- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within ... an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability...+ 7+ years of medical malpractice / professional liability complex claims and/or complex litigation… more
- Mount Sinai Health System (New York, NY)
- …and strategic business needs (eg, market sizing), and healthcare topics (eg, claims analysis) with guidance from Quality Director ? Effective communicator ? ... and executive-facing roles ? Advanced analytical capabilities required, experience with healthcare claims analysis and clinical quality measures highly preferred… more
- Mount Sinai Health System (New York, NY)
- …to align training initiatives with the organization's goals and evolving healthcare regulations. The Director partners closely with executive leadership, ... **Job Description** ** Director of Revenue Cycle Management Training & Education-Patient...that all team members involved in patient registration, billing, claims processing, denial management, and collections are equipped with… more
- Mount Sinai Health System (New York, NY)
- …in clinical, revenue cycle & encounter data models. + Extensive knowledge of healthcare /medical data such as hospital/physician claims , utilization data, and ... **Job Description** ** Director of Revenue Intelligence -Patient Financial Services- Corporate...preferred. + 7 years of progressively responsible experience in healthcare analytics or revenue cycle operations. Essential skills include… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director of RCM EPIC Optimization Patient Financial Services -Corporate 42** **nd** **Street- Full-Time-Days (Hybrid)** The Director of ... in financial performance, operational efficiency, and patient experience. The Director will collaborate closely with operational, clinical, and IT stakeholders… more
- IQVIA (Parsippany, NJ)
- …applications of IQVIA assets with a specialization in encrypted patient-level longitudinal healthcare claims data. * Proactively manage own project timelines, ... * Knowledge of pharmaceutical market and experience with encrypted patient-level/longitudinal healthcare claims . * Advanced use of statistical programming… more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …will improve the lives of patients with life-threatening illnesses worldwide. The Director of Ethics and Compliance Training and Communications is responsible for ... within the Global Compliance Operations team and reports directly to the Senior Director , Global Head of Ethics and Compliance Training and Communications. The … more
- 32BJ Benefit Funds (New York, NY)
- …fabric, or other modern data architecture patterns + Prior exposure in the healthcare claims data industry preferred Soft Skills (Interpersonal Skills): + ... Code N525HF Department Name Health Fund Admin Reports To Director , Health Fund Chief of Staff FLSA Status Exempt...assets, which are made up of many, varied and complex funds. The dollars come from a number of… more
- Sanofi Group (Morristown, NJ)
- **Job Title:** Associate Director , Cross-portfolio Analytics - Vaccines **Location:** Morristown, NJ **About the Job** Ready to push the limits of what's possible? ... Sanofi hubs to optimize process excellence and efficiency The **Associate Director , Cross-portfolio Analytics - Vaccines,** will be responsible for the reporting… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Pre Appeals Management-HSO Appeals Management -Corporate 42nd Street-Full-Time-Days -Remote** The Director , Pre Appeals Management ... coordination of care to improve patient outcomes while controlling costs. The Director collaborates closely with medical staff, vendors, case management, and payers… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …care services + Experience / familiarity with media mix modeling + Experience with healthcare claims data Knowledge Strong understanding of healthcare and ... the easy part. Getting prescriptions to patients has become increasingly complex . When things get messy along the prescription journey, pharmaceutical manufacturers… more
- AbbVie (Florham Park, NJ)
- …LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Associate Director will bridge Market Access and Patient Services (MAPS) Team within ... diverse US portfolio. This role requires a strong grasp of healthcare policy, payer analytics, and strategy formulation within a collaborative, cross-functional… more
- Bristol Myers Squibb (Madison, NJ)
- …is also responsible of performing the curation, transformation, and analysis of complex healthcare datasets to inform evidence generation, supporting developing ... us and make a difference. **Position Summary** The RWE Director is a key member of cross-functional teams and...field. + 3+ years of experience working with real-world healthcare data ( claims , EMR, registries, etc.). +… more
- Centene Corporation (New York, NY)
- …to providers that would improve utilization and health care quality. + Reviews claims involving complex , controversial, or unusual or new services in order ... Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid… more
- Danaher Corporation (New York, NY)
- …System (https://www.danaher.com/how-we-work/danaher-business-system) which makes everything possible. The Senior Director of Data & AI is responsible for the ... 5+ years in leadership roles in diagnostics, medtech, biopharma, or healthcare . + Deep understanding of clinical development for diagnostics (analytical/clinical… more
- The Cigna Group (Morris Plains, NJ)
- …at enterprise scale. + **Executive presence** with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a ... to Have** + Prior **PBM/specialty pharmacy** platform knowledge (eg, claims /benefit management, care coordination, specialty workflows). + Earlier **hands‑on… more
- Molina Healthcare (Yonkers, NY)
- …& ABILITIES** : 1 year customer service, provider service, contracting or claims experience in the healthcare industry. **PREFERRED EDUCATION** : Associate's ... adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance… more
- Mount Sinai Health System (New York, NY)
- …and other accrediting agencies. This individual, in conjunction with the Senior Director , participates in the orienting, training and mentoring new staff to the ... Management & Patient Safety Department. This involves collaborating with the Senior Director to develop educational plans for instructing staff about the medical… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Risk Manager reports to the Director of Risk Management and Patient Safety and is responsible for reviewing, summarizing, analyzing, ... presenting and monitoring safety events, claims management, loss prevention and reduction, patient safety related quality improvement activities and supporting the… more
- J&J Family of Companies (New York, NY)
- At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, ... uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow,... innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments… more