Trabajos claims manager en Perth Amboy, New JerseyCrear alertas

Job Description Spark Car Wash is a high growth, institutionally backed express exterior car wash company serving the Northeast. Spark is growing fast and plans to open a significant number of modern car wash locations throughout NJ, NY, and PA. Spark’s success is driven by a relentless focus on making the car wash an energizing experience for all, delivering a consistently excellent experience for customers and creating an enriching environment for employees. Guided by our values, Spark’s vision is to become the largest car wash operator in the region and the premier car wash brand in the market. Position Summary The General Manager is responsible for leading all aspects of the site and delivering a safe, fast, friendly, and consistent customer experience. This role owns the day-to-day operation of the wash, including team performance, facility cleanliness, safety, sales, customer satisfaction, and overall execution of Spark standards. The General Manager is expected to run the location with an ownership mindset, treating the wash like their own business, taking pride in the facility, developing team members, and driving results. The General Manger leads the site towards strong performance, high standards and a positive team and customer experience. Essential Functions • Team Leadership & Development: Recruit, hire, train, and develop a high-performing team. Foster a positive, accountable culture while coaching employees to grow, perform, and deliver results, • Performance & KPI Ownership: Drive site performance by monitoring key metrics, identifying gaps, and implementing actionable strategies to improve results. Take full ownership of site outcomes and actively engage the team in achieving performance goals, • Operational Excellence & Standards: Uphold and enforce company standards and processes to ensure consistent execution and a high-quality customer experience across all operations, • Customer Experience Management: Ensure an exceptional customer experience by actively managing customer interactions, responding to feedback (including online reviews), and resolving issues such as service concerns, damages, and claims in a timely and professional manner, • Community & Brand Growth: Champion the brand within the local community by building relationships, leading outreach efforts, and identifying opportunities to grow awareness and customer base, • Tunnel Safety & Secure Operations: Train staff on tunnel safety procedures and ensure they consistently follow safety standards around moving vehicles, equipment, chemicals, customers, and other team members, • Payment & Transaction Accountability: Manage customer payment activity, including cash and credit transactions, returns, and sales recording, while ensuring all transactions are completed accurately, responsibly, and in alignment with company procedures, • Cash Handling & Secure Deposits: Handle cash-related responsibilities, including counting money, reviewing and auditing cash activity, supporting Brinks cash pick-ups and deliveries, preparing and verifying deposits, and ensuring all funds are managed accurately, securely, and in accordance with company procedures, • Customer Issue Resolution: Respond promptly to customer needs and resolve concerns with patience, professionalism, and sound judgment while maintaining a calm, respectful, and solutions-focused approach Requirements • High school diploma/GED preferred, or an equivalent combination of education and experience, • Minimum of 3 years of supervisory experience, preferably in a customer-facing, retail, service, hospitality, or operations environment, • Strong organizational, planning and delegation skills to effectively lead teams to achieve business metrics and service standards, • Superb communication skills, both written and verbal. Must be able to convey information clearly and effectively to both employees and customers, • Possess great interpersonal skills, specifically ability to actively listen and motivate associates, • Basic math skills, including counting cash, reviewing transactions, supporting accurate payment handling and end of day accounting, • Experience with cash handling, deposit preparation, cash audits, and related financial controls, including reviewing transactions, verifying deposits, and ensuring cash procedures are followed accurately and securely, • Comfortable performing physical activities that require the use of hands, arms, legs, and full-body movement, including walking, standing, bending, stooping, reaching, and handling tools or materials, • Capable of lifting, moving, or carrying up to 40 lbs. as needed, • English proficiency required to support customer communication and safe daily operations, • Must be able to see details at close range, including transaction information, equipment, tools, and site conditions, • Must be able to work in all types of weather conditions, • Maintain availability for a flexible schedule, including some evenings, weekends, and holidays, • Must maintain reliable transportation to and from work, including but not limited to their assigned store location, meetings, training sessions, and other required organizational functions Other Requirements: • Must be willing and able to travel regularly throughout NJ, NY, and PA as required, • Valid driver’s license and clean driving record and be able to meet our MVR requirements Benefits At Spark Car Wash, we offer competitive pay, opportunities to earn additional income, and benefits to support our team members. • $70,000, plus the opportunity to earn additional compensation based on overall store performance and achievement of company goals., • 401(k) Retirement Plan: Available to eligible full-time and part-time employees, with a company match of up to 4% after 90 days of employment., • Medical, Dental & Vision Insurance: Available to eligible full-time employees., • Paid Sick Time: Employees accrue paid sick time in accordance with applicable state laws and company policy., • Employee Car Wash Plan: Enjoy a complimentary employee car wash plan.

Job Description This is an official AristaCare Talent Acquisition job posting. Candidates who apply through this posting will work directly with our in-house Talent Acquisition Team throughout the recruitment process — not through a third-party staffing or recruitment agency. Business Office Manager is responsible for admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims. May also be responsible for the patient admitting function, generates budgets, financial statements, and various reports. Working in collaboration with the Administrator, Billers. Requirements: Requires a bachelor's degree preferred. Must have at least 3 years’ experience in healthcare financial administration, Long-Term Care and Skilled Nursing Facility preferred. Experienced in Filing applications for NJ Medicaid, private pay collection and MLTSS authorizations. We are proud to offer: Competitive Rates 401(k) Retirement Plan Healthcare benefits (medical, dental and vision) Paid time off Apply Directly with AristaCare! AristaCare has a dedicated in-house Talent Acquisition Team that recruits directly for our facilities. When you apply through this posting, you are connecting directly with AristaCare — not a third-party staffing or recruitment agency. Our team will provide you with the most accurate and up-to-date information about available positions, schedules, pay rates, incentives, benefits, and career opportunities. Apply directly with AristaCare and let our Talent Acquisition Team help you find the position and facility that best fit you. More about us on: www.aristacare.com

Job Description This full-time position will report to the Manager, Specialty Claims. As a direct report to the Manager, Specialty Claims, you should possess the ability to handle a wide variety of Commercial General Liability claims. These claims will present a variety of challenges from both a damage and coverage perspective and may include coverage litigation. Minimum Qualifications: • A Bachelor’s degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience., • At least 10 years of relevant and progressive experience in General Liability claims., • Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: Direct management of general liability claims with potential for significant severity and complexity. Direct management of coverage disputes. Formulating claims and litigation strategies, assigning, directing, and managing outside counsel. Promptly investigating all assigned claims to complete coverage, liability, and damages analysis. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Maintain and manage a diary system to efficiently and effectively resolve all claims. Make recommendations to management pertaining to coverage, settlement positions and file reserves based on well supported reports. Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.). Participate in Claim Reviews and claim audits as needed. Attend depositions, settlement conferences and trials when necessary Performs other duties or special projects as required or as assigned by a supervisor as needed. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Excellent written and verbal communication skills. Strong analytical skills Strong negotiation skills In-depth knowledge of claims, litigation, and trial process. Excellent organizational and time management skills Proficiency in MS Office (Word, Excel, Outlook) Ability to work independently with limited supervision Ability to successfully obtain the required state adjusters’ licenses Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $100,000 - $140,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you. #LI-Onsite

Job Description The Business Office Manager will be responsible for, but not limited to: • Verifying daily Census, • Verify all billing and financial data for new admissions, • Medicare A & B Billing, Claims Corrections and Follow-up, • Managed Care , Claims Corrections and Follow-up, • Private Pay Billing and Collections. Medicaid Application Assistance, • Payment Processing, Reconciliation, and Reporting, • Account Adjustment and Reconciliation, • Accounts Receivable Month-end Closing, • Medicare Bad Debt Processing • Accounts Receivable Monitoring and Analysis, • Refund Processing • Management, Control and Reconciliation of the Residents Needs Account, • Financial Cycle Oversight: Accounts Payable, Purchasing, and Payroll, • Staff Training and Professional Development, • Supervising of Assigned staff as Required (including Accounts Receivable Assistant, Human Resources, Accounts Payable Assistant, Payroll Assistant) Qualifications Position Requirements: • Accounting degree preferred or equivalent work experience, • A minimum of 3 years experience, • 5 years of health care revenue cycle management experience, preferably in the long-term care industry, • Knowledge of health care billing requirements, accounts receivable management and financial applications, • Strong communication, analytic, and writing skills, • Ability to multi-task, handle multiple priorities, and to work independently

Job DescriptionTITLE: HR MANAGERLOCATION: EDISON, NJ The Human Resources Manager is responsible for managing all aspects of the employment lifecycle of Company X’s plant full-time, year-round staff and seasonal employees. Hours are 6am -3:30pm and some Saturday mornings may be required as needed. Responsibilities include: Employee Relations • Address and resolve employee issues in correlation to Company Policy and Procedures, • Liaise with legal counsel to discuss HR-related issues, as needed, • Handle discipline and termination of employees in accordance with company policy., • Ensure compliance with State and Federal Employment lawRecruitment & Training, • Manage the hiring process, including advertising open positions, reviewing resumes, coordinating and conducting interviews, creating offer letters, reference and background checks, • Managing the on-boarding process for new employees, • Train new and temporary hires on GMP; conduct annual HR Trainings as needed HR Administration, • Create and maintain personnel and benefits files ensuring security and confidentiality, • Administer employee benefits; Manage all aspects of annual open enrollment for health benefits., • Administer employee health, retirement plans, which include 401K retirement plan, medical/dental insurance, short and long-term disability insurance, workers compensation, leaves of absence., • Provides resolution of human resources, compensation, and benefit questions, concerns, and issues., • Enforce established payroll related policies and procedures., • Ensure compliance with employment laws, benefits, insurance, safety, and other laws, regulations, and requirements, • Complete and submit paperwork to external agencies for compensation claims, unemployment claims, verification of employment and more Oversee the annual employee review process; Maintain employee performance documentation, • Track temporary and regular employee attendance sheets with supervisors., • Place orders for temporary employees and verify their attendance, • Maintain OSHA files, • Secure and administer I-9 forms for all employees, • Performs other related duties as assigned. Qualifications:, • Highly detail-oriented, able to work independently, multi-task, enjoy interfacing with other staff at all levels, excellent skills in verbal and written communication,, • Bachelor’s degree in human resource management, business, communications or other related discipline, • Familiarity with NJ State and Federal labor laws,, • 5 years of Manufacturing HR Experience, • Proficient with Microsoft Office Suite or related software., • Current human resources and/or compensation credentials or certification preferred. Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 25 pounds at times, walk unassisted in a plant environment recognizing GMP and hygiene standards.

