- HealthEdge Software Inc (Trenton, NJ)
- **Overview** **Position** **Overview:** As a Senior Product Manager , within theclaimsvalue stream forHealthRulesPayor, you will have ownership of system ... **: ** + 5+ years' experience as a product manager in a **SaaS-based, Agile** /Scrum technology company including...**Must have 5+ years' experience working as a Product Manager on a Core Administrative Processing System** + Proven… more
- Ryder System (Trenton, NJ)
- …Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- Ryder System (Trenton, NJ)
- …by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ Job Description **Summary** The Senior Claims Representative handles complex and mid-to-high ... being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact Ryder… more
- AIG (Croydon, PA)
- …Maintain project documentation including reporting, plans, risk register, etc and as a Senior Claims Operations Analyst report out to managers and stakeholders ... project plans. + Work in close collaboration with the International Claims Programme/Project Manager in delivery of IT projects and prioritisation of IT Audit… more
- The Cigna Group (Philadelphia, PA)
- The System Contract Senior Manager will have oversight of a region of facility network and will be responsible for its contract performance. This Senior ... manage all rate renewals and contract maintenance activities. This Senior Manager will collaborate with the other...targets are met. + Utilize internal data such as claims , completed negotiations and network composition along complete and… more
- The Cigna Group (Philadelphia, PA)
- The Medical Expense FP&A Senior Manager will manage projection and results analysis for core Medicare Advantage Part C medical claims expense processed and ... is expected to be the largest focus for the manager in the medium and long term. This individual...both proposed projections and results relative to expectations to senior leadership. Provide insights on actionable takeaways. + Guide… more
- The Cigna Group (Philadelphia, PA)
- The Military OneSource (MOS) Network Management Senior Manager will have oversight of the Military OneSource network and lead a multi-specialty team in support ... team who is accountable for network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and network knowledge to… more
- Takeda Pharmaceuticals (Exton, PA)
- …the best of my knowledge. **Job Description** About the role: Join Takeda as a Senior Manager , US Medical Ad/Promo Regulatory Review where you will serve as an ... of proposed promotional and disease state materials. + May present to senior management, and present regulatory topics to cross-functional teams. + May serve… more
- Wolters Kluwer (Trenton, NJ)
- …| Wolters Kluwer (https://www.wolterskluwer.com/en-gb/solutions/legisway) **What We Offer: ** This Senior Field Sales Manager role offers growth potential ... remote schedule, and amazing benefits. **What You'll be Doing:** As our newest Legisway Senior Field Sales Manager , your primary responsibility will be the sales… more
- Deloitte (Philadelphia, PA)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... issues and provide clear path for implementation. Typical responsibilities of a Sr. Manager could include: + Design and establish engagement objectives and scope +… more
- Pfizer (Collegeville, PA)
- …a leading healthcare and patient-first organization. **ROLE SUMMARY:** The **Sr. Manager , Media Measurement and Optimization,** is responsible for implementing newly ... measurable financial results across the globe. In this newly created role,the Sr. Manager , Media Measurement and Optimization,, will be a critical member of creating… more
- Pfizer (Collegeville, PA)
- **ROLE SUMMARY** The Senior Manager , Market Access - Data, Tools & Reporting leads the development, delivery, and management of curated data sets and custom ... market access payer and/or provider data (eg, IQVIA / Symphony, MMIT, internal claims data, payer portal data) + Skilled in Excel, Word, PowerPoint (minimum);… more
- HealthEdge Software Inc (Trenton, NJ)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Globus Medical, Inc. (Audubon, PA)
- …their lives as quickly as possible. Position Summary: The Sr. Marketing Manager is responsible for downstream marketing initiatives for our Robotics, Imaging, and ... strategy + Leads creation of product value messaging and product claims substantiation through clinical evidence generation. Using this information, develops… more
- Elevance Health (Wilmington, DE)
- **Researcher Senior - Safety and Epidemiology Research** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... Louis, MO, Wallingford, CT or Louisville, KY. The **Researcher Senior - Safety and Epidemiology Research** is responsible for...to the programming group. + Conduct review of administrative claims data and statistical output to ensure the superior… more
- Walgreens (Norristown, PA)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- WTW (Philadelphia, PA)
- …with personal lines insurance experience in the US market to join as a Senior Consultant in our Insurance Consulting and Technology (ICT) practice. In this role, you ... our team of pricing, portfolio management, underwriting, finance and claims experts to deliver consulting and technology solutions to...cross-functional teams + Serve as a mentor and project manager to more junior colleagues, training them on both… more
- PPL Corporation (Allentown, PA)
- …or Providence, RI_** **_This position may be hired at the Associate, Intermediate or Senior Category Manager level. The below job overview reflects the Associate ... position may be hired at the Associate, Intermediate or Senior Category Manager level. The below job...company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior… more
- Penn Medicine (Philadelphia, PA)
- …each day. Are you living your life's work? **Job Title:** Senior Billing Specialist **Department:** Radiation Oncology **Location:** Hospital of the University ... to compliance and Radiation Oncology billing guidelines. Work all claims in EPIC (Pre-AR and Payer related edits) to...further identify billing errors to report out to Practice Manager . + Handle all professional and technical Rad Onc… more
- Penn Medicine (Philadelphia, PA)
- …our future each day. Are you living your life's work? Job Title: Senior Billing Specialist Entity: HUP Department: Radiation Therapy, Oncology Location: Perelman ... to compliance and Radiation Oncology billing guidelines. Work all claims in EPIC (Pre-AR and Payer related edits) to...further identify billing errors to report out to Practice Manager .Handle all professional and technical Rad Onc work queue… more