Claims Manager Jobs in Plainfield, NJ

Help us enhance healthcare quality through data analysis and reporting, ensuring accurate submissions and compliance with HEDIS standards. Collaborate on data integrity projects and contribute to perf...

Manage and lead audit engagements in Capital Markets while ensuring compliance, fostering teamwork, and enhancing risk assessment processes. Collaborate with stakeholders to promote transparency and u...

Lead the charge in managing the hospital's comprehensive insurance portfolio, ensuring strategic placement and robust risk management. Collaborate with key stakeholders to enhance coverage, drive cost...

Join a dynamic clinical operations team, driving quality assurance and policy maintenance for Drug and Biological policies. Your expertise will enhance our coding processes and support client inquirie...

Lead and develop Actuarial Analysts to deliver high-quality pricing analyses. Collaborate with clients and stakeholders to enhance decision-making through insights while managing project timelines eff...

Unlock your potential by auditing outpatient claims. Leverage your clinical and coding expertise to enhance accuracy and improve treatment quality while contributing to innovative auditing solutions i...

Lead the charge in optimizing clinic operations while ensuring exceptional patient and employee experiences. Oversee team performance, maintain compliance, and enhance operational efficiency across as...

Transform clinic operations by leading dedicated teams, ensuring exceptional patient care and efficient workflows across multiple locations while fostering a positive workplace culture and upholding o...

Empower the risk management function by leading the insurance program, shaping strategic coverage decisions, and integrating analyses across operational and financial planning while fostering team dev...

Empower marine risk evaluation and underwriting by leveraging insights in global trade. Collaborate with brokers and internal teams to drive portfolio performance while ensuring compliance and innovat...

Empower data stewardship excellence by enhancing tax assessor data practices. Lead governance, ensure data fitness, and unlock strategic value through AI and effective stakeholder collaboration in thi...

Drive P&L performance by executing local product strategies to enhance customer retention, profitability, and growth through effective pipeline management and cross-functional collaboration, ensuring...

Lead the charge in underwriting new and renewal business, using your expertise to assess risk and provide exceptional service to brokers while fostering strong relationships to drive profitable growth...

Transform reimbursement challenges into solutions by engaging with physicians and hospitals, providing field support, and driving collaboration across teams to enhance commercial success and patient a...

Grow your career with this high-visibility role leading actuarial analyses and strategic collaborations to influence overall profitability and product development within the commercial auto market...

Transform the future of Inland Marine underwriting by building a profitable portfolio from scratch. Leverage your expertise in Builders Risk and Contractors Equipment while creatively cultivating new...

Accelerate rent growth by managing tenant relationships and lease renewals across multiple properties. Collaborate with teams to analyze performance metrics and negotiations to enhance asset value and...

Lead impactful coordinating center projects while managing and developing a team committed to delivering excellence in copay assistance for specialty pharma programs, ensuring top-notch customer servi...

Empower teams by ensuring high standards in nursing care and management. Collaborate across departments to enhance patient experiences, coordinate care, and improve outcomes while fostering a culture...

Lead the charge in enhancing hospital revenue integrity and compliance by optimizing revenue cycle processes, maximizing reimbursement, and conducting thorough audits while collaborating across clinic...

Transform practice operations by integrating AI technology with compliance and quality management. Oversee scaling initiatives, ensure safe automation, and enhance clinical risk mitigation while leadi...

Innovate the future of employee benefits by identifying, cultivating, and closing new clients across diverse industries. Leverage comprehensive solutions to drive client satisfaction and business grow...

Shape the future of alternative risk solutions by leading strategic initiatives, driving innovation, and building strong relationships with clients and partners to deliver complex risk financing strat...

Pioneer AI-driven product strategies, leading cross-functional teams to innovate and enhance the software development lifecycle. You'll collaborate with engineering, data science, and market experts t...

Champion innovation and strategy in utilization management, leading product vision and development. Drive transformative solutions to enhance healthcare efficiency while collaborating with cross-funct...