Job DescriptionDescription: We are seeking Billers!! Offices available in Edison, NJ and Hickory, NC. *Competitive Pay Rates* Medical, Dental, Vision, 401k with some matching, Life Insurance, FSA/HSA, and Paid Time Off available for Full Time employees. Job Summary: The reimbursement specialist is responsible for verifying that all appropriate reimbursement paperwork has been obtained, completed and is accurate prior to billing. Assures the timely and accurate submission of invoices to the responsible payer for services and products provided and evaluates payments received for final resolution and application to the patient account. Essential Functions: • Understands the terms and fee schedule for all contracts for which invoices are submitted., • Correctly determines quantities and prices for drugs billed., • Verifies that the services and products are correctly authorized and that required documentation is on file., • Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided., • Verifies that payments received are correct according to the fee schedule., • Identifies secondary balances, patient balances and transfers them accordingly to the appropriate payer., • Identifies all bad debt write offs, and A/R adjustments. Initiates Write Off/Adjustment Form Policies and Procedures to assure appropriate documentation is attached to the request and that all levels of approval are followed per Policies and Procedures., • Ensures that secondary bills and patient invoices are mailed according to Policies and Procedures., • Notifies the Manager if there are overpayments and/or duplicate payments for the same service by submitting a refund request., • Records all billing activity in the system per Policies and Procedures., • Follow up calls to verify that claims submitted were received and are in processing., • Takes the appropriate steps to assure correct and timely filing on all claims that are not on file with the payer after the initial billing., • Generates and mails statements and collections letters per Policies and Procedures., • Follows-up on all denials within 24 hours of receipt and files reviews, appeals when appropriate., • Performs collection activity on all assigned claims at a minimum of every 30 days., • Follows collection and follow up procedures as established in the Policies and Procedures., • Performs Technical Billing reviews on all claims prior to submission per Policies and Procedures., • Performs Full Claim audits as defined in the Policies and Procedures., • Will comply with all Corporate Initiatives and utilize provided tools/resources as appropriate., • Other duties as assigned.Requirements: KNOWLEDGE AND SKILL REQUIREMENTS • High School Diploma or Equivalent, • Ability to learn medical terminology and healthcare software applications., • Ability to do basic mathematics, • Ability to work independently and stay on task, • Ability to get to the job site, • Ability to work under stressful conditions, • Experience and Knowledge with Excel and Word, • Excellent Communication Skills, • In all activities comply with accreditation, legal, regulatory, and safety requirements. PHYSICAL DEMANDS • Must be able to routinely use standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Must be able to constantly operate a computer and other office equipment such as calculators, copy machines and printers up to 100% of the time;, • Regularly required to talk and hear in order to communicate effectively over the phone and in person;, • Must be able to see 100% of the time, with or without correction, to read information on a computer or calculator screen;, • This position is largely sedentary. Standing, walking, bending, kneeling, and stooping may rarely be required;, • Must be able to tolerate normal office environment. PharmcareUSA is a national, closed- door, long term care pharmacy business with locations in multiple states. We are privately owned and continue to grow each year, providing daily deliveries to nursing and assisted living facilities as well as hospice residents. We are passionate about what we do and are looking for staff with the same attribute. Here at PharmcareUSA we strive to take care of our own staff as well as the customers we serve.

Job Description This job will be located in Edison, NJ Do you want to earn $80 to $100K in your first year? Passionate about sales? Are you a hard worker? Then join our team of Elite Inside Sales Team today! You will be responsible for closing sales on warm leads inquiring about our home warranty policies, there is NO COLD CALLING involved. The ideal candidate will be positive, energetic, highly self-motivated and possess strong verbal & communication skills. The Inside Sales Representative position is a great opportunity for individuals willing to work hard and take advantage of one of the fastest growing industries in the world while earning a realistic six figure income. Unlimited commissions and sales support as well as paid training to ensure that you are fully prepared. At Choice Home Warranty, we are forever conscious of the comfort level of our employees as well as the customers we present to. As such, we take every precaution to provide a safe selling environment through training and on-going discussions as to how best to remain safe and risk free. Position is ONSITE in EDISON, NJ. Summary of Responsibilities: Close warm sales leads from customers inquiring about our home warranty policy. Ability to develop a strong rapport with the customer and drive the appropriate conversions. Ability to quickly identify customer needs and make appropriate decisions. Demonstrate a high level of professionalism, even under stressful situations. Multi-tasking between speaking and data capture. Ability to learn product suite quickly. Demonstrate strong product knowledge. Required Experience: 1+ Years of experience and success in sales, and building rapport. Strong interpersonal communication skills and ability to interact with internal & external clients. Ability to close deals and up-sale policy. Ability to work independently while continuing to focus on goals and meeting deadlines. Strong phone presence. Similar job titles: Sales Associate Sales Representative Outside Sales Representative Account Manager Account Executive Inside Sales Representative Sales Consultant Sales Manager Debt Reconciliation Compensation: Base Salary plus aggressive commission plan! Choice Home Warranty is the fastest growing home warranty company consistently earning placement on the Inc. 5000 list for the last seven years. Choice Home Warranty was founded in 2008 and is headquartered in New Jersey and proud recipient BEST CLAIMS HOME WARRANTY CLAIMS AND BEST CLAIM SERVICE BY U.S. NEWS & WORLD REPORT’S 360 REVIEWS!! Choice Home Warranty Review | 2021 Guide | U.S. News We are an Equal Opportunity Employer and take pride in a diverse environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, sexual orientation, national origin, age, marital or veteran status, medical condition or disability, or any other legally protected status. Dental, Life, Medical, Retirement, Vision \nCompany Description Choice Home Warranty is a top rated home warranty company that provides hassle-free coverage that protects against unexpected home appliance repairs. With the services of Choice Home Warranty, you can rest assured that your home is in good hands. Choice Home Warranty offers a number of warranty programs for all consumer budgets. From coverage on your appliances to warranting your major systems, Choice Home Warranty is there for you 24 hours a day, 365 days a year. We are the fastest growing home warranty company in the nation, consistently earning placement on the Inc. 5000 list for the last seven years. As we grow, we continue to seek out passionate, driven leaders who share our values – people looking to bring their insight and abilities to an organization that values intelligence, integrity, and the pursuit of excellence. Choice Home Warranty is a top rated home warranty company that provides hassle-free coverage that protects against unexpected home appliance repairs. With the services of Choice Home Warranty, you can rest assured that your home is in good hands. Choice Home Warranty offers a number of warranty programs for all consumer budgets. From coverage on your appliances to warranting your major systems, Choice Home Warranty is there for you 24 hours a day, 365 days a year. We are the fastest growing home warranty company in the nation, consistently earning placement on the Inc. 5000 list for the last seven years. As we grow, we continue to seek out passionate, driven leaders who share our values – people looking to bring their insight and abilities to an organization that values intelligence, integrity, and the pursuit of excellence.

Job Description The Senior Claims Adjuster, TPA Oversight will provide technical expertise and handle a wide variety of severity/complex claims as well as coverage litigation within Commercial Auto, Cargo, and Crane & Rigging lines of business. Additionally, they will complement the existing Specialty Claims team that supports the Underwriting unit and will provide oversight of third parties and delegated authority referrals. Minimum Qualifications: • A Bachelor’s degree or the equivalent education and/or experience., • 5-10 years of relevant and progressive experience handling Commercial Auto and General Liability claims., • Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: • Handle claims originating out of the Specialty Claims unit and provide technical oversight of Third Party Administrators (TPAs)., • Direct oversight of commercial auto and specialty transport claims and coverage disputes., • Provide coverage, liability, and damages analysis with prompt identification of potential large loss claims., • Responsible for ensuring adequate reserving and accuracy of claims payments through appropriate supervision and authority levels., • Work in partnership with the TPA Claims Manager to ensure that claims are proactively managed and that all claim workflows and SLAs are adhered to., • Ensure timely disposition of all claims in accordance with regulatory and statutory requirements., • Ability to proactively identify exposures and claim trends which may affect the portfolio and provide written assessments to the Specialty business unit., • Resolve problems and respond to coverage questions from underwriting team and senior management., • Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.)., • Effectively represent the Company’s interests at mediations and settlement conferences., • Other duties as required by management., • Participate in Claim Reviews and claim audits periodically., • Attend depositions, settlement conferences and trials when necessary periodically., • Performs other duties or special projects as required or as assigned by a supervisor periodically. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Excellent written and verbal communication skills., • Strong analytical skills., • Strong negotiation skills., • In-depth knowledge of claims, litigation, and trial process., • Strong commitment to providing superior client service., • Excellent organizational and time management skills., • Proficiency in MS Office (Word, Excel, Outlook)., • Ability to work independently with limited supervision., • Ability to successfully obtain the required state adjusters’ licenses. Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $100,000 - $130,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.

Job Description Position Description: The position requires that you learn and completely understand all company policies, as well as state and federal laws relating to employers in the state of New Jersey. You will be responsible for the safety knowledge and technical assistance for the entire warehouse/office operations in our facility to ensure a safe and secure working environment. The position will create and implement a structured safety training program and provide hands-on operational training to all new, as well as, established warehouse employees. Additional Information: Oversee the implementation of all environmental, health and safety programs, policies and procedures to ensure compliance with all applicable Federal, State, Local and OSHA laws and regulations. Participate in developing an action plan to address workplace accidents, Intruder alerts, natural disasters, and/or calamities; Communicate with all employees and temporary staff to ensure their retention of safety awareness; including daily workplace safety and the prescribed course of action to be taken re: accidents/incidents; Develop a training program and distribute necessary materials for supervision and security staff on their responsibilities/actions to be taken during accidents/incidents. Insure all incidents are properly documented, and communicated to management, insure remediation steps are taken to address future incidents; See and Be Seen - Spend at least 80% of the day on the warehouse floor interacting with Staff and Temps to assure them an active Safety program is in effect and address policy issues as they present themselves; Monitor Temp services On-sites to insure they are actively managing their staffs and adhering to policies and procedures; Write up Employee Disciplinary reports on all staff members as required; Oversee and fully document the investigation of all workplace incidents (employee claims, thefts, property losses, near misses, first aid cases, record- able injuries and lost time injuries) to determine the root cause and assist in identifying and implementing corrective and preventive actions; Aid in hiring and firing as needed, keep HR manager abreast of all new employees and any staff and status changes, matriculate new employees, monitor punches to ensure employees are on time and missed punches are addressed and documented, review daily attendance; . Responsible for new hire orientation; Meet with employees and their Supervisors/Managers as a witness or as the Safety Manager to counsel or discipline employee; Update and keep current, all boards, number of days without an incident, as well as encouraging words to help insure a positive work environment; Keep a running tally of days without accidents or injuries. Create reward system. Develop and schedule monthly safety meetings that are creative and involve demonstrations, guest speakers and inter-active staff participation. Must have an agenda and roster of employees as well as signature of attendance; Keep the Incident log current for employees and temporary staff and send to HR Manager the last day of each month and keep original records on file in Reno; Ensure company follows protocol for any employee returning to work on Modified/restricted duty; Ensure that all current (state, federal and company) posters and signage (required by law) are posted in designated area; Responsible for outfitting and routinely checking first-aid kits; Responsible that the warehouse and office are clean and organized, make certain that all exits are free and clear and not being blocked by pallets. Attend to any accident that occurs, assess and document; . Maintain the OSHA 300 logs as well as the yearly submittals; . Inspect Fire Extinguishers monthly Other duties as assigned by management $50,000.00 - $60,000.00 Annually

