- WelbeHealth (Trenton, NJ)
- …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and… more
- Axis (Red Bank, NJ)
- …available upon request for candidates taking part in the selection process. **Job Description: Senior Claims Specialist** AXIS is seeking a Senior Claims ... Claims team reporting to the Manager of Casualty Claims . This position requires senior claims...Assurance - Comply with best practices measured by monthly Quality Assurance and Management Initiated Audit scores… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …actions (CAPAs). + Monitor audit trends and escalate recurring issues to senior leadership. ** Quality Systems & Compliance** + Support the implementation and ... **Job Summary** The Senior Manager of Global Quality Management...standards across global clinical trials. This role provides hands-on quality oversight, supports audit and inspection readiness,… more
- NJM Insurance (Trenton, NJ)
- …coordinating quality and compliance audits/reviews including pre-work such as audit program development and file selection, assuring the review process is proper ... Reporting to the Workers' Compensation (WC) Training and Quality Assurance Management Supervisor, the WC Quality...to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …leading, and optimizing one or more prioritized CoEs within the Global Quality Operations organization-such as Inspection Readiness, Audit Effectiveness, or ... The Senior Manager, Centers of Excellence (CoEs) is responsible...execution of one or more CoEs (eg, Inspection Readiness, Audit Effectiveness) aligned with global quality priorities.… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- The Senior Manager, People Analytics is a critical analytical and technical expert within our HRIS & People Analytics team. This role supports the build-out and ... maturation of our People Analytics capability, delivering high- quality reporting, dashboards, insights, and data governance practices that empower business leaders… more
- Cardinal Health (Trenton, NJ)
- …in problem-solving, research and problem/dispute resolution. **_Job Summary_** The Senior Coordinator, Prior Authorization is responsible for obtaining, documenting, ... with payers and provider offices to secure timely approvals. The Senior Coordinator proactively manages upcoming expirations to prevent order delays, meets… more
- Humana (Trenton, NJ)
- …part of our caring community and help us put health first** The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive ... practices. The Senior Fraud and Waste Professional work assignments involve moderately...ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Begins to influence department's strategy. Makes decisions… more
- Parexel (Trenton, NJ)
- …the world, ensuring innovative products are supported by clear, compliant, and high- quality documentation that enables safe and effective use across global markets? ... lead governance committees, and collaborate cross-functionally to deliver compliant, high- quality documentation throughout the product lifecycle. **Key Responsibilities** **Strategic… more
- AIG (Parsippany, NJ)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... assets, and management of the risks, controls and AIG audit as it relates to investments and supporting Investment...urgency and strong attention to detail to produce high quality results in a time sensitive environment + Team-player… more