Manager, Commercial Operations ANI PharmaceuticalsManager, Commercial OperationsPrinceton, NJ$130,000–$150,000 / yearForecast accuracy & timeliness; release on-time rate; allocation file timeliness; claims cycle time & $ exposure trend; trade partner SLP/SLA adherence; opportunity cycle time; short-dated disposition timeliness. This is an individual contributor role that requires extensive collaboration and the ability to influence without authority - driving alignment, decisions, and execution across Supply Chain, QA/RA, Finance, Sales, Customer Service, Pricing, and external partners, as needed.
Configuration and Quality Audit Analyst | Hybrid NY HealthfirstConfiguration and Quality Audit Analyst | Hybrid NYNew York, NY$68,900–$99,620 / yearAt least three years of experience in a managed care organization, commercial health plan, government program, third-party administrator, or other healthcare operations environment performing claims analysis, configuration audit, provider reimbursement, payment integrity, or healthcare data analysis. Candidate must display effective communication skills and have detailed skillset to configure Office365, effectively communicate product updates, interface with the vendor on potential issues, and ensure platform governance rules are followed.
Paralegal New Jersey ManufacturersParalegalTrenton, New JerseyServe as the General Claims Legal liaison to General Claims Staff regarding issues associated with medical liens and releases, including: reviewing ERISA plan documents to determine whether the plan is a self-funded plan that legally may enforce a lien for medical benefits, and provide a recommended conclusion to GC Legal Staff; responding to requests for multi-state child support judgment searches and reviewing releases for inconsistencies that may not protect insureds or NJM interests. Provide paralegal support to nine attorneys including conducting legal research and circulating newly released court opinions on relevant issues; monitoring case and publication alerts through Westlaw on important cases, regulations or statutes; monitoring Google search reports on topics as requested; providing General Claims with current statutes regarding good-faith claims handling; and obtaining documents from state and federal dockets.
Personal Injury Protection Rep (PIP) (I/II/ Sr.) New Jersey ManufacturersPersonal Injury Protection Rep (PIP) (I/II/ Sr.)Parsippany, New JerseyManage all requests for medical treatment, durable medical equipment, PIP Care Paths, medical guidelines and policies, internal and/or external peer reviews and/or IMEs, when required, communicate determinations to appropriate parties within 3 business days. Reporting to the designated PIP Supervisor, the PIP claims representative is responsible and accountable for conducting complete and thorough investigation on assigned claims and medically managing those claims through their life cycle.
Medical Case Manager Crawford & CoMedical Case ManagerNew Jersey, NJReviews case records and reports, collects and analyzes data, evaluates injured worker/disabled individual''s medical status, identifies needs and obstacles to medical case resolution and RTW by providing proactive case management services. May spend approximately 70% of their work time traveling to homes, health care providers, job sites and various offices as required facilitating RTW and resolution of cases.
NewVendor Management & Sourcing Specialist Pie Insurance Holdings IncVendor Management & Sourcing SpecialistNYRemote$100,000–$125,000 / yearThe Vendor Management & Sourcing Specialist is the operational backbone of Pie's Claims Vendor Management and Procurement function, owning end-to-end work across both sourcing/procurement execution and vendor relationship and performance management. You will also manage the Claims vendor portfolio by coordinating stewardship meetings, monitoring scorecard performance, handling day-to-day vendor communications, and driving issues through the escalation log from identification to resolution.
Senior Software Engineer, Backend Grow TherapySenior Software Engineer, BackendNew York, New YorkAs a Software Engineer on this team, you’ll work across search, ranking, profiles, and booking flows to build a fast, resilient, and intelligent marketplace that helps every client find the right fit provider and convert that intent into a booked appointment. As a Software Engineer on this team, you’ll build and harden systems for scheduling, authentication, notifications, and early-journey flows that directly determine whether clients show up, come back for visit two, and build lasting relationships with their providers.
Valet Parking Attendant Reimagined Parking IncValet Parking AttendantBrooklyn, NYMobilize and coordinate beginning-to-end valet process by retrieving keys, retrieving vehicles for waiting guests, loading guest vehicles, and issuing tickets and/or leveraging electronic devices to enter customer information. Deploy vehicle safety and security procedures to direct traffic, barricade positions, park guest cars in applicable spaces, inspect vehicles for damage, and report incidents and claims to location-designated leadership.
Commercial SME(Commercial Analytics Consultant (Pharmaceutical Domain DS TechnologiesCommercial SME(Commercial Analytics Consultant (Pharmaceutical DomainPiscataway, New JerseyProvide functional leadership on the management and utilization of Longitudinal Access and Adjudication Data (LAAD), ensuring the successful integration of longitudinal data to support patient-centric commercial activities. Act as the primary SME for commercial operations, providing insights and leadership in Sales, Marketing, Incentive Compensation (IC), Patient Data Management, Longitudinal Access and Adjudication Data (LAAD), and Claims.