Job Description Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion. JOB SUMMARY: This position is responsible for ensuring patients continue care without delay by securing accurate insurance verification, required authorizations, and complete start‑of‑care documentation. This position protects revenue integrity, supports clean claims, and ensures compliance while coordinating effectively with patients, payers, and internal teams in alignment with the organization’s mission and operational goals. ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Provides courteous and professional telephone support to patients, families, referral sources, payors, and clinical staff., 2. Verifies insurance coverage prior to deliveries to ensure accuracy, active coverage and notifies internal departments and patients of any policy changes or benefit terminations., 3. Ensures services to be provided are eligible and covered under the patient’s insurance benefits., 4. Ensures accurate and timely completion of start‑of‑care, Financial Obligation, and Medicare/Medicaid forms and coordinates prompt distribution to the Pharmacy and Nursing Departments via electronic or postal delivery., 5. Collects, verifies, and documents insurance cost‑share and authorization details, including coinsurance, copays, deductibles, and requirements., 6. Tracks authorization needs and expirations and secures authorization for ongoing patient care to prevent missed administration of medication., 7. Provides timely notification to internal stakeholders, prescribers, and patients regarding authorization approvals, issues, or delays in care., 8. Accurately estimates patient financial responsibility by applying insurance verification information, payer contracts, and self‑pay policies., 9. Coordinates and documents patient start‑of‑care materials, creating additional documentation on a timely basis as needed to support compliant service delivery., 10. Ensures complete and accurate documentation of eligibility, authorization, and communications within the electronic medical record., 11. Assists with analyzing and resolving insurance claim rejections to support timely and accurate reimbursement., 12. Protects patient health information by following regulations for HIPAA compliance, 13. Other related duties as assigned by manager or designee. JOB REQUIREMENTS AND QUALIFICATIONS Education: • High school diploma or equivalent education. Experience -Minimum of two (2) years in home infusion or fast-paced health care environment Experience with … -Proficient experience with Microsoft Office including Word, Excel, and Teams, and/or electronic health care record software system preferred. Skills and Competencies: • Knowledge of HCPCS/CPT codes, authorization submission processes, and insurance coverage requirements, including Medicare, Medicaid, and commercial plans, with familiarity in medical terminology and billing pricing methodologies., • Strong problem-solving skills with the ability to proactively research, analyze, and resolve issues independently, demonstrating initiative and sound judgment., • Proficiency in learning and working with internal company platforms, including billing, authorization, and patient management systems., • Ability to work independently with minimal supervision while effectively prioritizing, multitasking, and meeting goals and deadlines, as well as collaborating successfully with cross-functional teams., • Demonstrated accuracy in calculating pricing quotes and authorization lengths using approved units and days, coupled with effective communication skills when interacting with patients, clinical teams, and corporate departments. What we offer: • Competitive compensation, • Benefits start on your 1st day of employment, • 401k w 4% match – no waiting or vesting period, • PTO / Floating Holidays / Paid Holidays, • Company paid life insurance, short term disability, • Employee Assistance programs to help with mental health / wellness, • Learning & Development Programs, • Perks… includes discounts on travel, cell phone, clothing and more…, • Generous employee referral program To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/ Join us and find out why this is the place to excel and do your best work.

Content and Community Specialist Location: 5 days a week onsite in Woodbridge, NJ (no exceptions) Industry Beauty, skincare, wellness The role We're hiring a hands-on Community & Creator Specialist to own community and UGC and support content for two skincare brands. You'll work alongside our Social Media Manager, who owns strategy, the content calendar and publishing for both brands' social accounts. You'll also run day-to-day affiliate operations and launch a creator community on TikTok. Content • Bring weekly concept, hook, trend, sound and collab ideas, and draft scripts and captions for review, • Contribute 1-2 fully edited videos per week (approved and published by the Social Media Manager), • Check scripts, captions and videos against our claims guidelines before submitting them for approval UGC • Find top-performing creator and customer content every week, • Secure usage rights, and repurpose approved content across owned channels (with the Social Media Manager's sign-off) and paid ads, working with our media lead Community Management • Manage comments and DMs on TikTok and Instagram in a consistent brand voice, • Respond to reviews on our website and TikTok Shop, • Surface what customers are saying (questions, complaints, product feedback) to marketing and product, and flag recurring questions that could become content, • Escalate anything medical, any report of a reaction to a product, and any press or influencer inquiries to the Social Media Manager and Director of Marketing the same day; never give medical advice Affiliate operations • Run and grow our creator Discord community, • Creator recruiting and onboarding: not applicable (run by our TikTok Shop managed partner), • Run creator outreach, sampling and onboarding for the TikTok Shop affiliate program, • Launch and grow a creator Discord community, • Track creator posting, content and GMV, and report weekly on who is delivering, • Review creator content against our claims guidelines before it runs, • Keep affiliate records clean: agreements, commitments, commissions owed and usage rights How you'll be measured • Content: ideas delivered each week and 1-2 fully edited videos per week for each account, • UGC: UGC volume, and share of repurposed content with usage rights secured, • Community: response time on comments, DMs and reviews, with escalations flagged the same day, • Affiliates: active creators in Discord (both brands); active posting creators per month and affiliate What you bring • 1 to 3 years working on TikTok and Instagram for a consumer brand; beauty, skincare, personal care or wellness strongly preferred, • Samples of short-form videos you have filmed and edited, and an eye for what works on TikTok and Instagram; comfort on camera is a plus, • Experience working with creators: outreach, gifting or seeding, briefing, and tracking who delivers. TikTok Shop affiliate experience is a strong plus., • Community management at volume, in a brand voice, • Working knowledge of cosmetic claims rules, or the discipline to learn them fast. In this category, one wrong word in a caption is a compliance problem., • Copy that sounds like a person, not a brand, • Comfort with numbers: you can read what performed and recommend what to make next, • Uses AI tools to work faster (editing, captions, research), never as a substitute for original content, • Works well on a small team: takes direction, shares ideas freely, and is happy to support another person's creative lead

Title: Billing Specialist Shift: M-F 8am-4pm Location: Hybrid Duration: 6 Month Contract to Hire Must Haves: 5+ years' experience with A/R follow up, claims resolution and denials Working knowledge of DRG Coding 3+ years' experience working within EPIC revenue cycle (Epic Resolute) Experience working through clearinghouse processes Plusses: Bachelor’s degree in, Finance, Accounting, or related field Day to Day: Insight Global is looking for a billing specialist for one of their healthcare clients in New Jersey. Billing specialists will spend their day actively working assigned A/R and suspended claim work queues within Epic, focusing on denied, rejected, and stalled claims that are contributing to the collections backlog. They will research claim failures by reviewing payer responses, clearinghouse rejection codes, eligibility and authorization issues, and missing or incorrect clinical or demographic data, then take corrective action such as rebilling claims, submitting appeals, or escalating payer issues as needed. On a daily basis, they will prioritize high‑dollar and aged accounts, document all follow‑up activity clearly within Epic, and ensure timely resubmission to meet payer filing requirements. Billing specialists will collaborate closely with the Financial Project Manager to flag recurring issues, workflow gaps, or system configuration problems, participate in daily or weekly backlog review huddles, and adjust priorities based on recovery targets. They will also post payments and adjustments accurately, monitor account balances for resolution, and follow standardized procedures designed to improve cash flow, reduce future denials, and support compliance throughout the cleanup effort.

Role Summary: The P&C Insurance Project Manager will lead end-to-end delivery of technology programs within the Property & Casualty insurance domain. This is an on-site, client-facing role requiring strong insurance domain understanding, stakeholder management, delivery governance, and hands-on project control. The role will involve managing initiatives across core insurance functions such as policy administration, claims, billing, underwriting, integrations, data migration, and digital transformation. The Project Manager will work closely with client business and IT stakeholders, system integrators, vendors, and offshore delivery teams to ensure timely, high-quality, and cost-effective execution. Experience: • 12–15 years of overall IT experience., • 5+ years of experience managing projects/programs within the Property & Casualty (P&C) insurance domain., • Proven experience delivering insurance technology implementation, modernization, enhancement, or transformation programs. Key Responsibilities: Delivery & Program Management: • Own end-to-end delivery of P&C insurance technology projects, including scope, schedule, budget, resources, risks, and quality., • Manage large-scale insurance implementations, platform modernization, upgrades, enhancements, and transformation initiatives., • Drive project planning, sprint execution, milestone tracking, dependency management, and release management., • Establish and maintain project governance, delivery metrics, RAID logs, and executive reporting., • Ensure adherence to agreed SDLC, Agile, Scrum, Waterfall, or hybrid delivery methodologies., • Coordinate business, functional, technical, testing, data, integration, and infrastructure workstreams to ensure integrated delivery. P&C Insurance Domain Management: • Work closely with business stakeholders across key P&C insurance functions such as:, • Policy administration, • Underwriting, • New business and renewals, • Claims management, • Billing and payments, • Product and rating, • Agent/broker distribution, • Understand business processes and translate business priorities into executable project and release plans., • Manage dependencies between core insurance applications, surrounding systems, third-party platforms, and downstream/upstream integrations., • Support business and technology teams during insurance platform modernization and transformation initiatives. Stakeholder & Client Management: • Act as the primary on-site point of contact for client business, IT, and leadership stakeholders., • Build strong working relationships with business sponsors, product owners, technology leadership, and delivery teams., • Facilitate steering committee meetings, project status reviews, governance meetings, and executive reporting., • Communicate project progress, risks, dependencies, decisions, and corrective actions clearly to stakeholders., • Proactively manage stakeholder expectations and project escalations. Team & Vendor Coordination: • Lead and coordinate cross-functional teams including business analysts, developers, architects, integration teams, data teams, QA, DevOps, and infrastructure teams., • Manage offshore and near-shore delivery teams and ensure alignment with on-site client priorities., • Coordinate with third-party vendors, system integrators, SaaS/platform providers, and other technology partners., • Ensure clear ownership, accountability, and coordination across multiple workstreams and vendors. Risk, Quality & Compliance: • Identify delivery risks, issues, assumptions, and dependencies early and drive appropriate mitigation and resolution plans., • Drive quality assurance, defect management, testing governance, and UAT readiness and sign-off., • Ensure delivery aligns with applicable insurance business controls, security requirements, regulatory expectations, and organizational standards., • Monitor production readiness and ensure appropriate cutover, deployment, rollback, and post-production support plans are in place. Financial & Commercial Management: • Track project financials including budget, actuals, burn rate, resource utilization, and forecasts., • Manage project scope and support change request assessment and approval processes., • Support commercial discussions related to project scope, effort, timelines, resource requirements, and delivery commitments., • Monitor vendor deliverables and contractual commitments where applicable. Required Skills & Qualifications: P&C Insurance Domain • Strong understanding of the Property & Casualty insurance domain., • Good understanding of the P&C insurance lifecycle, including policy administration, underwriting, billing, claims, and renewals., • Experience managing insurance technology implementation, modernization, enhancement, or transformation programs., • Understanding of core insurance platform ecosystems and their integration with surrounding enterprise applications., • Experience with integrations, data migration, conversion, and enterprise system dependencies within insurance programs. Project & Leadership Skills: • Strong experience in end-to-end project and program management., • Proven experience managing Agile, Scrum, Waterfall, and/or hybrid delivery models., • Strong planning, estimation, resource management, dependency management, and execution capabilities., • Excellent communication, presentation, and stakeholder management skills., • Ability to manage senior client stakeholders and executive-level governance., • Strong leadership skills with experience managing multi-vendor, cross-functional, and geographically distributed teams., • Strong problem-solving, decision-making, and escalation management capabilities. Tools & Methodologies: • Familiarity with Jira, Confluence, Azure DevOps, MS Project, or similar project management and delivery tools., • Understanding of DevOps, CI/CD pipelines, release management, and modern software delivery practices., • Experience working with Agile delivery metrics, dashboards, RAID management, and project governance frameworks. Preferred / Good-to-Have Qualifications: • Experience with Guidewire InsuranceSuite, including PolicyCenter, BillingCenter, and/or ClaimCenter, is a good to have., • Exposure to other P&C core insurance platforms or insurance technology products is desirable., • PMP, PRINCE2, SAFe, Scrum, or other relevant project management/Agile certifications., • Prior on-site client-facing experience in large insurance transformation programs., • Experience working with Tier-1 insurers, global insurance organizations, or large system integration programs., • Experience managing cloud-based insurance modernization or transformation initiatives. Key Success Factors: • Strong P&C insurance domain understanding combined with project delivery expertise., • Strong on-site presence and client relationship management., • Ability to translate business priorities into structured and executable delivery plans., • Strong governance and stakeholder communication., • Proactive risk and dependency management., • Delivery predictability across scope, schedule, quality, and cost., • Ability to manage complex multi-team and multi-vendor environments., • High ownership mindset with strong execution discipline.

