- Elevance Health (Wilmington, DE)
- ** Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal ... candidates must live within 50 miles of a PulsePoint location. The ** Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for… more
- Zurich NA (Trenton, NJ)
- …optimal claims outcomes. + Ensure regular communication with clients, brokers, business units, and senior claims management. + Proactively manage and resolve ... Sr. Claims Specialist - Complex Construction Claims ...and ideas so we can grow and drive sustainable change together. As part of a leading global organization,… more
- Sedgwick (Philadelphia, PA)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Business Development Director **PRIMARY PURPOSE** **:** To expand and enhance ... variances. Management retains the discretion to add or to change the duties of the position at any time....regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business… more
- Atlas (Plymouth Meeting, PA)
- **Position** : ATO Technical Practice Director - Construction Management Atlas is a nationwide leader in civil engineering, materials testing, and geotechnical ... We are a great company. Come join us! The **ATO Technical Practice Director (TPD) - Construction Management** is tasked with leading Construction Management Practice… more
- The Cigna Group (Philadelphia, PA)
- This leadership role will be the owner of our Stop Loss business . Cigna leads the nation with the most Stop Loss revenue. The Stop Loss book of business creates ... in over $4B of revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting and growing this business… more
- The Hartford (King Of Prussia, PA)
- …drive Sales, Marketing, Profit, Growth, and Quality of Middle Market main street agent business . The Managing Director leads the execution of the Middle Market ... Managing Director - UQ06CB We're determined to make a...Ensuring functional and regulatory integrity of the book of business as well as overall compliance with The Hartford's… more
- J&J Family of Companies (Horsham, PA)
- Associate Director , AI & Advanced Analytics for Patient Support Services - 2406214852W **Description** Johnson & Johnson Innovative Medicine is searching for an ... **Associate Director , AI & Advanced Analytics for Patient Support Services**...on (coding knowledge preferred) experience integrating and analyzing healthcare claims , electronic health records, lab results, specialty pharmacy, SDOH/consumer,… more
- J&J Family of Companies (Spring House, PA)
- Senior Director , R&D Data Science and Digital Health, Real-World Evidence and Advanced Analytics - 2406217069W **Description** Johnson & Johnson Innovative Medicine ... * Demonstrated expertise with multiple real-world data sources (EHR, insurance claims , registry data). Familiarity with data structure and programming of clinical… more
- Evolent Health (Trenton, NJ)
- …to present data or results + Serve as a strategic visionary for Claims and Configuration Product domains, aligning business , market, and enterprise strategies ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...processes + Strong understanding of US Healthcare Payer and Claims Domain, proactive knowledge management, and creation of reusable… more
- Zurich NA (Trenton, NJ)
- …North America is seeking a Property Executive General Adjuster to support our Property Claims division. At Zurich North America Claims we acknowledge that work ... the United States. The Property Executive General Adjuster resolves claims at the highest authority levels on commercial claim...growth by providing risk insight, information and trends to Business Unit or customer as needed. + Serving as… more
- Zurich NA (Trenton, NJ)
- …and rating annual rules. + Develop, maintain & collaborate with Line of Business representatives on referrals and other business related needs, as appropriate. ... relationships with distributors (agents & brokers) in support of business retention and acquisition and works with customers and...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Philadelphia, PA)
- …motto: One Carrier, One Solution, we are selling International and Domestic business together to provide a holistic solution to multinational customers. This role ... for: + Underwriting, analyzing, and generating new and renewal business + Market facing and production within the International...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Zurich NA (Philadelphia, PA)
- …needs in mind, the ZNA hybrid work model emphasizes flexibility, allowing claims employees to conduct individual work in their preferred location, while facilitating ... Lexis or Westlaw + Knowledge of the insurance industry, claims and the insurance defense litigation legal environment +...Understands the staff counsel function and role in overall business . + A functional and extensive knowledge of the… more
- Zurich NA (Trenton, NJ)
- …market trends, making and/or supporting recommendations and help grow the Construction Business Unit consulting business that will help exceed revenue goals, ... (where applicable), with expected overnight travel of_ _25%_ _depending on business needs_ In addition, the Senior Design/Construction Management Consultant will: +… more
- Prime Therapeutics (Trenton, NJ)
- …Analyst leads complex analyses, financial modeling, and reporting to create new business insights and strategies for Prime's financial pricing programs and will ... models, reports and new products to drive and influence business decisions and outcomes + Demonstrate advanced knowledge of...5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3 years… more
- Intermountain Health (Trenton, NJ)
- …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... Select Health and liaison for Large Group Sales internally. Oversees the Business Continuity contact process ensuring group and agent contacts are identified for… more
- WTW (Philadelphia, PA)
- **Description** Our **Risk & Analytics** business falls under WTW's **Corporate Risk and Broking** Segment. The business supports an integrated approach to risk ... put, our purpose is to reduce the likelihood of claims and reduce the cost of incidents when they...Role** We have an exciting opportunity as an Associate Director within our **North America Enterprise Risk Consulting** practice,… more
- Lumen (Trenton, NJ)
- …and responsibilities for this job. Job duties and responsibilities are subject to change based on evolving business needs and conditions. **Salary Range** ... **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly.… more
- Planate Management Group LLC (Philadelphia, PA)
- Planate Management Group (PMG ) is a Service-Disabled Veteran-Owned Small Business (SDVOSB) headquartered in Alexandria, Virginia, and Orlando, Florida USA with ... and facilities engineering services worldwide. Planate is a small business provider of planning, design, infrastructure management, technical consulting,… more
- Select Medical (Willingboro, NJ)
- …behaviors - celebrating success, owning the future, being patient-centered, creating change , thinking first and building trust. Are you resourceful in overcoming ... the Human Resources department in coordination with the regional Human Resources Director and the corporate Human Resources team, payroll department and recruitment… more