Trabajos claims manager en Westfield, 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 Great new Career Opportunity in Long-Term Care Pharmacy! Now Hiring - Billing Representative - Springfield, NJ Hours: M – F 8:30 – 5:00 The Billing Representative will be responsible for, but not limited to: Respond to all voice messages and emails within 24-48 hours Track and enter daily census for assigned facilities. Update the system with face sheet information for residents in their assigned facilities. Handle facility and customer service inquiries. Review and update system with resident information received from returned contracts for assigned facilities. Handle re-bill rejections resulting from status changes for assigned facilities. On a monthly basis, handles all aspects of facility and private billing for assigned facilities. On a monthly basis, contacts Unysis, CMS, and facilities to follow up on pending Medicaid statuses. On a weekly/bi-weekly basis, review the pre-billing report for their assigned facilities Maintains and fosters positive work environment within the billing and admissions departments. Communicates effectively with all company personnel. Aware of all compliance documentation needed for Medicare B Billing requirements. Follow Up procedures-needs to be able to follow up with doctors and facilities for necessary Medicare B compliance documentation Reconcile claims including secondary claims Research the different reconciliation for each state Keep complete files for each Med B patient. Participates in ongoing education and new compliance issues for appropriate billing of Medicare B claims Maintains confidentiality, security and integrity of PHI information Need to communicate any issues to Third Party manager that need to be addressed or any issues that need to be resolved. Education: High School Diploma or equivalent Professional Experience: Experience in long term care or retail pharmacy environment 1-3 yeas of Billing experience Experience in Frameworks, a definite plus Communication, problem solving and organizational skills a must Must be able to work in a fast pace environment and meet deadlines Typing, computer and multi-tasking skills are a must Strong customer service skills

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 Telephonic Case Manager coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source, • Provide assessment, planning, implementation, and evaluation of patient's progress, • Evaluate patient's treatment plan for appropriateness, medical necessity, and cost effectiveness, • Utilize medical and nursing knowledge to discuss the current treatment plan/alternate treatment plans with the physician, • Make medical recommendations of available treatment plans to the payer, • Implement care such as negotiating and coordinating the delivery of durable medical equipment and nursing services, • Devise cost-effective strategies for medical care, • Required to prepare organized reports within a specified timeframe, • Minimum Productivity Standard is 95% per month, • Additional duties as assigned KNOWLEDGE & SKILLS: • Ability to make independent medical decisions and recommendations to all parties, • Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment, • Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers, • Excellent written and verbal communication skills, • Ability to meet designated deadlines, • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets, • Strong interpersonal, time management, and organizational skills, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • Bachelor’s degree required, BSN preferred, • Graduate of accredited school of nursing, • Current RN Licensure in state of operation, • 3 or more years of recent clinical experience, preferably in rehabilitation, • URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire, • Strong clinical background in orthopedics, neurology, or rehabilitation preferred, • Strong cost containment background, such as utilization review or managed care helpful, • Certification as a CIRS or CCM preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $63,739 - $95,264 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job DescriptionDescription: PromptCare is seeking a Director, Revenue Cycle Operations & Improvement to partner with Revenue Cycle and Operations leadership to lead the order-to-cash transformation agenda and drive measurable improvements in bad debt, cost of collections, denial rates, held A/R, A/R aging, days sales outstanding (DSO), and asset recovery. This role combines hands-on leadership of two direct-report functions with cross-functional collaboration across Intake, Resupply, and Field Operations to strengthen the systems, technology, and processes that support PromptCare’s long-term cash performance. The Director will serve as both a tactical project leader, driving targeted recovery initiatives through completion, and a strategic change agent, building sustainable capabilities and continuous improvement across the revenue cycle. Reporting to: Vice President of Revenue Cycle Management Job Type: Full-time Requirements: • Bachelor's degree in healthcare administration, business, finance, or a related field; MBA or advanced degree a plus., • 8+ years of progressive revenue cycle, healthcare finance, or operations leadership experience, with demonstrated ownership of bad debt, DSO, denial rate, or cost-of-collections outcomes; DME/HME and complex respiratory or enteral experience strongly preferred., • Demonstrated success leading transformation or process-improvement initiatives at scale, including direct people leadership and cross-functional influence without direct authority., • Hands-on experience with Brightree or a comparable HME/DME billing and order management system, including system configuration and price table governance., • Track record building or maturing management systems and metrics disciplines (e.g., A/R