Job Description The Senior Manager, Specialty Claims provides leadership for a General Liability claims team, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of high-value litigated claims. This role serves as a technical claims resource, reporting directly to the VP, Specialty Claims. The Senior Manager, Specialty Claims, is responsible for the overall performance of their team, litigation management, and operational excellence while driving continuous improvement across people, processes, technology, and vendor partnerships. Qualifications: • A bachelor’s degree in Business Administration, or an equivalent education, or career experience., • 10+ years of progressively responsible commercial casualty claims experience handling high-severity, high-exposure litigated claims. 5+ years leading complex claims organizations or technical claims teams. Demonstrated experience partnering with internal and external counsel to develop litigation strategies, evaluate legal and financial exposure, and oversee the resolution of high-value General Liability claims. Experience handling and managing New York Labor Law claims. Primary Job Functions: • Provide leadership and technical expertise in guiding complex claims decisions, coverage analysis, litigation strategy, reserve adequacy, and settlement authority for New York Labor Law claims., • Collaborate with Executive Leadership, Legal, Underwriting, Product, Actuarial, Finance, and Reinsurance to identify emerging loss trends., • Oversee a team of Senior Claim Adjusters and achieve high standards of productivity, efficiency, and alignment of organizational goals., • Ensure compliance with all local, federal, and state regulations related to claims while minimizing risk/exposure to the organization., • Regularly participate in underwriting, actuarial, and client or broker meetings., • Provide oversight and accountability for outside counsel, forensic experts, and other strategic vendors to ensure consistent litigation management, quality claim handling, cost-effective outcomes, and compliance with company standards., • Provide reserve and settlement authority to claim staff in connection with their requests and recommendations. Exercise appropriate reserve and settlement authority, providing strategic guidance to claims professionals while balancing legal, financial, and business considerations in the resolution of complex claims. Build and develop organizational talent. • Other duties as assigned. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • Experience overseeing high-severity litigated commercial general liability claims and partnering with internal and external legal counsel on litigation strategy., • Strong understanding of insurance coverage analysis, policy interpretation, and claims litigation management., • Demonstrated ability to evaluate legal risk, financial exposure, and settlement opportunities., • Ability to influence litigation strategy through collaboration with internal Legal, outside counsel, underwriting, and executive leadership., • High level of emotional intelligence, influencing skills, and communication skills to enable collaboration with a variety of key stakeholders including senior executive stakeholders., • Ability to effectively create a collaborative, team-oriented environment including mentoring and motivating team members to be accountable., • Excellent verbal and written communication skills. Proven ability in the use of metrics and data to drive performance, assure continuous improvement, and increase efficiency Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $125,000 - $175,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you. #LI-Onsite

Job Description Come join an exciting and innovative company that puts the “care” back in healthcare! At KabaFusion, our patients come from all walks of life and so do we. We hire GREAT people, period! Our culture celebrates and supports the differences that make us unique. Here, it doesn’t matter what your role is, your hard work and dedication is not only recognized but celebrated. Join us and find out why this is the place to excel and do your best work. About Us: What started as a single pharmacy in 2010 has grown into KabaFusion becoming the largest privately held home infusion company in the country. We have a national network of pharmacies and nursing offices strategically placed to service 40+ states. Couple that with over 30 years of combined experience and it’s no wonder why KabaFusion is the industry leader in home infusion. JOB SUMMARY: Provides safe and appropriate pharmacy services to patients in the alternate care setting in accordance with policies and procedures, professional standards, and applicable regulatory and accrediting entities. Coordinates patient services. Assesses appropriateness of therapy, dispenses medications, supplies and medical equipment, documents patient progress toward goals, intervenes as clinically appropriate and provides education regarding appropriate medication administration and use. Additional dimensions may include working with operating budget, revenue responsibility, purchasing responsibility, etc. Ensures company’s goals and objectives are aligned with the organization’s broader mission, vision, and driving strategies. Directly accountable and reports to the Pharmacy Manager or Director of Pharmacy or Operations based on branch leadership. MAJOR DUTIES AND RESPONSIBILITIES: 1. Demonstrates ethical pharmacy practice and ensures compliance with all company policies and procedures, state and federal pharmacy rules and regulations, professional practice standards, and accrediting entities., 2. Assesses patient's suitability for home care and appropriateness of prescribed therapy., 3. Ensures the patient database is complete and compiles the necessary information needed to design a patient-specific pharmacy plan of care with goals for therapy., 4. Recommends and writes patient-appropriate orders., 5. Assures documents that require the prescriber's or pharmacist's signature for billing are generated and obtained., 6. Assesses laboratory results and performs pharmacokinetic dosing., 7. Makes appropriate dosing recommendations and documents., 8. Initiates, creates and updates patient medication profiles., 9. Performs accurate prescription order entry to ensure medications are properly concentrated, without incompatibilities, stable and properly stored., 10. Dispenses medications and related supplies to cost-effectively meet patient needs and assures authorization for services is obtained prior to dispensing., 11. Accurately dispenses, programs, if applicable, and troubleshoots medication administration pumps., 12. Accurately submits electronic claims for medications, as applicable., 13. Documents all communication with physicians, nurses, dietitians, patients and caregivers in the patient's medical record., 14. Documents initial patient or caregiver discussion, education and counseling regarding prescribed therapy, medication use and information, infusion method, and after hours contact information., 15. Thoroughly and objectively documents the patient's course of therapy, compliance with therapy, laboratory results, and progress towards goals of therapy with therapy-appropriate frequency., 16. Ensures all compounding, clean room and anteroom activities adhere to all state and federal regulations, USP <797> standards and company policies and procedures by all pharmacy staff., 17. Ensures required documentation is completed on QA/QC records and compounding documents., 18. Completes company-required orientation and annual competencies and in services., 19. Provides concise, applicable and timely responses to requests for drug information., 20. Accurately maintains calendar for laboratory tests, compounding, delivery, and documentation updates, 21. Obtains and processes patient clinical information to allow for processing refills and supplies at least 24 hours in advance of patient's need., 22. Plans work to ensure cost-effective delivery methods are utilized., 23. Oversees the work of pharmacy support personnel and ensures their job duties are completed in a timely manner., 24. Delegates non-clinical tasks to assigned support personnel., 25. Prepares for and actively participates in patient care conferences including Nutrition Support Rounds., 26. Participates in the on-call process and documents on call activities in the patient medical record, if appropriate, and communicates with relevant personnel., 27. Assists in the training and supervision of pharmacy support personnel, pharmacy interns and pharmacy-profession students., 28. May assume role in of the Pharmacist in Charge or general branch manager during temporary absences and/or vacancies as appropriate., 29. Performs other related duties as directed by supervisor. SKILLS AND ABILITIES: • Excellent verbal and good written communication skills., • Advanced level of multi-tasking and problem-solving skills., • Moderate computer skills including MS Office, Windows Outlook, and Internet., • Moderate level of interpersonal skills to interact effectively and professionally with both internal and external customers., • Moderate mathematical skills to perform pharmaceutical calculations., • General knowledge of modern office procedures, filing, telephone techniques and office equipment. EDUCATION AND/OR EXPERIENCE: 1. Bachelor of Science in Pharmacy (Doctor of Pharmacy or a Master’s of Science degree in Pharmacy desirable) from an accredited college of pharmacy., 2. Currently licensed as a registered pharmacist in state of employment., 3. A minimum of two years recent experience in an acute-care setting or one year recent experience in home infusion therapy, 4. Experience and strong knowledge base in intravenous admixture services and intravenous therapy., 5. Must be capable of assuming responsibility for evaluating and monitoring drug therapy relative to the total needs/problems of the home care patient in collaboration with physicians, nurses and other healthcare professionals., 6. Must be able to work effectively with others to provide safe and effective drug therapy., 7. Must demonstrate ability to problem solve and supervise technical and other support staff., 8. Must be flexible with work schedule., 9. Good organizational and time-management skills., 10. Participation and membership in professional societies and organizations is desirable., 11. Excellent verbal and written communication skills., 12. Dependable in attendance and job performance. What we offer: • Competitive compensation, • Benefits start on your 1st day of employment, • 401k w 4% match – no waiting or vesting period, • PTO / Floating Holidays / Paid Holidays, • Company paid life insurance, short term disability, • Employee Assistance programs to help with mental health / wellness, • Learning & Development Programs, • Perks… includes discounts on travel, cell phone, clothing and more…, • Generous employee referral program To learn more about KabaFusion, please visit our careers page: https://www.kabafusion.com/careers/

Job Description We are seeking a driven Licensed Property & Casualty (P&C) Insurance Sales Producer to join our growing agency. In this role, you will consult with existing and prospective clients on their insurance risks and recommend customized solutions while managing these relationships from initial quote to policy renewal. Key Responsibilities ● Client Consultation & Risk Assessment: Interview prospects to determine insurance needs and offer coverage recommendations ● Multi-Line Sales: Pitch and sell tailored policies across Property & Casualty Insurance products (auto, home, umbrella) ● Lead Generation & Networking: Build a robust sales pipeline through cold calling, community networking, digital marketing, and client referrals ● Quotes & Underwriting Compliance: Prepare accurate price quotes, complete formal applications, and verify regulatory compliance with state insurance commissioner guidelines ● Policy Management & Claims Support: Handle policy renewals and coverage changes and guide clients through the claims process ● Company Culture: Thrive in a fast-paced, goal-oriented environment while receiving the training and resources needed to succeed Requirements Qualifications & Requirements ● Active New Jersey Property & Casualty License ● 3-5 years of direct sales, customer service, or insurance industry experience ● Skills: Strong verbal and written communication, active listening, quick learner of new quoting/CRM software tools ● You are self-driven, organized and efficient, dependable, and committed to providing top-notch service Benefits Compensation & Benefits ● $50,000.00-$80,000.00 Base salary plus uncapped commission structure ● Performance-based bonuses and sales incentives ● Paid vacation time, paid holidays and sick leave, no weekends or late hours ● Upward mobility (Sales Pro 1 → Sales Pro 2 → Sales Lead → Service Manager) • Upward mobility and(Sales Pro 1 → Sales Pro 2 → Sales Lead → Service Manager)

