Senior Manager, Workers'' Compensation Claims Justworks, Inc.Senior Manager, Workers'' Compensation ClaimsNew York, NY$131,000–$169,000 / yearAs a Senior Claims Manager of Workers Comp (WC), you will work collaboratively within Justworks' Workers Compensation Team as well as cross-functionally with teams across Justworks including: Customer Success, Technology, Engineering & Product, Accounting, Business Intelligence, Onboarding, Legal, and Finance. Good judgment - the exercise of critical thinking, analyzing and assessing problems and implications, identifying patterns, making connections of underlying issues, understanding risks and developing mitigation strategies, and taking ownership of the outcome.
Product Owner Correspondence & Digital MetLife IncProduct Owner Correspondence & DigitalNY$93,200–$120,000 / yearRecognizednon Fortune magazine''s list of the "World''s Most Admired Companies",nFortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companiesnto Work For, MetLife, through its subsidiaries and affiliates, is one of thenworld's leading financial services companies; providing insurance, annuities,nemployee benefits and asset management to individual and institutionalncustomers. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics").
Account Associate - State Farm Agent Team Member David Ziegenbalg - State Farm AgentAccount Associate - State Farm Agent Team MemberHawthorne, NJFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for David Ziegenbalg - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Hawthorne, NJ and help customers with their insurance and financial services needs, including: Auto insurance.
Account Associate - State Farm Agent Team Member Nadeem Moustafa - State Farm AgentAccount Associate - State Farm Agent Team MemberQueens Village, NYFull timeROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Nadeem Moustafa - State Farm Agent, you are vital to our daily business operations and customers’ success. We are located in Queens Village, NY and help customers with their insurance and financial services needs, including: Auto insurance.
Corporate Counsel - Reinsurance United Fire Group IncCorporate Counsel - ReinsuranceNY$135,000–$175,000 / yearCorporate Counsel will advise business and functional stakeholders on treaty and facultative reinsurance transactions, contract wording, collateral and security arrangements, claims, dispute management, and related governance and regulatory considerations. The role requires strong technical reinsurance knowledge, sound judgment, and the ability to partner effectively with underwriting, claims, finance, and senior business leaders in a fast-paced, global environment.
Senior Product Manager, Healthcare AI & Revenue Cycle Solutions Oracle CorpSenior Product Manager, Healthcare AI & Revenue Cycle SolutionsNY$91,400–$187,000 / yearWe are seeking a highly motivated Senior Product Manager to lead product strategy, roadmap, and execution for AI-enabled healthcare workflow solutions spanning revenue cycle management, interoperability, healthcare data exchange, and clinical AI applications. Define and communicate product strategy, roadmap, and priorities for AI-powered healthcare workflow solutions, including revenue cycle, interoperability, healthcare transaction services, and clinical AI capabilities.
Senior Actuarial Analyst/Associate Actuary Berkshire Hathaway GUARD Insurance CompaniesSenior Actuarial Analyst/Associate ActuaryNew York, NY$90,000–$140,000 / yearThis role will be responsible for completing pricing analyses, making significant contributions to various projects aimed at developing new products, monitoring and maintaining profitability, and leading, training, and mentoring junior actuarial staff. We're looking for a Senior Actuarial Analyst or Associate Actuary who thrives in a collaborative, fast‑paced environment and is excited to help shape profitable growth through data‑driven insights and strong business partnerships.
Manager, Data Analytics WebMD Health CorpManager, Data AnalyticsNY$110,000–$120,000 / yearThe candidate will be responsible for hands-on development of various analytical models as well as for collaborating with external and internal analytical partners to measure impact of WebMD's HCP and DTC campaigns and Medical Affairs programs. Responsibilities: Serve as a subject matter expert on statistical analysis and AI, develop, test and deploy machine learning and deep learning algorithms to digital marketing campaign design and evaluation, and provide coaching to an offshore analytic team.
Specialist, Business Systems Analyst II Horizon Healthcare ServicesSpecialist, Business Systems Analyst IINewark, New Jersey109,600 - $149,625 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. Serve as the primary Business Systems Analyst for Blue Card, BlueCard Modernization (BCM), National Program Releases (NPR), Inter-Plan Teleprocessing System (ITS), Blue2, BlueCard Portal, RTM, and related BCBSA initiatives.
