- Zurich NA (Queens County, NY)
- …(not limited to) Financial Institutions, General Industries, Manufacturing, Technology, Professional Services and Real Estate. Zurich Middle Markets offers end ... mindset. This role will be filled at either the Mid- Senior or Senior Level. The hiring manager...and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …and mitigation plans, with a focus on transaction management. + Collaborate with senior leadership to define strategies, goals, and objectives that align BD project ... strong working relationships across departments, with key stakeholders, and Senior Management to ensure transparency and facilitate communication, especially during… more
- AIG (Miami, FL)
- …and insurance companies across Latin America. The Facultative Political Violence Senior Underwriter will collaborate with the Regional Product Leader and other ... Product Leader of LAC Facultative Desk. How you will create an impact The Senior Underwriter - Political Violence and Cyber White Label will be responsible for… more
- Justworks (New York, NY)
- …as possible, but no simpler." Qualifications + Minimum of 1 year of professional experience, preferably in unemployment claims , human resources, or other related ... Operations and Verifications Coordinator, you will assist the Unemployment Insurance Claims Team with resolving state inquiries (including child support fact-finding… more
- Otsuka America Pharmaceutical Inc. (Princeton, NJ)
- …basis. Provide regular performance and relationship reports and analyses to senior management, highlighting key metrics and insights. Health Authority Inspection ... and programs. Keep abreast of relevant laws, regulations, and professional practices in R&D contracting. Take initiative in determining...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Elevance Health (Indianapolis, IN)
- …and use of proprietary data and claim systems for review of facility, professional and pharmacy claims . + Responsible for independently identifying and ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **Primary duties may include, but are not limited to:** + Claim reviews… more
- Mount Sinai Health System (New York, NY)
- …work and accurate analyses; raises questions or concerns in a timely manner ? Mature professional ? seen as a senior team member, interacts with internal and ... MPH, MBA or related) is strongly preferred ? 5-7 years of experience in a professional business environment, of which at least 4 years of experience at a management… more
- Humana (Annapolis, MD)
- …experience with Optum WebStrat or PSI applications + Experience reviewing facility claims + Prior professional experience utilizing Microsoft Excel (eg ... first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer… more
- UPMC (Pittsburgh, PA)
- …To successfully perform the role, the strategy data consultant must be highly professional and understand the causes of financial & clinical trends and anomalies. ... will possess advanced SQL skillsets and have experience working with pharmacy claims and financial data, drug rebate modeling, PBM contractual oversight, formulary… more
- CenterWell (Boston, MA)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more