- CSL Behring (King Of Prussia, PA)
- The Associate Director of Business Analytics US I&A is data and analytics leader in support CSL's brand teams with strategic insight through quantitative analytics ... dynamics. Present detailed quantitative analysis and qualitative insights to senior leadership in a manner that is easily interpreted...of Pharmaceutical data including but not limited to IQVIA Claims , DDD, Symphony Non Retail, SP Claims … more
- CSL Behring (King Of Prussia, PA)
- **Job Title:** Associate Director, Strategic Forecasting and Portfolio Analytics **Reporting to:** Director, Strategic Forecasting & Portfolio Analytics **Position ... and reliable forecasts - Present forecast scenarios and recommendations to senior leadership and key stakeholders, ensuring alignment with organizational goals and… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …compassion that they give to others every day. We're seeking a **Workers' Compensation Claims Adjuster** who shares our mission of caring for people - ensuring that ... attention to detail. **What You'll Do:** + Manage and resolve workers' compensation claims with compassion and fairness, from first report through closure + Partner… more
- CenterWell (Trenton, NJ)
- …organization's pre-billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and ... compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership, and champions initiatives that enable scale and reduce variation in… more
- Subaru of America (Camden, NJ)
- …In Risk Management, or willingness to obtain within two (2) years of hire + Associate in Claims (AIC) designation or willingness to obtain within two (2) years ... ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe...keep Subaru safe and protected by supporting our insurance, claims , and safety programs. You'll manage claim reporting, underwriting… more
- Humana (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Medical/Financial Risk Evaluation Professional is responsible for supporting the development, ... implementation and monitoring of medical/financial risk. The Senior Medical/Financial Risk Evaluation Professional work assignments involve moderately complex to… more
- Humana (Trenton, NJ)
- …and help us put health first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to ... Fund team. Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for...data ie. Provider, Insurance, etc. + Experience with pharmacy claims data + Advanced knowledge of Excel (ex. Pivot… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Associate Director, Scientific Communications manages the execution of the core scientific and medical communications strategy for the relevant therapeutic area ... consistency, and compliance. This position reports directly to the Senior Director, CNS Medical Communications Lead. **Key Responsibilities Include:** **Global… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- ** Associate Director, Field Strategy, Nephrology/Immunology** **Position overview:** The ** Associate Director, Field Strategy** plays a critical role in enabling ... a standardized approach that addresses key strategic questions from senior leadership. + Develop clear templates and storytelling approaches...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CenterWell (Trenton, NJ)
- …of our caring community and help us put health first** The Senior Pharmacy Contracting Professional conducts all aspects of pharmaceutical contracting and pricing ... including development, implementation, and maintenance. The Senior Pharmacy Contracting Professional work assignments involve moderately complex to complex issues… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- **Job Summary** The Associate Director, Quality Operations will lead initiatives that drive operational excellence, enhance risk management practices, and optimize ... on key risk indicators and escalate critical risks to senior leadership. **Global Quality System Processes** + Oversee the...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …needs and nutraceutical products for the maintenance of everyday health. As an Associate Director, Biostatistician, you will be a champion of Otsuka's culture and ... based on business needs. You will report to the Senior Director, Biostatistics. **Job Description** + Provides statistical analysis...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Associate Director of Regulatory Intelligence leads the collection and dissemination of regulatory intelligence and collaborates with SMEs to interpret the ... and coordinate projects. + Demonstrates experience interacting with and supporting senior leadership. + Previous experience with people management and team… more
- WTW (Philadelphia, PA)
- **Description** As a Health and Benefits Lead Associate you will contribute to a wide variety of complex projects involving the design, financing and ongoing ... day to day service issues and questions (eligibility, carrier coverage and claims issues, compliance, etc.) + Preparing for and facilitating client meetings (prepare… more
- J&J Family of Companies (Spring House, PA)
- …https://www.jnj.com/innovative-medicine Johnson & Johnson Innovative Medicine is recruiting an ** Associate Director, Oncology AI Biomarkers & Diagnostics** to join ... Development Data Science and Digital Health team. You will report to the Senior Director, Data Science & Digital Health, Oncology. You will spearhead the strategic… more
- CVS Health (Trenton, NJ)
- …healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates ... perform activities necessary for investigations. - Exhibits behaviors outlined in Employee Competencies - Attending and presenting at quarterly state meetings.… more
- NJM Insurance (Trenton, NJ)
- …stewardship. The Actuarial Analyst (we have the ability to hire at the II, Senior or Associate Actuary level based on experience) will support NJM's efforts ... financial strength ratings by AM BEST. Due to exceptional employee experiences, NJM has been included on the latest...This role may be filled at an Analyst II, Senior or Associate Actuary level. The Salary… more
- Humana (Trenton, NJ)
- …leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars ... in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership **Role Desirables** + Advanced Degree in a… more
- Humana (Trenton, NJ)
- …public relations strategies. + Develops corporate communications to be shared with senior leadership. + Supports trend management by conducting analysis of drug ... Pharmacy Solutions ensuring compliance with programmatic requirements, such as claims processing, prior authorization, formulary management and clinical programming… more