Job DescriptionDescription: About Us Union County Orthopaedic Group, a division of OrthoNJ, LLC, is a fast-paced, patient-centered practice specializing in orthopaedics, pain management, and podiatry across three convenient New Jersey locations. We are looking for a detail-oriented, experienced Billing & Collections Specialist to join our billing team and play a key role in the financial health of our practice. Position Overview The Billing & Collections Specialist is responsible for the timely follow-up of rejected claims, unpaid insurance balances, and patient accounts receivable. This role requires a strong understanding of the revenue cycle in a physician group practice setting, the ability to build productive relationships with commercial payors, and a commitment to accuracy, confidentiality, and professionalism. Requirements: What You'll Do • Follow up on rejected and unpaid insurance claims using EOB forms, aged A/R reports, and payor portals; initiate follow-up on claims 45+ days outstanding, • Reprocess paper and electronic claims for assigned carriers; review and resolve clearinghouse edit reports daily, • Post adjustments, withholds, deductibles, and coinsurance transfers; submit balanced payment batches daily, • Appeal payments that do not align with contractual agreements; partner with the Billing Manager on persistent payor issues and denial language, • Manage patient accounts, including payment plan setup, statement processing, collection letter generation, and outside agency referrals, • Respond to written and phone inquiries from patients and insurance carriers with professionalism and accuracy, • Verify patient eligibility and benefits; ensure all account information is current and accurate, • Monitor monthly payor policy/guideline updates and report relevant changes to the Billing Manager, • Scan and document all correspondence, appeals, and actions taken in the practice management system, • Process requests for insurance and patient refunds, submitting to the Billing Manager for approval, • Support the team with payment posting (including in-absence coverage) and general billing office functions What We're Looking For • Minimum 2 years of revenue cycle experience in a physician group practice billing department — required, • Orthopaedic billing experience — required, • Commercial insurance billing experience (e.g., BCBS, Aetna, Cigna, UHC) — required, • Familiarity with CPT and ICD-10-CM coding for orthopaedic, podiatry, and pain management procedures, • Working knowledge of practice management systems and electronic medical records (ModMed/EMA experience a plus), • Strong analytical skills with exceptional attention to detail, • Excellent verbal and written communication skills, • Bilingual (English/Spanish) a plus — our patient population includes Spanish-speaking patients and the ability to communicate in both languages is highly valued, • Ability to work collaboratively with physicians, clinical staff, patients, and insurance representatives, • Knowledge of HIPAA and OSHA guidelines, • HS diploma or GED required Why Join the UCOG Division of OrthoNJ, LLC? We offer a supportive, team-oriented environment where your expertise is valued and your contributions make a direct impact. Join a practice that takes pride in delivering exceptional patient care — and equally exceptional support behind the scenes. Union County Orthopaedic Group is an equal opportunity employer. OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hiring range for this role is $18-30 hourly. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc.) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

Position Type: Direct Hire / Permanent Location: On-site | Edison, NJ Schedule: Full-Time | Monday – Friday | 8:00 AM – 5:00 PM • Compensation: $80,000 – $100,000 Base Salary Benefits & Compensation Details: • Paid Time Off: 5 days in Year 1, 7 days in Year 2, with incremental increases from Year 3 onward., • Health Coverage: Medical insurance offered (50% company-sponsored for employee coverage)., • Note: Dental, Vision, and 401(k) benefits are not offered at this time. About the Role We are seeking an operationally driven, execution-focused Human Resources Manager to take complete ownership of HR operations within a fast-paced, high-volume 3PL warehouse facility in Edison, NJ. This is not a purely administrative or corporate HR position. We need a strong, on-the-floor leader who thrives in a high-pressure setting, maintains exceptional operational discipline, and proactively manages frontline workforce challenges in real time. You will act as the key partner to Operations leadership—driving accountability, controlling absenteeism, enforcing policy, and keeping the facility audit-ready at all times. Key Responsibilities • Operations Ownership: Lead day-to-day HR function on the warehouse floor, serving as the on-site authority for employee relations, conflict resolution, and disciplinary actions., • Workforce Accountability: Consistently enforce company policies, attendance rules, and performance standards across both direct hires and temporary staffing agency workers., • Employee Relations & Terminations: Conduct thorough internal investigations, issue written warnings/write-ups, handle difficult conversations, and execute terminations professionally and lawfully., • Staffing Agency Management: Partner closely with third-party staffing agencies to ensure labor quality, headcount fulfillment, attendance control, and agency compliance., • Regulatory Compliance & Auditing: Oversee strict compliance for I-9 records, onboarding documentation, Workers’ Compensation, child support garnishments, state/federal labor laws, and legal/lawsuit risk mitigation., • Floor Presence & Intervention: Spend dedicated time daily on the warehouse floor; intervene in real time when conflict, safety issues, or policy breaches occur., • Operations Partnership: Work hand-in-hand with General Managers and Floor Supervisors to reduce absenteeism, curb turnover, and build a reliable, performance-driven culture., • Payroll & Benefits Coordination: Support local payroll tracking, timekeeping administration, Workers' Comp claims processing, and benefits onboarding. Required Qualifications & Experience • Industry Experience: Minimum 5+ years of HR leadership experience strictly within 3PL, warehouse, logistics, or high-volume distribution environments (required)., • Language Proficiency (Must meet one of the following criteria):, • English & Spanish Bilingual (required for non-Chinese speakers): Native or fluent spoken/written capabilities to communicate directly with the hourly frontline workforce., • English & Chinese Bilingual (required for Chinese speakers): Fluent in English and Mandarin/Cantonese to support operational leadership and international business stakeholders., • Labor & Legal Knowledge: Deep working knowledge of U.S. labor laws, Workers’ Compensation, payroll regulations, wage/hour laws, I-9 compliance, and employment litigation prevention., • Conflict & Discipline Skills: Proven track record of handling high-stress, confrontational situations with firmness, fairness, and professional composure., • Temp Labor Management: Solid experience managing large temporary/hourly worker pools alongside permanent staff. What Success Looks Like in This Role • You Take Full Ownership: You anticipate operational needs and resolve workforce friction before it escalates., • Firm, Direct, and Fair: You do not manage selectively or passively—you enforce standards consistently across the board., • Operations-First Mindset: You understand that HR exists to enable smooth, compliant, and efficient warehouse operations., • Resilient Under Pressure: You excel in fast-moving, high-turnover settings without sacrificing documentation quality or legal compliance. What We Offer • Competitive Base Salary ($80K - $100K depending on experience)., • Performance-Based Bonus tied to workforce stability, retention, and compliance metrics., • Comprehensive Health Insurance & Standard Benefits Package., • Paid Time Off (PTO) & Paid Holidays., • Career growth potential within a rapidly expanding logistics network.

Job DescriptionJob Summary The Vice President, Complex Claims provides executive leadership for Fortegra's Complex Claims function, overseeing the handling, strategic direction, coverage analysis, litigation oversight, and resolution of the Company's highest-severity, major loss, and high-value litigated claims. This role serves as the senior technical and legal claims resource, providing strategic leadership through close collaboration with cross-functional business leaders and external partners, including outside counsel, TPAs, and expert vendors, to optimize claim outcomes, protect the Company's financial interests, identify emerging risks and loss trends, support underwriting profitability, and ensure timely, fair, and compliant claim resolution. Leading the Complex Claims function, the Vice President is responsible for its overall performance, strategic direction, reserving philosophy, litigation management, and operational excellence while driving continuous improvement across people, processes, technology, and vendor partnerships. Minimum Qualifications Education: Juris Doctor (JD) required • 10+ years of progressively responsible commercial casualty claims experience handling high-severity, high-exposure litigated claims across multiple specialty lines., • 7+ years leading complex claims organizations or technical claims teams., • Demonstrated experience partnering with internal and external counsel to develop litigation strategy, evaluate legal and financial exposure, and oversee the resolution of high-value claims., • Experience handling Commercial General Liability, Commercial Auto, Excess Liability, and Professional Liability claims required, inclusive of New York Labor Law. Licensure: Licensed adjuster. Typical Positions Supervised: Director, Claims, Claim Manager, Claim Adjuster, Paralegal Primary Job Functions • Provide executive leadership and technical expertise in guiding complex claims decisions, coverage analysis, litigation strategy, reserve adequacy, and settlement authority for the Company's highest-exposure claims., • Collaborate with Executive Leadership, Legal, Underwriting, Product, Actuarial, Finance, and Reinsurance to identify emerging loss trends, evaluate portfolio exposure, improve underwriting profitability, and support enterprise risk management initiatives., • Oversee small team of complex claims personnel to manage and achieve high standards of productivity, efficiency, and alignment of organizational goals., • Ensure compliance with all local, federal, and state regulations related to claims while minimizing risk/exposure to the organization., • Regularly participate in underwriting, actuarial, and client or broker meetings., • Provide oversight and accountability for outside counsel, forensic experts, and other strategic vendors to ensure consistent litigation management, quality claim handling, cost-effective outcomes, and compliance with company standards., • Demonstrate knowledge of loss severity and trend analysis., • Manage the resolution of claim issues/complaints raised by internal and external business partners., • Provide reserve and settlement authority to claim staff in connection with their requests and recommendations., • Exercise appropriate reserve and settlement authority, providing strategic guidance to claims professionals while balancing legal, financial, and business considerations in the resolution of complex claims., • Build and develop organizational talent. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills and Competencies • Extensive experience overseeing high-severity litigated commercial claims and partnering with internal and external legal counsel on litigation strategy., • Strong understanding of insurance coverage analysis, policy interpretation, and claims litigation management., • Demonstrated ability to evaluate legal risk, financial exposure, and settlement opportunities without serving as litigation counsel., • Ability to influence litigation strategy through collaboration with internal Legal, outside counsel, underwriting, and executive leadership., • Experience leading a complex commercial claims team handling general liability and professional lines claims., • Strong business and financial acumen, including problem-solving skills, data analysis, critical thinking, business analysis and organizational skills., • High level of emotional intelligence, influencing skills, and communication skills to enable collaboration with a variety of key stakeholders including senior executive stakeholders., • Ability to effectively create a collaborative, team-oriented environment including mentoring and motivating team members to be accountable., • Excellent verbal and written communication skills., • Proven ability in the use of metrics and data to drive performance, assure continuous improvement, and increase efficiency., • Broad-based knowledge of claims across multiple specialty lines., • Experience in excess/umbrella, D&O/E&O claims, general liability, and reinsurance is preferred.Additional Information: Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more Job Posting Disclaimer: Fortegra has recently been made aware of unauthorized communications regarding career opportunities by individuals not associated with Fortegra or our recruitment team. Fortegra will only contact you from the Fortegra domain address (@fortegra.com). If you receive a message from someone posing as a Fortegra recruiter via text message, WhatsApp, Telegram or other messaging platform, please report it as phishing and block the sender. Fortegra is not accepting unsolicited resumes from search firms for this position. Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting. #LI-Onsite

