- Humana (Trenton, NJ)
- …independent determination of the appropriate courses of action. **Where you Come In** As a Claims Process Organization Project Manager II you will manage ... caring community and help us put health first** The Project Manager II manages all aspects of a ... + Communicate with other operational areas in the organization to secure specialized resources and contributions for the… more
- AIG (Croydon, PA)
- …Operations. This varied role will have responsibility for implementation of claims strategic initiatives, delivering service excellence through process ... initiatives and projects in the UK leading projects independently and work closely with Claims Operations Analyst in delivering project plans. + Work in close… more
- J&J Family of Companies (Skillman, NJ)
- Senior Scientist, Claims & Clin Strat - 2407025259W **Description** Kenvue, is currently recruiting for: **Senior Scientist, Claims & Clinical Strategy, ... Essential Health** This position reports into the R&D Claims & Clinical Manager and is based at Skillman,...a member of the broader Essential Health Translational Science organization , you will partner with team members to ensure… more
- Humana (Trenton, NJ)
- …career to the next level by driving real impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional, you will play a pivotal ... in resolving outstanding balances related to claim reversals, all while leading process improvements and influencing departmental strategies. This is your chance to… more
- Guardian Life (Trenton, NJ)
- **Job Posting Title** **Team Leader, Absence Claims Management** **Job Description** The **Team Leader, Absence Claims Management** is responsible for leading a ... Managers to get results within their team and the organization . The Team Leader will serve as a primary...action plans for improvement. + Review processes/reports regularly for process improvement opportunities. + Own relationship with client and… more
- Norstella (Trenton, NJ)
- …Now, Citeline is proud to be a part of Norstella, an organization that consists of market-leading pharmaceutical solutions providers united under one goal: ... to improve patient access to life-saving therapies. Within this organization , Citeline plays a key role in helping clients connect the dots from pipeline to patient.… more
- Emerson (Trenton, NJ)
- …Engineer to oversee and manage projects related to feeding systems in our organization . The successful candidate will coordinate and lead projects from conception to ... proposal with the sales team, making adjustments as necessary. Overall Project Responsibility: + Assume end-to-end project responsibility, ensuring consistency… more
- J&J Family of Companies (Skillman, NJ)
- …and consumer-perceived claims validation studies that are strategically aligned with project teams + Represent Consumer Science on cross functional project ... Consumer Science team as part of an end-to-end R&D organization to support the development of products for the...consumer as part of the innovation and product development process , understanding the desired consumer experience and ideal product… more
- Prime Therapeutics (Trenton, NJ)
- …Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out ... reports that give a detailed description of the current project 's progress and indicates time devoted to each task...in easily understandable format for varying levels of the organization . **Responsibilities** + 3+ years of transact-SQL (MS SQL… more
- Taiho Oncology (Princeton, NJ)
- …needs of patients. Advanced technology, a world-class clinical development organization , and state-of-the-art facilities: these and other resources empower us ... lifecycle management. The candidate is expected to be proficient in project management, real-world study design, execution, and reporting. Performance Objectives: +… more
- Merck (North Wales, PA)
- …**Responsibilities:** + Utilize big data to analyze the safety and efficacy claims of potential medical breakthroughs. + Review the quality and reliability of ... clinical development and safety evaluation. + Collaborate with statistics and other project stakeholders in ensuring project plans are executed efficiently with… more
- Terumo Medical Corporation (Somerset, NJ)
- …new product development pipeline in conjunction with Marketing Management and define/optimize process for collection of marketing inputs to support the new product ... development process . + Support sales education and routinely communicate with...and R&D leadership team. This includes hosting of monthly/quarterly project updates and creating/leading marketing advisory teams, collecting and… more
- CVS Health (Princeton, NJ)
- …processing, and Medicaid eligibility and enrollment + Experience navigating a matrixed organization + Experience developing and executing project plans and ... population health initiatives, such as quality improvement projects, are included on project teams to identify provider perceived barriers and provide input on… more
- Sunrun (Trenton, NJ)
- …branch relationships including weekly/monthly reviews, utilization and workload management, process updates and identification and resolution of specific market and ... process issues + Work to pursue and achieve tactical...that require cross-functional engagement with key staff across the organization and external stakeholders + Launch initiatives that increase… more
- Takeda Pharmaceuticals (Trenton, NJ)
- By clicking the "Apply" button, I understand that my employment application process with Takeda will commence and that the information I provide in my application ... **About the role:** At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By… more
- Prime Therapeutics (Trenton, NJ)
- …processes and plans to mitigate future risk. + Lead coordinated efforts across the organization to implement new program or process changes for the client. ... minimization of expense and reporting of performance measures including drug claims processing + Create and maintain strategic partnerships with customers through… more
- Wolters Kluwer (Trenton, NJ)
- … project life cycle; contributing to and executing department process improvement initiatives; managing time and resources effectively; maintaining performance ... increase operational efficiency and reduce costs. Corporate legal and insurance claims departments trust our innovative technology and end-to-end customer experience… more
- J&J Family of Companies (Titusville, NJ)
- …Data Science team to deliver solutions. + Work closely with individual clinical project teams as well as functional area partners in Regulatory Affairs, Market ... trials + Familiarity with healthcare relevant datasets, such as EHR, insurance claims or registry data. + Prior experience working and driving external partnerships,… more
- Wolters Kluwer (Trenton, NJ)
- …and not afraid of the hunt. Someone that prefers to navigate the entire sales process , from start to finish, run their own demos, build a strong and lasting ... entity or claim management - Legisway covers end-to-end legal department needs (corporate, claims , IP, Data Privacy, and so much more!). Legisway is used by legal… more
- J&J Family of Companies (Titusville, NJ)
- …Apply emerging methods to support non-randomized comparisons to support the drug development process + Be a hands-on technical leader among the Data Science team, ... experience in one of the following domains: real-world data (EHR, insurance claims , registry data), building patient cohorts, enrollment modeling, or clinical trial… more