- Westminster Management (Florham Park, NJ)
- …agencies. + Demonstrated experience with insurance, finance, legal, loss control, claims management , and risk information system(s). + Chartered Property ... Be Solution-Oriented. Be Accountable. Be caring. JOB SUMMARY The Director of Risk Management is responsible for...as needed (coordinating with other relevant employees) 4. Coordinate claims and loss recovery management + Notify… more
- Zurich NA (Trenton, NJ)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
- CenterWell (Trenton, NJ)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Humana (Trenton, NJ)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- The Director , Strategic Planning & Operations is a pivotal role within the Medical Excellence & Operations team within Global Medical Affairs. This role is ... the asset lifecycle. This role reports directly into the Executive Director , Medical Excellence and Operations. **Job Description** **Key Responsibilities Include:**… more
- Aveanna Healthcare (Clark, NJ)
- …with federal and state regulations * In collaboration with the Client Relations Director , CRD/Client Relations Associate , CRA, visits with the various referral ... Executive Director - Home Care ApplyRefer a FriendBack Job...Details Requisition #: 208690 Location: Clark, NJ 07066 Category: Management Salary: $70,000.00 - $90,000.00 per year Position Details… more
- Humana (Trenton, NJ)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Evolent (Trenton, NJ)
- …outcomes and a more connected care journey. We are hiring for a Managing Director , Actuarial Services to join our Finance Team. The candidate selected for this role ... to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …Looks for trends and root causes as opportunities to improve organizational/team and associate satisfaction. Tracks claims & charges and measures improvement + ... and capacity analyses and strategic workforce planning, organization design, associate engagement, organizational announcements + Acts as the trusted advisor… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims ... from denying. + Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. +… more