , Health Economics and Market Access - Wound Closure and Healing and Biosurgery - 2406204292W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Wound Closure & Healing… more
- Merck (North Wales, PA)
- **Job Description** ** Director , Global Compensation and Benefits** The Director , Global Compensation and Benefits will be a member of a legal group that provides ... Coordinate and assist with all aspects of ERISA benefits claims /appeals and related litigation + Work with internal benefit...review committees to respond to severance, savings and pension claims and appeals + Assist with all employee benefits… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews cases of ... and complexity ranging from moderate to substantial. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare… more
- CVS Health (Trenton, NJ)
- …Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This role can be ... remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including… more
- dsm-firmenich (Princeton, NJ)
- Savory Portfolio Director Location: Plainsboro, NJ or Vienna, Austria Place of Work: Hybrid Is managing a product portfolio what you like to do? We have a vacancy ... that might suit you! Savory Portfolio Director oversees the management and optimization of a complex...a company where sustainability is much more than a claim and is core to our strategy and purpose… more