- Sedgwick (Philadelphia, PA)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Consumer **PRIMARY PURPOSE:** To supervise the operation ... activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on ...Excellent negotiation skills * Ability to work in a team environment * Ability to meet or exceed Performance… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Lead Automation Engineer identifies and implements solutions (hardware and software) for improvement ... operational efficiency, reduce manual processes, and improve accuracy in insurance claims processing, policy management, and other key areas. A strong background… more
- Humana (Trenton, NJ)
- …presence, and entered new businesses such as Home Health! We are seeking a Lead Solutions Architect who loves the challenge of solving problems and improve people's ... solutions, improve operational efficiencies, and support technology governance. The Lead Solutions Architect represented here must have specialized experience and… more
- Humana (Trenton, NJ)
- …and help us put health first** The Business Intelligence & Strategy Advancement team assists Claims Administration and Payment Integrity (CAPI) teams in ... administrative initiatives to help drive value to the organization. The team supports strategy and budget development, administrative expense evaluation, and… more
- Product Connections (Allentown, PA)
- …as needed. * Assist Supervisor by always providing leadership and knowledge to the team . * Possesses the aptitude and ability to gain adequate knowledge of the ... and ability to proactively intercept, engage, interact, and sell product to the consumer in a positive manner. * Able to assist/perform all job responsibilities… more
- Highmark Health (Trenton, NJ)
- …leadership and subject matter feedback. + Provides support to Senior and Lead level analysts involving consultative, technical and business expertise to colleagues ... complexity + Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + Project leadership in a… more
- J&J Family of Companies (Titusville, NJ)
- … claims , electronic health records, lab results, specialty pharmacy, SDOH/ consumer , and patient hub data for advanced analytics solutions- including for ... analytics and AI/ML solutions supporting patient support services + Lead day-to-day project activity the PECS team ...+ Lead day-to-day project activity the PECS team (Patient experience & customer solutions), SIA (Strategic Insights… more
- J&J Family of Companies (Titusville, NJ)
- …As a Manager, AI Products within the Customer AI Products and Strategy (CAPS) team , you will play a crucial role in driving the evolution of our business ... business translation of AI/ML products between business and technical stakeholders. + Lead collaboration with partners across Marketing, Sales, StAT and Data Science… more