Claims Manager Jobs in Rutherford, NJ

Manage compliance workstreams for auto lending, transforming regulatory requirements into operational solutions. Collaborate cross-functionally to ensure scalable, compliant processes and build strong...

Join a dynamic team as you drive legal excellence and collaboration across investments. Your expertise will be key in managing legal risks, negotiating contracts, and building strong partnerships with...

Help us optimize our legacy systems by engaging stakeholders, prioritizing solutions, and driving agile best practices to enhance operational efficiency and support strategic growth across our organiz...

Shape the future of healthcare by leading the daily operations of pre-authorization functions. You will oversee regulatory compliance, support staff education, and direct complex case management in a...

Elevate operational standards by supervising MLTC/DSNP pre-authorization functions, ensuring compliance and guiding staff through complex cases while facilitating interdepartmental communication and e...

Optimize risk and litigation support by managing claims, collaborating with stakeholders, and enhancing compliance initiatives, all while driving continuous improvement across claims and risk manageme...

Optimize business processes through analysis, collaboration, and improvement strategies. Work closely with teams to enhance efficiency and effectiveness, while managing process documentation and autom...

Transform data into actionable insights that drive business performance and risk outcomes. Collaborate with stakeholders to analyze complex claims data, identify trends, and deliver strategic recommen...

Lead the charge in delivering comprehensive behavioral health case management by assessing needs, coordinating care, and enhancing member access to quality services—all while working virtually for opt...

Join a team that's dedicated to delivering IT projects effectively through meticulous planning and collaboration. You will oversee project management tasks, ensuring timely execution and alignment acr...

Drive US customer operations by managing logistics, contract execution, and camera servicing. Redesign workflows for scalability, ensuring customer satisfaction as company grows rapidly in the healthc...

Champion compliance and legal operations across multiple locations ensuring all regulations are met promptly. Lead a high-performing team to drive accountability, training, and coordination between st...

Drive the operational success of multi-physician practices through effective administrative management, strategic program development, and fiscal oversight to enhance service delivery and team perform...

Drive financial accuracy and insights as a key member supporting reporting, budgeting and analysis in a collaborative team, engaging with financial statements and expense performance to enhance organi...

Lead the charge in ensuring compliance and quality improvement initiatives across departments. Collaborate to enhance incident management, conduct audits, and support regulatory standards while foster...

Join a dynamic team and lead regulatory strategies for in vitro diagnostics, ensuring compliance and successful submissions while collaborating cross-functionally. Manage project timelines and mentor...

Partner with us to strategically manage pharmacy contracts, ensuring compliance and network efficiency. Lead negotiations, evaluate vendors, and collaborate across departments to enhance pharmacy serv...

Join a dynamic team to enhance claims operations by optimizing workflows and implementing innovative product solutions that drive efficiency and improve customer satisfaction in a fast-paced insurance...

Lead the charge in overseeing home healthcare operations, ensuring compliance and quality care delivery. Direct staff recruitment, training, and fiscal management while fostering effective communicati...

Lead the charge in analyzing hospital claims for accuracy and training team associates. Collaborate across departments to ensure compliance with billing guidelines while driving optimal claims process...

Unlock your potential as a Manager in Regulatory Affairs focused on executing and overseeing global submission activities. Collaborate with cross-functional teams to ensure compliance, enhance process...

Contribute to impactful medical communications projects by managing cross-functional teams, adhering to budgets, and ensuring client satisfaction. Lead initiatives from inception to completion while m...

Optimize billing processes by leveraging expertise in surgical billing and compliance. Collaborate cross-functionally to minimize delays and enhance claim accuracy while ensuring adherence to CMS guid...

Champion the growth of facultative property reinsurance by forging strong relationships with cedants and brokers, driving strategic business development, and enhancing SCOR's market leadership through...

Lead the charge in driving strategic growth and alignment for Personal Lines by managing state-specific product portfolios, collaborating across teams, and utilizing data-driven insights to achieve fi...