- Merck & Co. (North Wales, PA)
- …omnichannel projects across the US, including the definition and execution of project scope, goals, and deliverables Responsible for the E2E program management of ... and managing program status dashboard for leadership Advance and share project -specific measurement plans, selecting KPIs and setting goals, targets and measurement… 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 ... including clinical development and safety evaluation.Collaborate with statistics and other project stakeholders in ensuring project plans are executed… more
- Merck & Co. (North Wales, PA)
- …Quantitative Sciences team uses big data to analyze the safety and efficacy claims of our potential medical breakthroughs. We review the quality and reliability of ... Research & Development (R&D) projects (data, analyses, tables, listings, figures)Strong project management skills; leadership at a program level; determines approach… more
- Trustmark (Trenton, NJ)
- … claims . + Fosters a culture of continuous improvement and innovation within the claims organization . + Works with Claims Compliance Liaison to ensure ... bring the best to our colleagues, clients and communities. Responsible for overseeing a claims processing organization . Ensures claims are processed in a… more
- Veterans Benefits Administration (Philadelphia, PA)
- …activities among team members Maintain program and administrative reference materials, project files and relevant background documents and make available policies, ... of documents necessary to facilitate timely processing of applications or claims . Assists veterans in completing applications for benefits. Approves and processes… more
- Guardian Life (Trenton, NJ)
- The **Team Leader, Absence Claims Management** is responsible for leading a team of Absence Management Case Managers to get results within their team and the ... organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- PPL Corporation (Allentown, PA)
- … cost, variances, and corrective actions. + Responsible for the management of project contracts including bid process (working with the Contract Management ... project scheduling, and project reporting **Preferred Qualifications** 1. Project management certification by a recognized organization such as the … more
- CVS Health (Blue Bell, PA)
- …accurate payment of provider contracts through **Health Rules Payor (HRP** ) a claims processing platform. As part of the Network Contract Validation team, you will ... contract setup against contract intent and evaluate the pricing performance of claims . Accurate provider pricing configuration is critical to claims … more
- Trustmark (Trenton, NJ)
- …benefits products (ie, sales, implementation and enrollment, underwriting, billing, servicing, claims ) using DMAIC, PDCA, etc. methods. Develop the approach and ... impacted departments/teams to plan and implement improvements. + Execute business process design and continuous improvement activities with the business to affect… more
- The Hartford (Philadelphia, PA)
- …restore lives of our insureds by providing excellent customer service to our Claims Partners and insureds. The Assistant Managing Attorney ("AMA") will join a ... and support staff. The selected talent shall regularly collaborate with our claims partners to provide excellent business outcomes, while also fostering The… more
- American Heart Association (Philadelphia, PA)
- …such as code book, Case Report Forms, Surveys, EHR queries and other data project documentation process . + Develop and implement guidelines to manage data ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- CVS Health (Blue Bell, PA)
- …for changes to improve the accuracy and efficiency of the monthly claims completion process + Proactively identify and communicate issues affecting ... highly motivated and experienced actuary to join our fast-growing organization . The actuary will be a key person on...actionable insights for our partners and our ACOs using claims and real-time data. + Build models to help… more
- Humana (Trenton, NJ)
- …systems, databases, and applications used within the Insurance domain. + ** Process Optimization:** Collaborate with stakeholders including claims adjusters, ... operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background… more
- Deloitte (Philadelphia, PA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- GAF (Trenton, NJ)
- …and measure the impact of technical training and process improvements across the organization + ... (CARE), Storm Restoration training focuses on educating contractors working insurance claims . A CARE Training Manager works with Marketing, Sales, and other… more
- Deloitte (Philadelphia, PA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
- Prime Therapeutics (Trenton, NJ)
- …collaborates with business partners across client facing divisions, product/ project management, analytics, operations, and IT to enable data-driven strategic ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
- The Cigna Group (Philadelphia, PA)
- …to assess risk, and presenting innovative solutions to the market. The management process will pull in dedicated leaders who drive the stop loss solution from ... direct accountability for stop loss operations, sales support, market interface, and project management. This role is accountable for earnings results and drives… more
- AON (Philadelphia, PA)
- …better to protect and enrich the lives of people around the world. As an organization , we are united through trust as one inclusive, diverse team, and we are ... business, cultivating relationships with senior-most client decision-makers in the client organization as well as with day-to-day client contacts. + Ensures overall… more
- Deloitte (Philadelphia, PA)
- …the power of hybrid services and products, and unlocking the power of Process Bionics to deliver sustainable and impactful solutions to our clients. We advise, ... relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific … more
