AVP, US Healthcare Claims — Strategic Leader
Sompo
Sompo is seeking an Assistant Vice President for US Healthcare Claims in Morristown, New Jersey. This role involves managing complex healthcare claims, providing legal review, and supporting underwriting with detailed exposure reporting. The ideal candidate has over 10 years of experience in claims handling, preferably with a law degree, and an adjusters license. Sompo offers a competitive salary and comprehensive benefits, including medical plans and a 401(k) retirement savings plan. #J-18808-Ljbffr Sompo
$145k - $195k
...has a unique opportunity for an Assistant Vice President, US Healthcare Claims in our North America Claims team. This role will manage claims... ...Claims Team by partnering across regions and functions on strategic projects, industry engagement, complex claims, and other...ClaimsWork at officeWorldwideFlexible hours- ...serves on the System Nursing Executive Council. The role drives strategic plan execution, partners with physicians and executives to... ...safety, and experience, and ensures a healthy work environment and operational excellence across all #J-18808-Ljbffr Jobleads-USSuggested
$161.93k - $243.5k
...DescriptionSetidegrasib Launch Lead (NSCLC), US OncologyAbout Astellas... ..., we are pioneering new healthcare solutions for diseases with... ...insights into clear strategic choices, commercial plans, and... ...of like-minded life science leaders, all dedicated to improving patients...SuggestedWork at officeRemote workWork from homeWorldwideFlexible hours- ...the Compliance Officer, US, you will lead and... ...ensuring adherence to healthcare laws, regulations, and... ...trusted advisor to senior leaders, embedding compliance into... ...making. This role combines strategic leadership with hands-... ...Statute, False Claims Act, FDA promotional regulations...Claims
$183.75k - $265.42k
...millions of people and need leaders and experts ready to... ...new formulations, claims, clinical studies, packaging... ...initiatives.Strong strategic mindset with experience... ...benefit programs.About Us:Opella is the self-care... ...SA#LI-SA#LI-HYBRID #J-18808-Ljbffr Opella Healthcare GroupClaimsTemporary workWorldwide$206.25k - $343.75k
...US Senior Medical Director, Rare Hematology Location: Cambridge... ...in this mission by providing strategic leadership across the rare... ...We are an innovative global healthcare company, committed to... ...tactics, and development of claims Serve as the internal expert...Claims$118k - $178k
....Analyze group medical claims data, demographics, and... ...Knowledge and understanding of healthcare payers, health plan... ...and able to set strategic direction.Able to work... ...which can be viewed here: US Benefits OverviewAt AIG... ...Inc. (AIG) is a global leader in commercial and personal...ClaimsFull timeWork at office$181k - $260k
SUMMARYZoetis seeks a strategic leader to build and scale pricing strategy... ...preferredHybrid roleThe US base salary range for this full... ...and their families including healthcare and insurance benefits... ...recruitment-related email message claiming to be from Zoetis that does...ClaimsFull timeTemporary workLocal area$204.25k - $312k
...drive sales growth and improve healthcare outcomes for patients. We are... ...organizational culture in both US and India, including... ...We want our legacy to be the leaders we produce for the industry. Will... ...pharma commercial data ecosystems (claims, Rx, CRM, digital, field, medical...ClaimsHourly payFull time- ...Director, Pulmonary in Morristown, NJ, to lead strategic medical plans and collaborations. The... ...-based strategies and engaging with healthcare professionals to optimize patient care. The... ...an advanced degree in life sciences. Join us in transforming care and bringing hope to...
$140.3k - $192.94k
...science and external insights into strategic, actionable opportunities for... ...guiding product design, claims and breakthrough communications... ...you will contributeAs the Sr. Leader, Nutrition & Scientific Affairs... ...required.Proven understanding of the US food and nutrition landscape...ClaimsFull timeWork at officeRemote workRelocation package3 days per week- Direct Jobs is looking for a professional responsible for driving the standardization of medical and surgical products within Atlantic Health System. This role requires strong analytical skills to achieve operational goals and to manage supplier relationships effectively...
- ...products, aligning utilization with the lowest costs. You will lead value analysis, collaborate with clinical staff, and support strategic sourcing in contract negotiations, while monitoring policies and tissue tracking software implementations. The role emphasizes data...Contract work
- ...collaborates with clinical and sourcing teams to implement best practices. The ideal candidate has a BSN or related degree and 5+ years in healthcare settings with experience leading product evaluation teams, shaping vendor policies, and supporting supply chain #J-18808-Ljbffr...