Provides empathetic pharmacy consulting services to patients regarding the effective use of medications and drug interaction awareness. Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcome services. Ensures prescribed medications are compounded, reviewed, dispensed, and verified accurately according to regulatory guidelines and company policies and procedures. Manages an efficient pharmacy workflow and improves pharmacy financials, manages inventory effectively, and enhances patient experience. Manages pharmacy staff performance and engagement. Ensures the professional development of pharmacy staff by overseeing training, focused coaching, and executing formal performance management initiatives. Engages patients by greeting them and offering assistance with products and services. Resolves patient issues in a timely manner and answers questions to ensure a positive patient experience. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.). Connects with patients by anticipating needs and proactively offering services. Leads efforts on enhancing patient experience by increasing awareness of healthcare services offered through Walgreens (e.g. patient consultation, medication management, drug therapy reviews, and perform clinical, or wellness services such as immunizations, diagnostic testing, and patient outcomes services) thereby promoting the shift of the Walgreen's pharmacy role from transactional to interpersonal. Participates and assists in events that reflect the unique communities we serve as requested by Store Manager, Healthcare Supervisor, or District Manager. Counsels patients and answers questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, and over-the-counter products. Refers to the medical provider, as needed, to ensure medication is taken correctly, health needs are addressed, and patient is satisfied with service. Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management. Reviews, interprets, and accurately dispenses prescribed medications, as required. Ensures the pharmacy operates in accordance with regulations, company policies and standards. Establishes procedures that promote the efficient workflow of the pharmacy including overseeing staff scheduling, assigning roles, coordinating activities, and soliciting team member suggestions. Responsible for opening and closing the pharmacy and shift changes. Ensures the use of all elements of the Good Faith Dispensing policy in conjunction with state and federal controlled substance laws when filling prescriptions. The Product Review/Retail Fill Process Pharmacist is responsible for ensuring that elements of Good Faith are present. Collaborates with Store Manager to define and develop new strategic business opportunities. Maintains information technology knowledge of pharmacy systems including workflow, prescription fulfillment, billing, clinical documentation, training, inventory management, and point of sale registers. Supports pharmacy staff and patients with information technology. Finds opportunities to improve productivity. Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient issues by working with insurance companies and medical providers and conducting or participating in third party audits. Follows-up with medical providers to clarify prescribed medications, dosages, refills, interactions, and allergies to suggest alternative medications, and answer medical provider questions. diagnostic testing, disease state management and other healthcare services. Performs clinical and wellness services such as immunizations, diagnostic testing, disease state management, and other healthcare services Partners with centralized support for patient registration, exception resolution, and assists with resolving patient issues. In virtual environments, conducts virtual product review by following specific company procedures and guidelines Manages the maintenance, housekeeping, and improvement of the pharmacy department including repairs, cleaning, new equipment, and layout changes to ensure a functioning, presentable and efficient pharmacy. Prepares and submits all records, reports, and other documentation as required by state and federal laws to run the pharmacy business (e.g., operating statements, performance indicator reports, supervision notes, deletions, transfers.) Collaborates with Store Manager on pharmacy staff hiring, carries out discipline and termination, as necessary, and ensures compliance with employment laws. Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision. Monitors and recognizes improvements in pharmacy staff by implementing rewards programs. Manages pharmacy staff performance by overseeing the training of pharmacy staff (e.g., using the correct processes and tools) and conducting formal performance reviews. Identifies high potential team members and proactively collaborates with Store Manager to manage career progression. Addresses employee relations concerns. Maintains team member morale by checking on employee welfare, addressing complaints and conflicts, and ensuring positive employee management relationship. Maintains required licensing/credentialing/certification as established by federal and state regulations to provide clinical services. Maintains and enhances current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals and Walgreens publications and communications. Maintains awareness of developments in retail and management areas and pursues best practices to enhance business acumen and pharmacy performance. Completes education credits and training, including learning modules, as required by the Company Seeks professional development by monitoring own performance, solicits constructive feedback, and leverages Healthcare Supervisor and Store Manager as mentors and coaches. Supports the Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff. Analyzes performance data including pharmacy financials, customer service, and inventory. Manages pharmacy asset protection activities and oversees inventory management. Identifies pharmacy performance trends and opportunities for improvement. Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Reaches out to the community to promote the pharmacy business and further enhance growth opportunities. Supports Store Manager in expanding health and wellness awareness in the community

• Models and delivers a distinctive and delightful customer experience., • Registers sales on assigned cash register, provides customers with courteous, fair, friendly, and efficient checkout service., • In accordance with state and federal regulations, assists the pharmacist, under direct supervision, in the practice of pharmacy. Responsible for using pharmacy systems to obtain patient and drug information and process prescriptions. Customer Experience • Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues and answers questions to ensure a positive customer experience., • Models and shares customer service best practices with all team members to deliver a distinctive and delightful customer experience, including interpersonal habits (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., offering help proactively, identifying needs, servicing until satisfied, etc.). Operations • Provides customers with courteous, friendly, fast, and efficient service., • Recommends items for sale to customer and recommends trade-up and/or companion items., • Registers customer purchases on assigned cash register, collects cash and distributes change as requested; processes voids, returns, rain checks, refunds, and exchanges as needed. Takes customer to OTC aisle when possible to assist in locating products., • Keeps counters and shelves clean and well merchandised, takes inventory, and maintains records. Checks in and prices merchandise as required or as directed by store manager or communicated by the shift leader., • Performs duties as assigned by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered correctly, filling prescriptions by retrieving, counting and pouring pharmaceutical drugs, verifying medicine is correct, and checking for possible interactions. Assists pharmacists in scheduling and maintaining work flow., • Reports, immediately, prescription errors to pharmacist on duty and adheres to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of Conduct., • Strictly adheres to the Walgreen Co. policy regarding Good Faith Dispensing during all applicable prescription dispensing activities., • Handles telephone calls that do not require personal attention of the pharmacist, including those to physicians., • Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by the Pharmacy Manager., • Assists and supports Pharmacy Department on inventory management activities, such as, ordering, unpacking, checking and storing shipment of pharmaceuticals. Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages (merchandise billed, but not received), order errors or damaged goods involving Rx drugs., • Ensures compliance with state and local laws regarding regulated products (e.g., alcoholic beverages and tobacco products)., • Constructs and maintains displays, including promotional, seasonal, super structures, and sale merchandise. Completes resets and revisions as directed., • Assists with separation of food items (e.g., raw foods from pre-cooked) and product placement as specified by policies/procedures (e.g., raw and frozen meats on bottom shelves). For consumable items, assists in stock rotation, using the first in, first out method and restock outs., • Has working knowledge of store systems and store equipment., • Provides customer service in the photo area, including digital passport photo service, poster print and creative machine, suggestive sell of promotional photo products., • Assumes web pick-up responsibilities (monitors orders in Picture Care Plus, fills orders (pick items), delivers orders to customers as they arrive at store)., • Assists with exterior and interior maintenance by ensuring clean, neat, orderly store condition and appearance., • Complies with all company policies and procedures; maintains respectful relationships with coworkers., • Completes special assignments and other tasks as assigned. Training & Personal Development • Earns and maintains PTCB certification through the designated PTCB training program and/or state required certification/registration., • Attends training and completes PPLs requested by Manager or assigned by corporate and acquires continuing education credits. Maintains knowledge and skill in healthcare and pharmacy, including latest news and developments., • Must be fluent in reading, writing, and speaking English. (Except in Puerto Rico), • Requires willingness to work flexible schedule, including evenings and weekend hours., • Prefer six months of experience in a retail environment., • Prefer to have prior work experience with Walgreens., • Prefer good math skills so they can fill prescriptions accurately, including counting, measuring and weighing medications., • Prefer good computer skills., • Prefer the knowledge of store inventory control., • Prefer PTCB certification. We will consider employment of qualified applicants with arrest and conviction records. An Equal Opportunity Employer, including disability/veterans. The actual compensation that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

We are seeking billers for offices available in Edison, NJ and Hickory, NC. Competitive pay rates and benefits including medical, dental, vision, 401k with some matching, life insurance, FSA/HSA, and paid time off available for full time employees. Job Summary: The reimbursement specialist is responsible for verifying that all appropriate reimbursement paperwork has been obtained, completed and is accurate prior to billing. Assures the timely and accurate submission of invoices to the responsible payer for services and products provided and evaluates payments received for final resolution and application to the patient account. Essential Functions: • Understands the terms and fee schedule for all contracts for which invoices are submitted., • Correctly determines quantities and prices for drugs billed., • Verifies that the services and products are correctly authorized and that required documentation is on file., • Ensures that invoices are submitted for services and products that are properly ordered and confirmed as provided., • Verifies that payments received are correct according to the fee schedule., • Identifies secondary balances, patient balances and transfers them accordingly to the appropriate payer., • Identifies all bad debt write offs, and A/R adjustments. Initiates Write Off/Adjustment Form Policies and Procedures to assure appropriate documentation is attached to the request and that all levels of approval are followed per Policies and Procedures., • Ensures that secondary bills and patient invoices are mailed according to Policies and Procedures., • Notifies the Manager if there are overpayments and/or duplicate payments for the same service by submitting a refund request., • Records all billing activity in the system per Policies and Procedures., • Follow up calls to verify that claims submitted were received and are in processing., • Takes the appropriate steps to assure correct and timely filing on all claims that are not on file with the payer after the initial billing., • Generates and mails statements and collections letters per Policies and Procedures., • Follows-up on all denials within 24 hours of receipt and files reviews, appeals when appropriate., • Performs collection activity on all assigned claims at a minimum of every 30 days., • Follows collection and follow up procedures as established in the Policies and Procedures., • Performs technical billing reviews on all claims prior to submission per Policies and Procedures., • Performs full claim audits as defined in the Policies and Procedures., • Will comply with all corporate initiatives and utilize provided tools/resources as appropriate., • Other duties as assigned. Requirements: Knowledge and Skill Requirements: • High school diploma or equivalent., • Ability to learn medical terminology and healthcare software applications., • Ability to do basic mathematics., • Ability to work independently and stay on task., • Ability to get to the job site., • Ability to work under stressful conditions., • Experience and knowledge with Excel and Word., • Excellent communication skills., • In all activities comply with accreditation, legal, regulatory, and safety requirements. Physical Demands: • Must be able to routinely use standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Must be able to constantly operate a computer and other office equipment such as calculators, copy machines and printers up to 100% of the time;, • Regularly required to talk and hear in order to communicate effectively over the phone and in person;, • Must be able to see 100% of the time, with or without correction, to read information on a computer or calculator screen;, • This position is largely sedentary. Standing, walking, bending, kneeling, and stooping may rarely be required;, • Must be able to tolerate normal office environment. PharmcareUSA is a national, closed-door, long term care pharmacy business with locations in multiple states. We are privately owned and continue to grow each year, providing daily deliveries to nursing and assisted living facilities as well as hospice residents. We are passionate about what we do and are looking for staff with the same attribute. Here at PharmcareUSA we strive to take care of our own staff as well as the customers we serve.

This full-time position will report to the Manager, Specialty Claims. As a direct report to the Manager, Specialty Claims, you should possess the ability to handle a wide variety of Commercial General Liability claims. These claims will present a variety of challenges from both a damage and coverage perspective and may include coverage litigation. Minimum Qualifications: • A Bachelor's degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience., • At least 10 years of relevant and progressive experience in General Liability claims., • Adjuster licenses, as mandated by specific states, are required. Primary Job Functions: • Direct management of general liability claims with potential for significant severity and complexity., • Direct management of coverage disputes., • Formulating claims and litigation strategies, assigning, directing, and managing outside counsel., • Promptly investigating all assigned claims to complete coverage, liability, and damages analysis., • Ensures timely disposition of all claims in accordance with regulatory and statutory requirements., • Maintain and manage a diary system to efficiently and effectively resolve all claims., • Make recommendations to management pertaining to coverage, settlement positions and file reserves based on well supported reports., • Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.)., • Participate in Claim Reviews and claim audits as needed., • Attend depositions, settlement conferences and trials when necessary, • Performs other duties or special projects as required or as assigned by a supervisor as needed. Skills & Competencies Required: • Excellent written and verbal communication skills., • Strong analytical skills., • Strong negotiation skills., • In-depth knowledge of claims, litigation, and trial process., • Excellent organizational and time management skills., • Proficiency in MS Office (Word, Excel, Outlook)., • Ability to work independently with limited supervision., • Ability to successfully obtain the required state adjusters' licenses. Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • The anticipated salary for this position is $100,000 - $140,000 per year, based on qualifications and experience., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Please be aware of job fraud(s) all correspondence emails regarding your candidacy will come from our Fortegra.com email address.

