• Senior Claims Operations

    Prime Therapeutics (Trenton, NJ)
    …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business more
    Prime Therapeutics (11/14/24)
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  • Pharmacy Point Of Sale Transition Claims

    Humana (Trenton, NJ)
    …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business more
    Humana (10/29/24)
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  • Analytics Senior Manager-Fraud…

    Wells Fargo (Wilmington, DE)
    …team within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations (CSBBO). Learn more about the career areas and lines of ... business , business partners, industry forum managers, experienced consultants, and senior management on issues with high, critical impact on the success of… more
    Wells Fargo (11/05/24)
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  • Senior Lead Analytics Consultant-Fraud…

    Wells Fargo (Wilmington, DE)
    …Wells Fargo is seeking a Senior Lead Analytics Consultant within Fraud & Claims Management (FCM) as part of Consumer and Small Business Banking Operations ... (CSBBO). Learn more about the career areas and lines of business at wellsfargojobs.com (https://www.wellsfargojobs.com/career-areas/) . **In this role, you will:** +… more
    Wells Fargo (11/14/24)
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  • Operations & Technology Transformation,…

    Deloitte (Philadelphia, PA)
    Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
    Deloitte (10/03/24)
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  • Operations & Technology Transformation…

    Deloitte (Philadelphia, PA)
    Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... and technology solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems strategy, develop system… more
    Deloitte (10/23/24)
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  • Operations & Technology Transformation,…

    Deloitte (Philadelphia, PA)
    Senior Consultant, Operations and Technology Transformation, Guidewire Application Java Developer What we do Operations and Technology Transformation ... and technology enabled solutions focused on "heart of the business " issues in specific sectors including Health Care &...2025 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring technical expertise to deliver… more
    Deloitte (10/04/24)
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  • Senior Manager, Product Operations

    HealthEdge Software Inc (Trenton, NJ)
    …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
    HealthEdge Software Inc (09/21/24)
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  • Medicare Part D Stars Business Analytics…

    The Cigna Group (Philadelphia, PA)
    …- Required + Teradata and Databricks - Preferred + Ability to understand business operations requirements and translate them into technical applications + ... **Summary** The Part D Stars Business Analytics Senior Advisor will be...Advisor will lead development of data analyses utilizing pharmacy claims , clinical outcomes, and Stars quality measures to make… more
    The Cigna Group (11/08/24)
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  • Data Scientist (Mid or Senior )

    Penn Medicine (Philadelphia, PA)
    …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... using data, the Data Scientist will provide statistical analysis of medical claims . This position will function to make significant contributions related to … more
    Penn Medicine (10/25/24)
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  • Category Manager (intermediate or senior )

    PPL Corporation (Allentown, PA)
    …bonds, or obtaining parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior management to ... force in the cities and towns where we do business , providing support for programs and organizations that empower...parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior more
    PPL Corporation (11/06/24)
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  • Senior Vice President Business

    Sedgwick (Philadelphia, PA)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
    Sedgwick (11/05/24)
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  • Senior US International Reverse Flow…

    Zurich NA (Trenton, NJ)
    Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
    Zurich NA (11/12/24)
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  • Senior Real Estate Manager - Rail…

    Jacobs (Philadelphia, PA)
    …company invested in you, your success and the global community - join us as a Senior Real Estate Manager. As a vital member of our People & Places Solutions team, ... through the US where we'll depend upon your expertise, intuition, and leadership. The Senior Real Estate Manager will provide direct support to Amtrak's Senior more
    Jacobs (11/15/24)
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  • Senior Product Analyst

    Evolent Health (Trenton, NJ)
    …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
    Evolent Health (10/31/24)
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  • Counsel/ Senior Counsel

    AECOM (Philadelphia, PA)
    …department is actively seeking a creative, highly talented attorney to support AECOM's operations in its East Region. This will be a hybrid position including a ... that may have an important bearing on the conduct of the organization's business + Work with management and staff to resolve pre-litigation disputes and potential… more
    AECOM (08/21/24)
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  • Insurance Transformation, Guidewire Senior

    Deloitte (Philadelphia, PA)
    …and Energy & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our ... What we do Operations and Technology Transformation delivers market leading expertise...solutions, helping to create technology solutions to meet clients' business needs. Senior Consultants will define systems… more
    Deloitte (09/11/24)
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  • Senior Compliance Analyst (Regulatory…

    Prime Therapeutics (Trenton, NJ)
    …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
    Prime Therapeutics (11/09/24)
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  • Senior Analytics Solutions Associate

    JPMorgan Chase (Wilmington, DE)
    …Services (FCPS) Operations organization. FCPS consists of Fraud Prevention and Claims & Dispute Call Centers and Back office functions located across domestic ... and international locations. As a Senior Analytics Solutions Associate in our Fraud Prevention team,...business leaders across various departments in Fraud Prevention Operations + Engage with business leaders and… more
    JPMorgan Chase (09/26/24)
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  • Enterprise Internal Fraud Detection Analytics…

    Wells Fargo (Wilmington, DE)
    …Detection Analytics Team. A part of the Chief Operating Office under Fraud and Claims Operations , the team provides analytic support and internal fraud detection ... Learn more about our career areas and lines of business at wellsfargojobs.com. **In this role, you will:** +...Collaborate with and influence all levels of professionals including senior leadership to predict current and future needs and… more
    Wells Fargo (11/16/24)
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