- Prime Therapeutics (Trenton, NJ)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Trenton, NJ)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- Deloitte (Philadelphia, PA)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Philadelphia, PA)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
- Deloitte (Philadelphia, PA)
- Senior Consultant, Operations and Technology Transformation, Guidewire Application Java Developer What we do Operations and Technology Transformation ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...2025 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring technical expertise to deliver… more
- HealthEdge Software Inc (Trenton, NJ)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- MetLife (Bridgewater, NJ)
- …a month for office meetings Key Responsibilities: * Conduct quality reviews of LTD claims of various complexity * Identify trends, root causes and quality gaps from ... and management regarding performance and quality standards * Partners with team and claims organization to develop criteria and standards in which to measure quality… more
- The Cigna Group (Philadelphia, PA)
- …- Required + Teradata and Databricks - Preferred + Ability to understand business operations requirements and translate them into technical applications + ... **Summary** The Part D Stars Business Analytics Senior Advisor will be...Advisor will lead development of data analyses utilizing pharmacy claims , clinical outcomes, and Stars quality measures to make… more
- Penn Medicine (Philadelphia, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... using data, the Data Scientist will provide statistical analysis of medical claims . This position will function to make significant contributions related to … more
- PPL Corporation (Allentown, PA)
- …bonds, or obtaining parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior management to ... force in the cities and towns where we do business , providing support for programs and organizations that empower...parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior… more
- Sedgwick (Philadelphia, PA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Zurich NA (Trenton, NJ)
- Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
- Jacobs (Philadelphia, PA)
- …company invested in you, your success and the global community - join us as a Senior Real Estate Manager. As a vital member of our People & Places Solutions team, ... through the US where we'll depend upon your expertise, intuition, and leadership. The Senior Real Estate Manager will provide direct support to Amtrak's Senior … more
- Evolent Health (Trenton, NJ)
- …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
- AECOM (Philadelphia, PA)
- …department is actively seeking a creative, highly talented attorney to support AECOM's operations in its East Region. This will be a hybrid position including a ... that may have an important bearing on the conduct of the organization's business + Work with management and staff to resolve pre-litigation disputes and potential… more
- Deloitte (Philadelphia, PA)
- …and Energy & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our ... What we do Operations and Technology Transformation delivers market leading expertise...solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems… more
- Prime Therapeutics (Trenton, NJ)
- …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
- Deloitte (Philadelphia, PA)
- …to clients to gain a competitive advantage by integrating tax strategy into their business operations while working within the confines of their individual risk ... Are you a senior tax professional who wants to specialize in...advisory services to clients in the insurance industry across business functions such as underwriting, claims , IT,… more
- Deloitte (Philadelphia, PA)
- …in the face of disruption. Our team is a diverse array of business strategists, operations experts, designers and technologists passionate about partnering with ... Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape,...are requiring new levels of rigor and insight in business strategy development and problem-solving, both domestically and globally,… more
- Dr. Reddy's Laboratories (Princeton, NJ)
- …+ You will be responsible for providing legal advice to the commercial business and operations , supporting approved and pipeline products, primarily in the ... our Global Legal and Compliance ("GLC") Team, as a Senior Legal Counsel - Commercial. This role will support...a 'brand attorney' who will advise commercial businesses and operations regarding approved and pipeline products, including working with… more