$96k - $128k
Senior Manager, US Retirement BenefitsLocation: On-Site, Morristown... ...an experienced total rewards leader to join our organization as... ...Benefits, this role provides strategic leadership and operational oversight... ...& Analytics: Analyze claims utilization, participation trends...ClaimsFull timeContract workLocal areaMonday to FridayFlexible hours- ...function is seeking a highly strategic, analytical, and collaborative... ...and navigate evolving healthcare environments, especially focusing... ...analytics ("Follow the Dollar", claims analysis, and scenario... ...Employer/Veterans/Disabled. US & Puerto Rico only - to learn...ClaimsTemporary work
$128k - $252.5k
...challenges across the healthcare ecosystem. As an Actuarial... ...will apply actuarial, strategic, and analytical... ...era of change and join us on this transformative... ...changes, or other detailed claims analytics Review Medicare... ...level employees to senior leaders, we believe there’s...ClaimsWork at officeLocal areaVisa sponsorship- AXIS Capital is seeking a Portfolio Lead to oversee strategic investment portfolios, drive delivery across projects, and align initiatives... ...Delivery, Data & Analytics, AI, and COE teams, engaging senior leaders to shape and launch initiatives. The ideal candidate has 5+...Claims
- ...is the analytical and strategic engine of the Medical Innovation... ...incubator model, this leader identifies use cases,... ...pipeline – enables us to invent medicines and... ...comply with relevant healthcare regulations, data privacy... ...real-world evidence, claims data, EHR integration,...ClaimsShift work
- ...a blend of technical acumen, strategic planning, and effective communication... ..., Billing & Payments, Claims, Illustrations & Quotes, Advisor... ...and we are one of the world’s leaders in helping drive that change,... ...to creating 360 value, enable us to help our clients reinvent and...ClaimsFull timeWork experience placementLive inWork at officeLocal area
- ...reports for internal stakeholders and senior management. Responsibilities include demand and financial forecasting, data analysis from claims and market data, and maintaining forecasting models. Prior pharma analytics experience is preferred. #J-18808-Ljbffr Merck & Co.Claims
- Zelis is modernizing the healthcare financial experience. The Senior Content Ideation Specialist will develop and deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review suite, sourcing from ICD-10, AHA, AMA, CPT, CMS and clinical research...ClaimsRemote jobWork at office
$95k - $120k
...it's our mindset. It empowers us to think fearlessly, make... ...an independent pharmaceutical healthcare marketing and ad agency and bring... .... This role requires a strategic thinker who can maintain a broad... ...receive a suspicious message claiming to be from our company, do...ClaimsRemote workFlexible hours$160.5k - $305k
...and scientific input into core strategic and operational medical... ...organization provides patients, healthcare providers and payers everywhere... ...or equivalent (D.O. or non-US equivalent of M.D). Relevant... ...fraudulent offer or communication claiming to be from AbbVie, please do...ClaimsWork at officeImmediate startRemote workMonday to Friday$21.76 - $29.7 per hour
This is an 11:30am-8pm shift on Medical Claims. Getting prescriptions to patients has become increasingly complex. When things get messy... ...along the prescription journey, pharmaceutical manufacturers rely on us to untangle the process and create a clear path—allowing patients...ClaimsShift work- ...TPP) to Target Value Proposition (TVP) and health value added as strategic goals for an integrated, patient-centered evidence generation.... ...a successful R&D track record: evidence generation for label claim pre‑ and post‑approval. Experience with evidence generation beyond...ClaimsRemote work2 days per week3 days per week
$254.53k - $308.43k
...Working with Us Challenging. Meaningful. Life-changing. Those aren’t words that are... ...-level data sources — including EMR/EHR, claims, registries, specialty datasets, and... ...Medical organization at BMS. Set the strategic vision for how BMS Medical engages with the...ClaimsHourly payFull timeTemporary workPart timeFor contractorsSummer workLive inWork at officeLocal areaRemote workFlexible hoursShift work- ...on review expertise to ensure strategic initiatives remain grounded... ...innovative pipeline - enables us to invent medicines and vaccines... ...AI, Modular Content, Core Claims, and or other MLR programs. Familiarity... ...including high-quality healthcare, prevention and wellness...ClaimsWork at officeLocal areaWorldwide
- ...contact with third-party payers to determine reasons for outstanding claims and communicates to facilitate speedy payment of claims. 3.... ...'s Hospital, Morristown, NJ - Atlantic Health CentraState Healthcare System, Freehold, NJ - Atlantic Medical Group - Atlantic Visiting...ClaimsHourly payFull timeTemporary workPart timeFor contractorsFor subcontractorFlexible hours
- ...across hematology, rheumatology, dermatology, and inflammation. Reporting to the Head of Vonjo Medical Affairs, you will be the medical voice for US strategy, collaborate with Field Medical, engage payers, patient groups, and clinicians, and lead #J-18808-Ljbffr Sobi
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