- Otsuka America Pharmaceutical Inc. (Boston, MA)
- …experience in Learning & Development, with at least 5 years in a senior leadership role in a regulated industry (pharmaceutical, biotech, or healthcare). Deep ... you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to...legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,… more
- NTT America, Inc. (Raleigh, NC)
- …Deployed Engineering & Client Advisory (Insurance Domain) Collaborate directly with senior client stakeholders (actuaries, claims managers, IT leaders) to ... to deploy transformative AI solutions for core functions like underwriting, claims processing, and customer engagement. This dual-focus role demands a unique… more
- CSL Behring (King Of Prussia, PA)
- As the Senior Director of Sales Operations, Data & COE you will play a key role with responsibility for leading all aspects of sales force operations across the ... across various functional areas including Sales, Medical and Marketing. Data Operations: Senior Director is a high-level leader responsible for overseeing a function… more
- Elevance Health (Mason, OH)
- Pharmacy Benefit Manager Process Expert Senior Hybrid: This role requires associates to be in-office 1 - 2 days per week , fostering collaboration and connectivity, ... 8:00am - 5:00pm Eastern Time The Pharmacy Benefit Manager Process Expert Senior supports multiple operations departments by participating in project and process… more
- Turner & Townsend (Columbus, OH)
- …in markets around the world. Job Description Turner & Townsend is looking for a Senior Risk Manager to join our growing team. The ideal individual will be an ... Lead, manage, and carry out construction stage contract and claims management. Carry out assessment of contractual claims... claims management. Carry out assessment of contractual claims in accordance with the contract. Provide strategic and… more
- Pfizer (Collegeville, PA)
- …brand in the industry. As part of this transformation, we are seeking a Senior Manager of Media Measurement and Optimization to join our best-in-class Team made up ... industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization We look for… more
- Humana (Dayton, OH)
- …a part of our caring community and help us put health first This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will ... work closely with internal and external auditors, financial investigators, and claims processing areas Adequately staff and manage the program integrity… more
- CVS Health (Columbus, OH)
- …we do it all with heart, each and every day. Position Summary As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts ... healthcare fraud schemes. Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business Researches...skills. The ability to understand and analyze health care claims and coding Ability to travel up to 10%… more
- UnitedHealth Group (Eden Prairie, MN)
- …for the performance and direction through multiple layers of management and senior level professional staff You'll be rewarded and recognized for your performance ... in or leading cross department client implementation projects Experience conducting claims /coding research and analysis Experience working in RXClaim or other … more
- CVS Health (Oklahoma City, OK)
- …the way! This is a fulltime teleworker opportunity in Oklahoma. The Senior Claim Data Specialist handles end-to-end processes associated with claim data management. ... related to new business/account implementations. Fundamental Components: Reviews pre-specified claims or claims that exceed specialist adjudication authority… more