Actuarial Intern | 2027 Summer Internship Program Verisk Analytics IncActuarial Intern | 2027 Summer Internship ProgramJersey City, NJUnsolicited resumes sent to Verisk, including unsolicited resumes sent to a Verisk business mailing address, fax machine or email address, or directly to Verisk employees, will be considered Verisk property. Recognized as a Top 100 Internship Program by Yello and WayUp, our program empowers interns to make a tangible impact while learning from industry experts and building connections across the organization.
Senior Analyst - Operational Readiness Axis Capital Holdings LTDSenior Analyst - Operational ReadinessPrinceton, NJReporting to the Head of Optimization, Claims Shared Services, this role ensures approved technology, process, vendor and operating model changes are ready for implementation, adopted by AXIS Global Claims, and stabilized into business-as-usual operations. Working with Product Owners, business sponsors, project managers, technology teams, vendors and operational leaders, the role confirms Claims is prepared to receive, use and sustain new processes and technology.
Senior Director, Sales Operations Eugia US LLCSenior Director, Sales OperationsEast Windsor, New Jersey$190,000–$235,000 / yearFull timePhysical Requirements: OFFICE POSITION - While performing the duties of this job the employee is required to: •Stand, sit; talk, hear, and use hands and fingers to operate a computer and telephone keyboard reach, stoop kneel to install computer equipment •Specific vision abilities required by this job include close vision requirements due to computer work •Light to moderate lifting is required •Moderate noise (i.e. business office with computers, phone, and printers, light traffic). The Senior Director serves as a trusted business partner to leadership and collaborates across Sales, Supply Chain, Marketing, Finance, Legal, and other functional areas to ensure effective execution of commercial strategies, customer support initiatives, contract compliance, pricing administration, and revenue optimization.
Machine Adjuster Pactiv Evergreen IncMachine AdjusterElizabeth, NJ$22–$25 / hourPrograms include company and industry training curricula, support for formal education through the Tuition Reimbursement Program (Non-Union), and a Learning Management System that supports and enhances employee skills at all levels of the organization. Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors.
Adjuster Supervisor Pactiv Evergreen IncAdjuster SupervisorElizabeth, NJ$22–$26.65 / hourPrograms include company and industry training curricula, support for formal education through the Tuition Reimbursement Program (Non-Union), and a Learning Management System that supports and enhances employee skills at all levels of the organization. Novolex is a leading manufacturer of food, beverage, and specialty packaging that supports multiple industries including foodservice, restaurant delivery and carryout, food processing, grocery and retail, and industrial sectors.
Site Safety Manager GallagherSite Safety ManagerCranford, New JerseyWhether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well.
Customer Service Representative Brighton Health Plan Solutions, LLCCustomer Service RepresentativeNew York, NY$40,560–$47,840 / yearBrighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, providers as well as other TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge third-party administration services. The Customer Service Representative assists members, physicians, hospitals, revenue agencies and other healthcare providers with member benefits, eligibility, claims inquiry, claim reconsiderations and appeals.
Manager, Risk Management The Related Companies LPManager, Risk ManagementNew York, NY$125,000–$160,000 / yearThis role will collaborate with development teams, brokers and underwriters, safety and claim personnel to identify exposures to loss and develop state-of-the art risk management techniques to eliminate or minimize the impact of such loss on the company's assets and operations. Support claim administration including coordinating with claim personnel to generate loss history and claim summary reports as required for underwriting purposes.
Field Auto Damage Appraiser Plymouth Rock Management Company of New JerseyField Auto Damage AppraiserParsippany, NJ$64,000–$86,000 / yearThe appraiser works independently in the field inspecting damaged vehicles, preparing estimates, negotiating settlements, and ensuring compliance with company guidelines and applicable state regulations. The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.
Sr. Field Auto Damage Appraiser Plymouth Rock Management Company of New JerseySr. Field Auto Damage AppraiserParsippany, NJ$76,000–$100,000 / yearThe appraiser works independently in the field inspecting damaged vehicles, preparing estimates, negotiating settlements, and ensuring compliance with company guidelines and applicable state regulations. The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service.
Head of Risk & Insurance ViaHead of Risk & InsuranceNew York, NY$200,000–$300,000 / yearPartner with senior leadership on risk strategy, including coverage decisions, alternative risk transfer (captives, self-insured retentions), and how risk and insurance figure into Via's broader operational and financial planning. Stand up the analytics that tell us whether the program is working: monitor loss ratios, claim frequency and severity, cost per mile, and retention thresholds and use them to inform every renewal.