Pharmacy Technician-Certified Costco Wholesale CorpPharmacy Technician-CertifiedCLIFTON, NJAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Pharmacy Technician Non-Certified Costco Wholesale CorpPharmacy Technician Non-CertifiedEDISON, NJAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Senior Financial Data Analyst - Healthcare VillageCareSenior Financial Data Analyst - HealthcareNew York, NY$87,647.11–$98,603 / yearAs a Senior Financial Data Analyst at VillageCare, you will play a crucial role in developing, documenting, and maintaining reports and analytics that empower leadership with key insights to drive financial success. You will ensure the accuracy and timeliness of routine and ad hoc reports, collaborating closely with both internal and external customers to guarantee successful report roll-ups and high customer satisfaction.
Sr. Specialist, Regulatory Affairs MetagenicsSr. Specialist, Regulatory AffairsJersey City, New Jersey, United States, New JerseyMonitors competitive claims, FDA’s and FTC's actions, litigation, news releases and other sources, as they relate to the current science of Metagenics-related products and challenges to relevant product claims, to ensure that Metagenics limits its exposure for product claims both domestically and internationally. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Sr. Biomedical Engineer Prestige Brands Holdings, Inc.Sr. Biomedical EngineerTarrytown, NY$120,000–$140,000 / yearJOB SUMMARY: As a Senior Biomedical Engineer, you will work closely with cross-functional teams in our corporate headquarters in Tarrytown, NY focusing on new product development and R&D for the Breathe Right brand and supporting our other OTC medical device and device-adjacent portfolio spanning respiratory, oral care, eye care, women's health, dermatology, and digestive health brands. MAJOR RESPONSIBILITES/ACTIVTIES: Serve as R&D technical lead for the Breathe Right brand and provide biomechanics and human factors expertise across Prestige's OTC medical device portfolio including oral care, eye care, women's health, dermatology, digestive health, and respiratory brands.
NewClaims Adjudication Associate Capital Rx LLCClaims Adjudication AssociateNew York, NY$98,800–$123,500 / yearJudi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and. Manage and prioritize escalated claims-related workflows, including appeals, subrogation, payment issues, stop-loss, adjustments, and member/provider inquiries, based on contractual obligations, regulatory requirements, business risk, and client impact.
Business Development Manager Engineering Tata Consultancy Services LtdBusiness Development Manager EngineeringNew York, NY$200,000–$250,000 / yearThis is a market facing role to drive new revenue growth in the US BFSI market by developing and closing IoT-enabled and Geospatial data-driven solutions for Banking, Property & Casualty and Life Insurance clients. The role focuses on connected facility ecosystems, climate intelligence, satellite data, and GIS analytics to modernize underwriting, risk engineering, claims, and customer experience.
Medicare Part B Operations Coordinator, Revenue Cycle CVS Health CorpMedicare Part B Operations Coordinator, Revenue CycleNJ$17–$34.15 / hourThis role helps ensure compliance with Centers for Medicare and Medicaid Services (CMS) requirements by facilitating accurate claim processing and submission, including manual intervention through prescriber outreach and documentation review. As a Medicare Part B Operations Coordinator, you will support the Revenue Cycle Medicare Part B Team in efforts to reduce bad debt, mitigate legal risk and ensure compliance with all federal, state, and CVS Health requirements.
Senior Provider Configuration Analyst Metroplus Health Plan IncSenior Provider Configuration AnalystNew York, NY$105,000–$115,000 / yearSix (6) years of progressive, responsible experience in configuration for data processing, computer systems and applications; Experience with HealthEdge HRP and Source products required. The Senior Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth's systems to ensure that claims are processed according to Provider contracts.
Senior Data Scientist - Real World Data Formation BioSenior Data Scientist - Real World DataNew York, NY$185,500–$232,000 / yearRecognizing that this development bottleneck may ultimately limit the number of new medicines that can reach patients, Formation Bio, founded in 2016 as TrialSpark Inc., has built technology platforms, processes, and capabilities to accelerate all aspects of drug development and clinical trials. You have working familiarity with real-world evidence study design concepts-such as active comparator new user designs, time-to-event outcomes, confounder adjustment, and causal discovery algorithms-sufficient to partner effectively with Data Scientists on causal inference workflows.
Veterans Benefits Services Manager Wounded Warrior Project, Inc.Veterans Benefits Services ManagerNew York, NY$82,790–$103,488 / yearAll resumes submitted by search firms to any employee at Wounded Warrior Project via email, the Internet or directly to hiring managers at Wounded Warrior Project in any form without a valid written search agreement in place will be deemed the sole property of Wounded Warrior Project, and no fee will be paid in the event the candidate is hired by Wounded Warrior Project as a result of the referral or through other means.". Attend and actively participate in required training and/or meetings, including but not limited to New Teammate Orientation, WWP Cares, ASIST Suicide Prevention training, Leadership training, culture/team based training, or departmental huddles.