LinkRx is a healthcare solutions company dedicated to improving patient access to innovative therapies. We partner with biopharmaceutical manufacturers and provider networks to streamline reimbursement processes, optimize patient outcomes, and support successful product launches. We are currently seeking a Field Reimbursement Manager (FRM) to support the launch of a new treatment for major depressive disorder (MDD) scheduled for Q1 2026. This individual will play a pivotal role in ensuring providers and patients across New Jersey and New York receive comprehensive reimbursement support. The Field Reimbursement Manager will serve as the primary point of contact for providers on reimbursement matters related to the new MDD therapy. The role requires strong account management skills, the ability to navigate payer and specialty medication access challenges, and leadership experience to drive initiatives across the territory. • Coordinate reimbursement support efforts across assigned provider networks in NJ and NY., • Partner with provider offices to resolve access barriers, including benefit verification, prior authorization, and claims support., • Deliver education and training to office staff on reimbursement processes and resources., • Maintain strong relationships with prescribers, practice managers, and support staff to facilitate timely patient access., • Provide regular field insights and access trend reporting to internal stakeholders., • Collaborate with cross-functional teams to ensure alignment on strategy and execution., • Required:, • Demonstrated sales and account management experience., • Team management or leadership experience., • Preferred:, • Healthcare industry experience, particularly in specialty medications., • Understanding of reimbursement dynamics, including payer coverage, prior authorizations, and specialty pharmacy distribution., • Based in Central New Jersey with the ability to travel throughout NJ and NY., • Competitive base salary plus bonus opportunity., • Comprehensive health insurance package., • Professional growth opportunity supporting a high-impact specialty drug launch., • Base range $60k-80k, • Opportunity to reach $120k-130k with bonuses Interested candidates are invited to submit their resumes to zein@linkrx.io. Compensation: $60,000.00 - $80,000.00 per year We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Federal Construction & Environmental Programs Advance Your Contracts Career with an Employee-Owned Industry Leader ECC is seeking a Senior Contracts Manager or Contracts Director to support and help lead the administration of complex federal construction, environmental remediation, and international development contracts. The level of the position will be determined based on the selected candidate's experience, leadership capabilities, and depth of federal contracting expertise. This role offers a unique opportunity for an accomplished federal contracts professional to expand their influence across some of the industry's most challenging projects while developing the leadership skills needed for future advancement. Whether you are a senior-level contract manager ready to broaden your responsibilities or an experienced contracts director seeking greater strategic impact, ECC provides a clear path for professional growth. Working closely with project teams, executive leadership, government contracting officials, and subcontractors, you will play a critical role in ensuring contractual compliance, managing risk, supporting project execution, and strengthening contract administration practices throughout the organization. What You'll Do • Administer and manage federal prime contracts and subcontracts throughout the entire contract lifecycle, from solicitation and award through performance and closeout., • Serve as a primary point of contact with Government Contracting Officers and agency representatives regarding contractual matters., • Advise project teams on contract requirements, change management, requests for equitable adjustment (REAs), and subcontract administration., • Support and negotiate contract modifications, task orders, claims, and other contractual actions., • Ensure compliance with FAR, DFARS, agency-specific regulations, and contractual requirements. Administer non-FAR related contract including OTAs and other non-traditional Government contracts. • Provide guidance and training to project personnel regarding contract administration, change order management, subcontracting requirements, and compliance obligations., • Support proposal development efforts, including contract review, subcontracting strategies, cost and pricing requirements, and Small Business Subcontracting Plans (SBSPs)., • Participate in procurement activities, source selection, cost and price analysis, negotiations, and subcontract administration., • Support subcontractor performance management, compliance monitoring, and dispute resolution., • Assist with CPARS evaluations and responses., • Contribute to the development and improvement of contract policies, procedures, internal controls, and best practices., • For candidates at the Contracts Director level, supervise contracts staff, provide leadership, mentorship, and development of Contracts personnel while helping shape the strategic direction of the Contracts function. Required Qualifications • Bachelor's degree in Business, Contract Management, or a related field. Equivalent combinations of education and experience may be considered., • Ten or more years of federal prime contract administration experience supporting government contracts., • Extensive knowledge of FAR, DFARS, and federal contracting requirements., • Demonstrated experience supporting complex contract administration activities, including contract compliance, subcontract management, modifications, claims, and closeout., • Strong written, verbal, negotiation, and analytical skills., • Ability to effectively collaborate with project teams, senior leadership, government representatives, and subcontractors., • CPCM certification or ability to obtain., • Ability and willingness to travel periodically as project and business needs require. Additional Qualifications for Contracts Director Level • Experience leading, mentoring, and supervising contracts personnel., • Demonstrated success developing processes, training programs, and compliance initiatives., • Ability to influence business decisions and support strategic organizational objectives. Preferred Qualifications • Master's degree in Business Administration, Contract Management, or a related discipline, or Juris Doctor degree, • Five or more years supporting federal construction, design-build, environmental remediation, infrastructure, or contingency operations projects., • Experience working with Department of Defense or other federal agency contracts., • Advanced experience negotiating complex contractual and subcontracting matters. Why Join ECC? ECC is an employee-owned company, meaning your contributions directly support the success of both our projects and our employee owners. We have built a culture founded on integrity, accountability, teamwork, and friendship, where people genuinely enjoy working together and supporting each other's success. Our contracts professionals do much more than administer paperwork. They serve as trusted advisors and business partners on some of the world's most challenging federal construction and environmental projects. You'll work alongside project managers, construction professionals, estimators, procurement teams, and executive leadership to help deliver projects that improve infrastructure, protect the environment, and support critical government missions worldwide. At ECC, you'll find: • An employee-owned culture where your work has a direct impact., • Opportunities to support high-profile federal construction and environmental programs., • A collaborative environment built on strong relationships, teamwork, and friendship., • Meaningful career development and leadership growth opportunities., • A clear pathway to increased responsibility, expanded influence, and advancement within the Contracts organization. If you're ready to take the next step in your federal contracts career and help shape the success of complex federal projects around the world, we encourage you to apply. For U.S.-based roles, ECC's target salary range is $130,000 to $180,000 annually. Actual compensation may vary based on education, training, certifications, experience, skills, level of responsibility, and location. Benefits Offered for Full-Time positions: • Medical/Dental/Prescription/Vision Insurance, • Life Insurance, Long Term Disability Insurance, • Paid Time off and Holiday Pay, • 401k with deferral matching, Student Debt Reduction Program, • Employee Stock Ownership Plan (ESOP), • Flexible Spending Accounts (FSA), • Educational Assistance, Mentorship Program, ECC University, • Employee Referral Bonus Program, • Company-matching charitable giving program ECC is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact TeleSign HR at hr@telesign.com. This email address is reserved solely for job seekers with disabilities requesting accessibility assistance or an accommodation in the job application process. Please do not email about the status of your job application if you do not require accessibility assistance or an accommodation. Messages left for other purposes, such as following up on an application or non-disability related technical issues, will not receive a response.

The Senior Manager, Specialty Claims, is responsible for the overall performance of their team, litigation management, and operational excellence while driving continuous improvement across people, processes, technology, and vendor partnerships. Senior Manager, Specialty Claims. The Senior Manager,

Job DescriptionDescription: We are looking for a motivated and reliable CS Rep to support the GM/Sales Manager with day-to-day activities. Candidate must be fully engaged, enthusiastic and powered to make a difference in growing this Mgo business to the next level. Job Functions · Respond to customer inquiries regarding pricing, product information, inventory availability, freight, shipment scheduling, tracking, and delivery coordination (collectively defined as “shipping details”) · Enter orders in Metalware and send acknowledgement to Sales Manager and customer as required. · Coordinate and incorporate initial freight costs into sales, including managing warehouse pick-ups and customer deliveries. Once a sale is initiated on our side, it will be transitioned for execution or handled locally. · Send pickup orders to outside warehouses. · Coordinate the collection of payment for pre-paid accounts or assist in collecting documents for new accounts to forward to the credit manager for processing. · Advise credit manager in advance of new customer account set-up to ensure timely payment and delivery schedules are met. · Answer incoming phone calls and collect contact and project info, forward to the Sales Manager and as needed. · Monitor company emails from the website and forward, follow up as needed. · Prepare Quotes, including freight. · Gain an understanding of all existing products to provide proper support. · Manage credit applications and follow ups with the credit dept. · Send out samples and product literature, via email, (attachments) USPS or 1–3-day courier service, as required. · Regularly review Dodge / Construct Connect, (or similar) email, Web site / Hub Spot or similar systems searching for job leads. · Report to the National Sales Manager any new (pertinent) information as necessary. · Assist with marketing efforts, provide feedback on marketing materials and support lead-generation initiatives, up to and including (in) direct participation in local, regional or national trade shows. · Coordinate freight claims, return requests and special-order situations. · Assist with various administrative tasks and projects as needed. Requirements: Qualifications · Bachelor's degree preferred · Excellent communication skills · 3 years of construction related experience · CRM, SFMO, HubSpot or similar for data entry, job tracking software experience. · Proficient in Microsoft Office (Excel, PowerPoint, Outlook & Word) · Self-motivated and able to work independently. · Energetic, professional, and team-oriented attitude. · Excellent written and verbal communication skills · Experience in marketing, retail, customer service, or sales is a huge plus, but not required.

Fortegra- seeks a Senior Manager, Specialty Claims to lead a General Liability claims team, directing strategy, coverage analysis, and litigation oversight for high-value litigated claims. Reporting to the VP, Specialty Claims, you will drive performance, continuous improvement, and vendor partnersh

Business Office Manager is responsible for admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims.

Business Office Manager Health Care. Business Office Manager is responsible for admitting and registration, patient billing and collection, third-party payer relations, and/or preparation of insurance claims.

