Senior Claims WFM Lead: Forecasting & Capacity
$67.9k - $199.14kCVS Health
CVS Health is seeking a Claims Workforce Management expert to drive operational decision-making through analytical insights. This role encompasses end-to-end management of workforce strategies, including forecasting and capacity planning, requiring at least 7 years of healthcare-related experience. Located in Trenton, NJ, the position may be remote or hybrid based on the candidate's convenience. The role offers an attractive salary ranging from $67,900 to $199,144 based on experience and qualification, alongside a comprehensive benefits package. #J-18808-Ljbffr
$126.2k - $264.1k
...Oracle is seeking a US-based Senior Principal Energy Program Manager... ...President of Infrastructure Capacity and Planning. As an energy... ...reduction and renewable energy claims: Global Reporting Initiative... ...your potential at a company leading the way in AI and cloud solutions...SeniorClaimsContract workTemporary workFor contractorsFlexible hours- ...(PPS) Provider Hospital Reimbursement Analyst, also known as a Senior Business Systems Analysis Professional, is an integral member of... ...working closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration...SeniorClaims
$100k - $110k
...Energy is looking for a Senior Treasury Analyst to... ...and system enhancements Lead other technology implementations... ...administration, cash forecast and liquidity,... ...GW of gross generating capacity in 26 states, including... ...any other email address claiming to represent Clearway Energy...SeniorClaimsH1bLocal areaRelocationVisa sponsorshipFlexible hours$22.3 - $35.2 per hour
...Lead Coordinator, Collections About Navista We believe in the power of community oncology to support patients through their journeys... ...accounts receivable team, ensuring accurate and timely processing of claims, including denials and the maximization of cash flow. This role...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$23.16 per hour
...Company: Highmark Inc. Job Description: This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing...SeniorClaimsFor contractorsWork at officeLocal area$147.4k - $336.8k
...Ernst & Young Oman is seeking a Real Estate Tax Senior Manager to lead tax planning projects, manage teams, and provide expert advisory services. This role focuses on the real estate, hospitality, and construction sectors. The ideal candidate will have a Bachelor's degree...Senior$115k - $125k
...the culture. What You’ll Be Doing: As a Senior Product Owner at Evolent Health, you will... ...the healthcare technology domain. You will lead agile teams, collaborate across functions... ...of healthcare data formats (eligibility, claims, authorizations) and compliance standards...SeniorClaimsWork at officeImmediate start$249.97k - $388.13k
...Executive Director, Global Value Evidence Lead, is a strategic leader responsible for... ...strategy across the company’s portfolio. This senior leader will provide strategic vision and... ...application processing fee, even if claimed you will be reimbursed, this is not Otsuka...ClaimsTemporary workLocal areaFlexible hours$105.1k - $135.09k
...Within Advanced Therapy Solutions (ATS), the Senior Manager, Value & Access Solutions plays a... ...RWE and Analytics & Insights teams with claims, reimbursement, and health economics data... ..., metrics, or models Works on or may lead complex projects of large scope...SeniorClaimsTemporary workLocal areaImmediate startFlexible hoursShift work$81.7k - $135k
...Tax - Sales and Use Lookback Review COE - Senior Will you shape the future or will... ...Lookback Review COE is a national team which leads large multi-state, sales and use tax... ...Prepare and defend sales and use tax refund claims Participation on a motivated team of professionals...SeniorClaimsSummer holidayImmediate startFlexible hours- ...Senior Benefits Consultant - Pharmacy Charlotte, North Carolina;New York, New York; Pennington... ...include applying expert judgment, leading strategic initiatives, and influencing... ...executed. Participation with vendor audits, claims reviews, annual meetings, development of...SeniorClaimsWork at officeShift workDay shift
- Senior Benefit Consultant JBM Planning and Consulting, LLC Location: Bordentown, NJ (Burlington... ...of the firm. Key Responsibilities Claims and Utilization Analysis Review and... ...Commissioners’ meetings in a supporting capacity; occasionally present exhibits or data summaries...SeniorClaimsFull timeContract workWork at officeRemote work3 days per week
$125k - $175k
...Senior Claims Specialist Headquartered in New York City with offices throughout the U.S. and in Vancouver, Canada, Hudson is a market-leading specialty insurer that offers a wide range of property and casualty insurance products to corporations, professional firms...SeniorClaimsWorldwide- Initial Therapeutics, Inc. in Plainsboro Township seeks a professional for the gross-to-net forecasting position. The role includes developing forecasts for current and future products, working closely with multiple departments to ensure alignment and accuracy. The ideal...Senior
