- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ... for pharmacy point of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional work assignments involve moderately… more
- Prime Therapeutics (Trenton, NJ)
- …make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst is responsible for serving as the claims ... This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process improvement and… more
- Deloitte (Philadelphia, PA)
- Senior Consultant, Operations & Technology Transformation, Insurance, Guidewire Developer - ETL/Data Migration What we do Operations and Technology ... new skills and perspectives, exhibiting openness to coaching from senior colleagues, and contributing to the development of junior...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more
- Deloitte (Philadelphia, PA)
- Operations Technology Transformation Senior Consultant, Guidewire Configuration / Integration What we do Operations and Technology Transformation delivers ... 2024 Work you'll do As an OTT Insurance Transformation Senior Consultant, you will bring considerable technical expertise to...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more
- The Cigna Group (Philadelphia, PA)
- …needs and support delivery of plan KPIs. + Oversee end-to-end operations , including claims management, contract administration, account management, and ... of revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for...role will also have direct accountability for stop loss operations , sales support, market interface, and project management. This… more
- The Cigna Group (Philadelphia, PA)
- …Cigna's Medicare Star Ratings. The Business Analytics Senior Advisor will lead development of data analyses utilizing pharmacy claims , clinical outcomes, and ... **Summary** The Part D Stars Business Analytics Senior Advisor will be responsible for leading the...limited to pharmacy, clinical, customer experience, product development and operations as needed. The person chosen for this role… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & Inquires) - Remote **Job Description** The ... Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… more
- Evolent Health (Trenton, NJ)
- …for the culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to shape the technical aspects and ... will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure our applications… more
- Deloitte (Philadelphia, PA)
- What we do Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of ... & Resources. Our OTT team applies deep sector knowledge and technical business operations consulting experience to take a more strategic view of our clients'… 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 ... + Develop enduring customer relationships through client engagement work + Lead follow-on business development efforts with existing engagements and client… more
- Dr. Reddy's Laboratories (Princeton, NJ)
- …options to satisfy unmet medical needs, we are dedicated to helping people lead longer and healthier lives. We are seeking dynamic and energetic individuals ready ... our Global Legal and Compliance ("GLC") Team, as a Senior Legal Counsel - Commercial. This role will support...a 'brand attorney' who will advise commercial businesses and operations regarding approved and pipeline products, including working with… more
- J&J Family of Companies (Trenton, NJ)
- …aligned + Author the development of go-to-market strategy, value proposition and key claims + Lead successful commercial and operational introduction of new ... Senior Product Manager - 2406218177W **Description** Johnson &...and market approach **Roadmap & Business Plan Development:** + Lead development of the business plan, initial value proposition,… more
- Cardinal Health (Trenton, NJ)
- …your colleagues as a coveted member of the Product Experience organization. As a Senior Product Experience Designer, you will define, lead , and implement the ... their practices' financial performance. These products help monitor drug utilization, claims payment and denials, reimbursement trends, margins, and provide insights… more
- Deloitte (Philadelphia, PA)
- Are you a senior tax professional who wants to specialize in Financial Services and Insurance? Do phrases like "accounting for income taxes," "tax structuring," and ... to clients in the insurance industry across business functions such as underwriting, claims , IT, finance and accounting + Coordinating with the client's tax and… more
- Cardinal Health (Trenton, NJ)
- …of data to create innovative solutions that improve patient outcomes, streamline operations , and enhance the overall healthcare experience. We are seeking a highly ... Difference: Contribute to cutting-edge solutions that improve patient care, enhance healthcare operations , and drive positive change in the industry. + Work with a… more
- The Cigna Group (Philadelphia, PA)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims… more
- Humana (Trenton, NJ)
- …and cost-effective care for our members. We are seeking a Clinical Investigation Lead to provide strategic direction to drive appropriate care, with the aim of ... to bring forth a pipeline of potential initiatives. **Location:** remote In this lead role you'll have the opportunity to analyze complex business and clinical… more
- Takeda Pharmaceuticals (Trenton, NJ)
- …Team (GRT) + Liaises with US Labeling Operations , EU Labeling Operations , Labeling Devices Lead and Labeling Compliance to ensure labeling objectives ... therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of… more
- Humana (Trenton, NJ)
- …services. **Responsibilities:** The Value-Based finance team is seeking a Financial Analytics Lead . This individual will work across the business, and will be highly ... and growth strategies. The position will work directly with senior management, including the Segment President, Senior ...to support critical business decisions and optimize outcomes. + Lead design and development of Power BI reporting and… more
- Deloitte (Philadelphia, PA)
- Manager/Specialist Master, Operations & Technology Transformation, Insurance, Guidewire Integration & Configuration What we do Operations and Technology ... new skills and perspectives, exhibiting openness to coaching from senior colleagues, and contributing to the development of junior...deliver effective solutions to clients. You will be the lead person to interface between the clients and our… more