• ( Remote ) Claims Team

    Sedgwick (Trenton, NJ)
    …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( Remote ) Claims Team Lead - Workers Compensation | AZ, ... or health savings account, and other additional voluntary benefits. #teamlead # claims # remote #LI- remote Sedgwick is an Equal Opportunity Employer and… more
    Sedgwick (11/08/25)
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  • Claims Team Lead | Auto…

    Sedgwick (Trenton, NJ)
    …Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead | Auto Liability Bodily Injury | Remote Are you looking for an ... your location, and your career path. **This is a remote , work-at-home, telecommuter role*.** + Be a part of...technical staff? If so, this is your opportunity to lead a high-performing team in a role… more
    Sedgwick (11/20/25)
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  • Workers Compensation Claims Team

    Sedgwick (Trenton, NJ)
    …Workplaces in Financial Services & Insurance Workers Compensation Claims Team Lead | NY Jurisdictional Knowledge - Remote **ARE YOU AN IDEAL CANDIDATE?** ... We are seeking a highly motivated and experienced **Workers' Compensation Claims professionals** to join our team . The ideal candidate will have at least 5… more
    Sedgwick (12/12/25)
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  • Claims Team Lead - General…

    Sedgwick (Trenton, NJ)
    …Fortune Best Workplaces in Financial Services & Insurance Claims Team Lead - General Liability | Remote (Evergreen) **PRIMARY PURPOSE** : To supervise ... multiple teams of examiners and technical staff for liability claims for clients; to monitor colleagues' workloads, provide training,...Excellent negotiation skills + Ability to work in a team environment + Ability to meet or exceed Performance… more
    Sedgwick (12/02/25)
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  • Medical Director - IP Claims Management

    Humana (Trenton, NJ)
    …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, and Humana colleagues. After completion of mentored ... adapt and the courage to innovate **Additional Information** Typically reports to a Lead Medical Director, depending on the line of business. The Medical Director… more
    Humana (12/11/25)
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  • Medical Director - OP Claims Mgmt

    Humana (Trenton, NJ)
    …some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health ... + Ability to obtain additional medical licenses **Additional Information** Typically reports to Lead depending on size of region or line of business. The Medical… more
    Humana (11/24/25)
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  • Clinical Research Analyst, Senior - Remote

    Prime Therapeutics (Trenton, NJ)
    …The Senior Clinical Research Analyst works closely with Prime's Health Outcomes Research team to lead clinical research projects that measure, and report ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...various levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data… more
    Prime Therapeutics (12/11/25)
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  • Reporting Principal - Remote

    Prime Therapeutics (Trenton, NJ)
    …Experience with data consolidation and modeling **Preferred Qualifications** + Team lead /supervisory/management experience + Business Intelligence consulting ... drives every decision we make. **Job Posting Title** Reporting Principal - Remote **Job Description** The Finance Reporting Principal is responsible for supporting… more
    Prime Therapeutics (10/30/25)
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  • Principal Solution Strategist - JUDI…

    Prime Therapeutics (Trenton, NJ)
    …pharmacy with us. **Job Posting Title** Principal Solution Strategist - JUDI - Remote **Job Description** **We are currently on the lookout for a Principal Solution ... Strategist to help lead the Medicare and Medicaid migrations for the JUDI...products + Experience using queries, thorough understanding of pharmaceutical claims data and general understanding of medical claims more
    Prime Therapeutics (11/08/25)
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  • Stop Loss Operations Manager, Remote

    CVS Health (Trenton, NJ)
    …as the Manager of Stop Loss/Reinsurance Operations. In this high impact role, you will lead a team of about 12-15 colleagues who are responsible for the filing ... of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop...posting of Stop Loss reimbursements. As Manager, you will lead day to day colleague management, as well as… more
    CVS Health (12/04/25)
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  • Sr. Solution Strategist - Benefit Configuration…

    Prime Therapeutics (Trenton, NJ)
    …Posting Title** Sr. Solution Strategist - Benefit Configuration - JUDI - Remote **Job Description** **The Senior Solution Strategist - Benefit Configuration** is ... presentations utilized to provide recommendations on product discovery and definition, lead estimation efforts and delivery at performance review sessions + Create,… more
    Prime Therapeutics (11/14/25)
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  • Account Manager - Remote

    Prime Therapeutics (Trenton, NJ)
    …future of pharmacy with us. **Job Posting Title** Account Manager - Remote **Job Description** The Account Manager provides information, analyses, and consulting to ... Knowledge of PBM functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build business case for all… more
    Prime Therapeutics (12/12/25)
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  • Principal Pricing Analyst - REMOTE

    Prime Therapeutics (Trenton, NJ)
    …of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex analyses, financial ... management, profit drivers and the organization's financial value statement** ** Lead the development of financial analytic pricing methodologies, models, reports… more
    Prime Therapeutics (12/11/25)
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  • AI Innovation Lead - Data Science Lab

    Guardian Life (Trenton, NJ)
    ** Lead AI Innovation Lead - Data Science...their families. As part of the Data & AI team , this role presents a distinctive opportunity to collaborate with ... Science, actively contributing to Guardian's ongoing evolution. Guardian's Data & AI team spearheads a culture of data insights across Guardian, facilitating the… more
    Guardian Life (12/11/25)
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  • Executive Director, Global Program Lead

    Bristol Myers Squibb (Princeton, NJ)
    …in the evolving pharmaceutical and health care industry. + Demonstrated ability to lead cross-functional team to execute Development Plans which have global ... They will foster a high performing, highly collaborative, truth-seeking team environment aimed at developing and implementing compelling, integrated asset… more
    Bristol Myers Squibb (10/18/25)
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  • Executive Director, US Access Strategy…

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …President, CNS Business & Customer Engagement Operations business unit. **Job Description** + Lead a team responsible for developing access strategies and access ... channel customers. This role is based in Princeton with remote work placement as an option and reports to...is staffed with top talent within the industry + Lead a team to define the strategies… more
    Otsuka America Pharmaceutical Inc. (11/14/25)
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  • Actuary, Medicaid Trend Analytics and Data…

    Humana (Trenton, NJ)
    …community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and readiness to ... data changes on actuarial models, reporting tools, and financial results. Lead and manage data-related projects from scoping through post-production validation,… more
    Humana (11/20/25)
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  • Director, Employee Relations

    Otsuka America Pharmaceutical Inc. (Princeton, NJ)
    …processes and operations that connect to our culture and values. The Director will lead a small team of experienced employee relations experts who together solve ... is based in Princeton, New Jersey and may be Remote . Otsuka maintains a hybrid work policy and travel...investigator, both in conducting investigations and being able to lead a team of investigators in their… more
    Otsuka America Pharmaceutical Inc. (10/04/25)
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  • Director, Global Marketing Nephrology & Immunology

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …to excel performance across the Globe. Clear strategic thinking with the ability to lead and demonstrate passion for the brand is required. You'll join an empowered, ... fast-paced, high-visibility team at the forefront of scientific innovation, where your work will shape decisions that impact patients worldwide with autoimmune and… more
    Otsuka America Pharmaceutical Inc. (10/14/25)
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  • Director, Customer Engagement Platforms

    Otsuka America Pharmaceutical Inc. (Trenton, NJ)
    …optimization of customer engagement platforms, including marketing automation and analytics tools. + ** Team Management** : Lead a high-performing team of ... insights Excellence, the Director will manage the Customer Engagement Platform Team , collaborate with cross-functional groups, drive innovation, and ensure our… more
    Otsuka America Pharmaceutical Inc. (11/26/25)
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