- Serco is seeking a Senior Manager for Trade Compliance to join our team. This 100% remote position involves managing trade compliance efforts, particularly supporting U.S. defense customers. The ideal candidate will have at least 8 years of experience in trade compliance...SeniorRemote work
- JBM Planning and Consulting LLC in Bordentown, NJ, is seeking a Senior Benefit Consultant to support the NJ Solutions Joint Health Insurance Fund. The role includes analyzing claims data, preparing reports for Commissioners, and coordinating with vendors. Candidates should...SeniorClaimsWork at office
- ...financial analysis and budget management activities Manage high-volume budgets and large annual spend portfolios Track and monitor forecasts, rolling estimates, and anchor budgets Support enterprise procurement and accounting systems Prepare executive-level financial...Senior
$177.7k - $230k
...Philadelphia, PA; San Francisco, CA. The Company Welcome to Munich Re Specialty - North America, a leading specialty insurance provider dedicated to delivering exceptional underwriting, claims, and risk management expertise to our partners and customers. As a trusted industry...ClaimsTemporary work$190.9k - $265.55k
This position will lead the data, analytics and modeling... ...work product like forecasts, valuation, and pricing... ...need to operate in that capacity at times representing... ...priorities. This is a senior level position that receives... .... Analyze enrollment, claims, and clinical data to...SeniorClaimsWork experience placementLive inLocal area- ...to support the actuarial bid pricing process for Medicare Advantage lines. The role involves conducting profitability analysis, forecasting, and reporting to stakeholders. The ideal candidate will hold a Bachelor's degree in a related field, possess expert knowledge in...Senior
$105k - $160k
...applicants will receive consideration for employment without regard to any protected characteristic. About the Team We are hiring a Senior Claims Specialist – Primary Casualty for our North America Claim Team. The role involves managing primary claims for AXIS U.S. Primary...SeniorClaimsWork at office3 days per week- Novo Nordisk A/S in Plainsboro Township seeks a dedicated professional for the GTN forecasting role. This position drives strategic financial assessments by collaborating across teams, ensuring accuracy in forecasting for the US business. The ideal candidate will have at...Senior
$22.5 - $30.5 per hour
...are filled Oversees assigned area of responsibility by handling claims and returns zoning the area arranging and organizing merchandise... ...management with correcting ethical and compliance issues and problems Leads and participates in teams by using and sharing resources...ClaimsHourly payMinimum wageFull timeTemporary workPart timeWork at office- A leading healthcare company is seeking an Associate Director, Strategy Lead in New Jersey to drive brand strategy and go-to-market plans for their portfolio. Candidates should have at least 12 years of experience in the pharmaceutical industry, strong strategic and analytical...Senior
- ...Rochester, NY, or Hamilton, NJ office, with the option for a hybrid schedule after the training period. ** General Summary: A Senior Claims Analyst will investigate, evaluate, and resolve claims while ensuring compliance with regulatory and company policies....SeniorClaimsWork at officeNight shift
- ...Innovative Medicine seeks an experienced IM Transcend IT Compliance Senior Manager to define end‑to‑end IT and compliance strategy for a... ...risk and control design and ensuring audit readiness. You will lead senior IT compliance efforts, coordinate with ISRM, User Access...Senior
- A leading healthcare organization is seeking a Senior Patient Safety and GxP Document Oversight Manager in Plainsboro Township, NJ. This role involves overseeing GxP documentation, ensuring compliance, and collaborating across departments. The ideal candidate will hold...Senior
$127.4k - $172.4k
BeOne Medicines, based in Hopewell, New Jersey, seeks an experienced professional to manage QC Microbiology and lead Environmental Monitoring programs. The role involves overseeing microbiological testing, ensuring compliance with FDA/EU regulations, and mentoring a high...Senior- BioSpace is seeking a specialist in gross-to-net forecasting to support financial assessments for various brands. This position requires strong analytical and collaboration skills as you will work with Finance, Pricing, and Strategy teams to develop accurate forecasts....SeniorFlexible hours
- test IO seeks an experienced Senior Manager, Energy Consulting to act as a subject matter expert within Technology and Business Consulting... ...to long-term worksites across the United States. You will lead advisory engagements, guide energy-market software usage, and drive...Senior
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