- BAYADA Home Health Care (Pennsauken, NJ)
- …compassion that they give to others every day. We're seeking a **Workers' Compensation Claims Adjuster** who shares our mission of caring for people - ensuring that ... attention to detail. **What You'll Do:** + Manage and resolve workers' compensation claims with compassion and fairness, from first report through closure + Partner… more
- CenterWell (Trenton, NJ)
- …organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and ... compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in… more
- Subaru of America (Camden, NJ)
- …In Risk Management, or willingness to obtain within two (2) years of hire + Associate in Claims (AIC) designation or willingness to obtain within two (2) years ... ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe...keep Subaru safe and protected by supporting our insurance, claims , and safety programs. You'll manage claim reporting, underwriting… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …needs and nutraceutical products for the maintenance of everyday health. As the Associate Director of Commercial Data Science, you will play a pivotal role in ... foundational commercial data and analytic strategy for emerging assets. The Associate Director will work closely with cross-functional teams, including Marketing,… more
- CVS Health (Trenton, NJ)
- …organizational, and interpersonal skills. **Preferred Qualifications** + DG system claims processing experience. + Associate degree preferred. **Education** ... Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims ; adjudicates complex, sensitive, and/or specialized claims in accordance… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Associate Director, Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Key Responsibilities Include:** **Global… more
- CenterWell (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing ... including development, implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... a standardized approach that addresses key strategic questions from senior leadership. + Develop clear templates and storytelling approaches...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Clinical Medical/Financial Risk Evaluation Professional is responsible for supporting the ... and monitoring of medical/financial risk and healthcare fraud. The Senior Clinical Medical/Financial Risk Evaluation Professional work assignments involve moderately… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Associate Director will serve as a key member of the Learning Center of Excellence within Global Quality, responsible for designing, implementing, and sustaining ... learning initiatives. + Act as a trusted advisor to senior leadership on training trends, compliance risks, and capability-building...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Job Summary** The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize ... on key risk indicators and escalate critical risks to senior leadership. **Global Quality System Processes** + Oversee the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …needs and nutraceutical products for the maintenance of everyday health. As an Associate Director, Biostatistician, you will be a champion of Otsuka's culture and ... based on business needs. You will report to the Senior Director, Biostatistics. **Job Description** + Provides statistical analysis...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Associate Director of Regulatory Intelligence leads the collection and dissemination of regulatory intelligence and collaborates with SMEs to interpret the ... and coordinate projects. + Demonstrates experience interacting with and supporting senior leadership. + Previous experience with people management and team… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- **The R&D Strategic Sourcing Associate Director,** Supplier Relationship Management is a pivotal role responsible for ensuring compliance with procurement policies ... basis. Provide regular performance and relationship reports and analyses to senior management, highlighting key metrics and insights. Health Authority Inspection… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …and Alliance partners, as needed. + Develop clear communications for senior management and labeling stakeholders, to streamline and facilitate label development, ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a… more
- J&J Family of Companies (Titusville, NJ)
- …at https://www.jnj.com/innovative-medicine **We are searching for the best talent for Associate Director, AI & Advanced Analytics for Patient Engagements.** The ... talent, and shaping the future of pharmaceutical AI solutions. **Purpose:** The Associate Director, AI & Advanced Analytics for Patient Support Services, will lead… more
- WTW (Philadelphia, PA)
- **Description** As a Health and Benefits Lead Associate you will contribute to a wide variety of complex projects involving the design, financing and ongoing ... day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare… more
- Humana (Trenton, NJ)
- …reconciliation processes and support automation efforts + Share feedback with the Senior Business Systems analysis associate for appropriate fix implementation + ... existing Medicaid business processes, with a focus on eligibility, enrollment, claims , and compliance workflows. This role develops sustainable, repeatable, and… more
- Humana (Trenton, NJ)
- …first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and expansion into new… more
- Humana (Trenton, NJ)
- …They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business ... at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the… more