- Ryder System (Trenton, NJ)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- CVS Health (Trenton, NJ)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Trenton, NJ)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- American Water (Delran, NJ)
- …of AW. This includes management of all workers' compensation and general liability claims across the business unit * Ensure that claims and accidents are ... we do at American Water. The *Health and Safety Director * is a statewide role that will be responsible...their duties which include training, auditing, accident investigations, database management and recordkeeping. * Interface with all levels of… more
- Aveanna Healthcare (Mount Laurel, NJ)
- …to the Governing Body, also reporting to Area Vice President, AVP, and/or Area Director , AD. Essential Job Functions Team Management : * Assure evaluation of each ... Executive Director - Home Care ApplyRefer a FriendBack Job...Requisition #: 203583 Location: Mount Laurel, NJ 08054 Category: Management Salary: $70,000.00 - $75,000.00 per year Position Details… more
- Virtua Health (Marlton, NJ)
- …If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than ... Total Weekly Hours: 40 Additional Locations: Job Information: Job Summary: The Director of Risk & Patient Safety implements and oversees Virtua's corporate clinical… more
- J&J Family of Companies (Titusville, NJ)
- …Rd **Job Description:** We are searching for the best talent for a Director - New Products & Business Development Analytics to strengthen our team in ... perspective on investment decisions that shape the future US portfolio The Director of New Products & Business Analytics will provide strategic oversight of… more
- EPAM Systems (Philadelphia, PA)
- …driving strategic and operational excellence across client functions such as underwriting, claims and distribution management . You will contribute to the ... - go-to-market, sales, engagement delivery and practice development. As a **Managing Director - Insurance Advisory** , you will lead the demand generation, pursuit,… more
- J&J Family of Companies (Horsham, PA)
- …& Johnson is seeking an accomplished and strategic leader to assume the role of Director , Data Strategy and Innovation - Oncology to be located in Horsham, PA and/or ... can reach their potential. At Johnson & Johnson, we all belong. This Director , Data Strategy and Innovations - Oncology will lead and coordinate activities related… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
- EFI Global (Trenton, NJ)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... to learn more about EFI Global. **We are seeking a Client Services Director with experience in the insurance industry, specifically in executive general adjusting… more
- Trustmark (Trenton, NJ)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- Subaru of America (Camden, NJ)
- …and captive involvement information, etc. Reviews proposals, recommends selection to Associate Director of Risk Management , and implements selected program. + ... vehicles that inspire and delight our customers. SUMMARY Manages Subaru's risk management and insurance program and is responsible for the compliance and… more
- Stantec (Philadelphia, PA)
- …and forecasting. + Experience with scheduling large, complex projects. + Experience with claims management for design projects. + Sound knowledge and experience ... context of the communities we serve, we provide planning, engineering, and infrastructure management services that fit the needs of our clients and improve the… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …related litigation. A combination of in-house and firm experience with medical malpractice/professional liability claims is preferred. The **Senior Counsel, ... when needed. They will manage high-risk professional and general liability claims , focusing on healthcare-related matters, with a smaller caseload of employment… more
- AmeriHealth Caritas (Philadelphia, PA)
- …appeals, the analysis of claims and appeals, and the review of medical management authorizations.; + Research and Investigate member and/or provider appeals ... making or example, internal committee/panel, independent review organization, internal medical director - as process dictates +...ensure proper handling of the appeal eg UM team, medical directors, claims , contact center, vendors as… more
- UMB Bank (Trenton, NJ)
- …across all payment channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging fraud trends and UMB's ... concert with the Enterprise Fraud Prevention and Enterprise Fraud Claims teams to identify fraud exposure and make necessary...to fulfill overall business needs and expectations of the Director of Enterprise Fraud Operations and the bank's senior… more
- Aveanna Healthcare (Bala Cynwyd, PA)
- …and certifications) o Creating and providing monthly evaluation and skills report to Director (s) o Coordinate with Corporate Risk Management and Leave of Absence ... Specialists on all worker compensation claims and return to work coordination activities o Coordinate...in stressful situations * Attention to detail * Time Management * Effective problem-solving and conflict resolution * Excellent… more