Job Description We are seeking a highly motivated and customer-focused Account Manager to serve as the primary liaison between clients and internal departments throughout the implementation and ongoing management of warranty and protection product programs. This role combines account management, project coordination, and customer relationship management to ensure successful program launches, exceptional client experiences, and continued growth of existing partnerships. The ideal candidate will possess strong communication and analytical skills, experience in the warranty or service contract industry, and the ability to manage multiple projects simultaneously. This individual will work closely with Sales, Operations, Product, Compliance, IT, Claims, and Finance teams to facilitate seamless onboarding, support revenue growth initiatives, and identify opportunities to expand product offerings within existing accounts. Minimum Qualifications: • Bachelor’s Degree or 10+ years of equivalent work experience., • Experience managing client onboarding or implementation projects., • Knowledge of warranty administration, claims processes, compliance requirements, and product development., • Familiarity with CRM and project management tools., • Experience working in a cross-functional corporate environment. Primary Job Functions: • Acts as primary account liaison-providing day-to-day service for existing and prospective partners managing day-to-day client communication and ongoing relationships as it relates to current, new, and upcoming opportunities ensuring prompt responses, reporting and communication., • Develop a thorough understanding of the clients’ position in the market, their product/service, points of difference and competitive landscape., • Manage client input and feedback for all projects with detailed direction and timelines., • Establish and build strong working client relationships with business leaders at all levels to achieve long-term partnerships., • Responsible for internal department communication and coordination between Sales, Underwriting, Marketing, Finance, Reinsurance, Legal, Compliance, Regulatory, Operations, Claims, IT, etc., • Manages all aspects of the implementation/onboarding and partner agreement process for assigned accounts, coordinating, and completing tasks associated with program development, onboarding, and execution., • Maintains Customer Relationship Management (CRM) system, stage progression and reporting., • Maintains knowledge of contractual obligations for partners, including financials, performance expectations, terms, reporting, licensing, insurance, and compliance., • Proactively evaluates existing partner’s sales and production performance and program profitability of assigned accounts to determine areas needing program or process improvement., • Provide recommendations to management and partners, developing strategic plans to increase partner revenue through marketing, training, pricing, or new product offerings., • Review sales support metrics, analytics, and dashboards to report on program performance and productivity of sales, including the various regions, stores, dealers, and sales associates of our partners., • Dedicates time to follow up with accounts and exchange resources, updates, and account activity., • As necessary, visit clients, attend trade shows and other industry events to capitalize on networking and relationship-building opportunities., • Other duties or projects as assigned. The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Skills & Competencies Required: • 5+ years of account management, client services, project management, or implementation experience., • Experience within the warranty, service contract, vehicle protection, insurance, or related industry., • Strong customer service and relationship management skills., • Excellent organizational skills with the ability to manage multiple projects simultaneously., • Strong analytical and problem-solving abilities., • Exceptional written and verbal communication skills. Additional Information: • Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more., • Fortegra is not accepting unsolicited resumes from search firms for this position., • Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting. The anticipated salary for this position is $65,000 - $80,000 per year, based upon qualifications and experience. Job Posting Disclaimer: Fortegra has recently been made aware of unauthorized communications regarding career opportunities by individuals not associated with Fortegra or our recruitment team. Fortegra will only contact you from the Fortegra domain address (@fortegra.com). If you receive a message from someone posing as a Fortegra recruiter via text message, WhatsApp, Telegram or other messaging platform, please report it as phishing and block the sender. #LI-Onsite

Job DescriptionAbout E-J The E-J Group is active in all facets of electrical contracting, bringing experience, expertise, and a national reputation to projects that range in size up to more than $1 billion. With over 4,500 employees across 33 offices nationwide, E-J delivers full-service electrical solutions for mission critical / data centers, rail systems, transit facilities, office buildings, hospitals, power generation, substations, transmission and distribution, renewables, co-generation facilities, roadway and outdoor specialty work, airports, industrial facilities, chip plants, universities, sports stadiums, extra high voltage distribution, utility, and gas infrastructure. At E-J, three generations of family expertise have built an organization that combines practical knowledge with modern technological innovation, providing rapid and efficient solutions for today’s lighting, power, energy, and communication needs. E-J has over 125 years of reputation for integrity, quality, and exceptional service in the electrical field. To learn more, visit www.ej1899.com. Title/Role: Operations Manager, Clean Energy Division: Clean Energy Location: South Plainfield Reporting to: VP - Division Manager Position Summary: The Operations Manager of the Clean Energy Division will serve as the senior operational leader responsible for the full project lifecycle of all division-wide projects - from estimating and pre-construction phases through field execution, project closeout, and client delivery. This role requires an individual who has vast electrical installation knowledge and proven construction management expertise. They must be capable of leading a team of project managers, engineers, and field supervisors across a portfolio of concurrent projects. The Operations Manager will own division-level financial performance, value engineering, change order management, and subcontractor coordination. The individual will serve as the primary point of contact for clients. Reporting to the Division Manager, this individual will play a critical role in the division’s growth, profitability, and reputation. The individual will also support special company initiatives as needed. Responsibilities: Division Oversight & Accountability • Provide oversight across all active Clean Energy Division projects, holding project managers accountable to scope, schedule, budget, and quality commitments, • Monitor project health across the division portfolio - identifying risks, clearing roadblocks, and advising teams on necessary course corrections before issues escalate, • Establish and enforce milestone and deadline discipline across the division, ensuring all teams and subcontractors are aligned to contract schedules, • Review and advise on CPM schedules (Primavera (P6), MS Project) developed by project managers, providing guidance on sequencing, recovery strategies, and schedule risk, • Advise pre-construction and estimating teams on scope, value engineering opportunities, and bid strategies, • Perform bid reviews and prepare technical bid proposals, ensuring completeness and timely delivery with proper documentation, including in-person presentations to clients., • Experience overseeing subcontractor performance and managing multi-party project teams, including field personnel (foremen and superintendents to support and guide) manpower planning and projectionsClient Relationship Management, • Support interface for Clean Energy Division clients, including utility authority representatives, general contractors, and owner’s representatives, • Maintain proactive and consistent communication with clients throughout the project lifecycle – including status updates, expectation management, and addressing concerns before they become disputes, • Represent E-J at owner progress meetings, executive-level project reviews, and key coordination sessions, ensuring the division’s interests and commitments are clearly communicatedFinancial Performance & Change Management, • Oversee division-level financial performance, advising project managers on cost control strategies, budget variances, production tracking and earned value trends, • Ensure change orders are identified promptly, documented accurately, and submitted in a timely manner while also holding project teams accountable to this process, • Review monthly financial reports and provide management with a clear picture of the division's health, risks, and forecasts, • Guide contract negotiation and subcontracting decisions, providing oversight on risk, scope, and commercial terms, • Responsible for contract negotiations and onboarding subcontractors, • Responsible for claims management including time extensions, impact claims, arbitration, insurance claims, position statements and negotiations, • Develop strategic partnerships and execution of teaming and joint venture agreementsTechnical Advisement, • Serve as a resource and advisor to project managers and engineers on electrical system challenges., • Review and provide guidance on engineering submittals, shop drawings, and RFI responses as needed, without owning the document control process day-to-day, • Engineering team management to ensure on schedule and on budget delivery, • Advise on value engineering solutions during pre-construction and construction phases to improve cost efficiencies and constructability, • Apply P.E.-level technical judgment (or equivalent experience) when evaluating design issues, field conditions, or client technical requirementsSafety & Compliance, • Reinforce a safety-first culture across the division by setting expectations, supporting safety leadership, and ensuring accountability at all levelsTeam Leadership & Development, • Focus on retention and development of staff, • Provide day-to-day leadership, mentorship, and professional development guidance to Clean Energy Division project managers, project engineers, and all staff, • Set clear performance expectations, conduct regular check-ins, and support career growth within the division, • Foster a collaborative and accountable team culture aligned with E-J’s values and standardsQualifications & Skills:, • 15+ years of Project Manager experience required, • 3-5 years of operations experience recommended, • Demonstrated experience in a senior oversight or management role, • Experience in specific business sectors is recommended (GIS, EHV, BESS, etc.), • Experience with Design-Build (EPC) projects is recommended, • Bachelor's degree or equivalent work experience in the electrical contracting/engineering field, • Strong experience in large complex commercial and industrial projects, • Strong organizational & multi-tasking skills with attention to detail, • Previous work experience within a Union Environment a must, • Practical knowledge of all phases of construction, • Strong business acumen in project planning and management, • Excellent written and verbal communication skills, • Proficiency in Project Management software (ex: Procore) and the Microsoft Suite, • Strong Estimating experience; knowledge of McCormick software a plusNice to Haves:, • OSHA-30Misc., • Full-time position with potential for extended hours during critical project phases, • Office and project site-based role, • Will require travel between project locations, • Will support weekend/night work Advantages of Working at E-J:, • Leading Electrical Contracting Organization, • Oldest family-owned and operated electrical contractor since 1899, • Job training and mentorship, • Rewarding project experiences, • Medical, dental, vision, and a 401K plan, • Paid holidays and vacation, • Tuition reimbursement program, • Team-oriented company culture, • History of employment longevitySalary Range: $180 - $230k/year The E-J Group is an Equal Employment Opportunity Employer and ensures equal employment opportunity for all persons without discrimination on the basis of race, color, religion, sex, sexual orientation, national origin, age, disability, marital status, citizenship, or any other characteristic protected by law. 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Job Description Staffing RESPONSIBILITIES: 1. Creating/maintaining master schedule for all nursing positions, 2. Making sure staffing ratios are being met per census, 3. Reporting staffing ratios to the Department of Health, 4. Hiring/Retaining staff and Recruiting, 5. Completing reports and graphs for all open positions/hiring/staffing HR Director RESPONSIBILITIES/ACCOUNTABILITIES: • Demonstrates the highest level of integrity and confidentiality. Maintains personal employee information including but not limited to medical, pay, demographic, discipline, schedule preferences, accommodation requests, family matters, in the strictest confidence. Protects company confidential information., • Maintains current working knowledge of Company policies and procedures, pay practices, employee benefits, employment laws (i.e. ADA, FMLA, FLSA) and communicates regularly with employees to promote understanding and utilization., • Coordinates center applicant flow processes from sourcing through selection. Coordinates all center hiring needs with Recruiting. Conducts initial interview of job applicants. Completes reference checks, criminal background checks and ensures that applicant drug tests and physicals are completed along with all other necessary pre-employment paperwork., • Manages and participates in bi-weekly Welcoming Program. Ensures all new employees are trained in time clock practices and creates employee badge., • Administers the Benefits and Compensation programs at the center. Ensures all information is disseminated, collected and processed according to deadlines. Liaises with Corporate Benefit Services to address employee issues/inquiries. Provides competitive wage information to Regional HR Manager., • Conducts Basic Computer Training (equipment, login, keyboarding, system navigation) for all new employees. Provides additional support to employees to ease transition to automated work environment., • Establishes and monitors Performance Evaluation Schedule (including 90 day and annual reviews) for all employees. Counsels managers and supervisors proactively in effective performance management techniques to improve employee retention and productivity., • Directs employees to appropriate resources in response to employee needs and/or requests,, • Partners with Center Management Team and Regional Human Resources in the planning, administration and follow-up of the Employee Survey Process., • Investigates causes of employee disputes and grievances and recommends corrective action., • Creates and maintains individual personnel files/records (manual and electronic) as well as Center employee-related files/records including Benefit Accruals, Service Date Adjustments, Licensure/Certification/Education, OSHA, Workers' Compensation, Unemployment Claims, and Employee Health/Medical Records (i.e. Drug Testing, CPR, Hep B, PPD, Physicals, FMLA) according to policy and legal standards. Ensures the quality, accuracy and timeliness of the information., • Coordinates Center programs, e.g. Safety, Workers' Compensation, Employee Recognition, Employee Communications and Special Events., • Supports Corporate change initiatives/projects at the Center level. Participates in delivery of training programs., • May represent the center at unemployment hearings and workers' compensation hearings., • Fairly and consistently ensures compliance with policies and procedures, • Participates in Center Manager on Duty Program based on center protocol., • Payroll for all facility

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