aging, write-offs, productivity, cash application) within a revenue cycle or shared-services organization., • Strong analytical skills, including experience mining claims, denials, and write-off data to identify root causes and bulk-resolution opportunities., • Experience partnering with IT/automation teams on bots, workflow automation, or new technology implementation within a revenue cycle context. Preferred Skills • Experience managing global and/or offshore resourcing models for revenue cycle operations., • Familiarity with asset recovery / equipment recovery processes in a home medical equipment environment., • Experience contributing to a denials committee or similar cross-functional governance body., • Strong change management and stakeholder engagement skills across field operations and corporate functions., • Six Sigma, Lean, PMP, or other process-improvement / project management certification a plus. Job Responsibilities, included but not limited to: Transformation Leadership & Portfolio Management • Own and drive measurable improvement in bad debt, cash-to-gross revenue, denial rate, held A/R, A/R aging, DSO, write-offs, revenue integrity, cost of collections, and asset recovery/capex efficiency, setting targets and tracking progress in partnership with Revenue Cycle leadership., • Build and sequence a portfolio of order-to-cash transformation initiatives, balancing quick-hit tactical recovery projects with durable, systemic process and technology change. Brightree System Configuration & Revenue Integrity (Direct Report) • Directly lead the Brightree System Configuration function, ensuring price tables, payer configuration, and system rules are accurate, current, and aligned to contract and coding requirements., • Partner with the Managed Care policy team to ensure payer policy, contract, and reimbursement updates are translated into Brightree system configuration and price tables promptly and accurately., • Ensure payer policy, reimbursement, and regulatory updates are communicated to affected revenue cycle stakeholders and reflected in current documentation, workflows, and reference materials., • Partner with the configuration team to proactively identify and correct system-driven root causes of revenue leakage and denials. RCM Projects & Tactical Recovery (Direct Report) • Directly lead the RCM Projects team, through the Manager, RCM Projects and domestic/global resources, executing worklist-driven cleanup initiatives across stops, held claims, denials management, billing, cash posting, and payer changes., • Scope, prioritize, and drive bulk-resolution recovery projects (e.g., rental stop management cleanup, bulk CMN and PAR recovery), translating denial and write-off analysis into targeted initiatives. Denials Root Cause & Bulk Resolution • Serve as a standing member of the Denials Committee, partnering with A/R leadership and the Brightree team, who lead day-to-day denials management; mine denials and write-offs to identify root causes and remediate them through system configuration, process redesign, and training/education., • Identify and lead bulk denial-resolution projects, distinct from the day-to-day denial work and one-off appeals handled by the A/R teams., • Partner with A/R leadership to improve denials management workflow and claim prioritization based on propensity-to-pay. Ops-RCM Collaboration & Cross-Functional Partnership • Shape and lead the Ops-RCM collaboration model, establishing effective structures and cadences for dialogue and partnership between Field Operations, Intake, Resupply, and Revenue Cycle., • Partner with Revenue Cycle, Intake, Resupply, and Field Operations leadership to drive process improvements across the order-to-cash lifecycle. Technology, Automation & Data Partnership • Partner with RCM leadership and IT on the effectiveness of technology programs, including bots and automation., • Evaluate, pilot, and help implement new technologies and tools that improve revenue cycle performance., • Partner with Brightree Data Services on related initiatives. Management Systems, Metrics & Manager Development • Build and strengthen management systems and metrics across RCM functions; coach RCM managers on strong business-review discipline covering A/R aging, write-offs, backlog/inventory of work, productivity, unposted adjustments, paid-not-posted cash, and unfunded remits., • Establish consistent reporting cadences and standards that give leadership early visibility into emerging issues. Process Assessment & Capability Incubation • Assess the maturity of critical revenue cycle processes, including cash posting, credit balances, lockbox correspondence routing and review, audit and appeals, and others such as rental stop management, and partner with functional leaders to strengthen existing processes or stand up new ones., • Incubate new capabilities that have historically been underdeveloped in the business (e.g., Asset Recovery), building them to a mature, sustainable state before transitioning ownership to the appropriate functional leader. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. This position is highly active and requires standing, walking, bending, kneeling, stooping, crouching, crawling, twisting, and climbing; Maneuver in small areas and frequently lift and/or move 20 pounds or more. Benefits & Perks • Comprehensive Medical, Dental, and Vision Package, • 401(k) Plan with Company Match, • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays, • Life Insurance: Standard coverage with optional enhancements, • Employee Assistance Program: Free counseling and coaching sessions, • Emotional Well-being and Work-Life Balance Resources, • Short & Long-Term Disability: Company-paid with optional supplements, • Accidental Death and Dismemberment Insurance, • FSA and HSA: Manage healthcare expenses, • Commuter Spending Programs, • Volunteer and Engagement Opportunities, • Employee Referral Bonuses, • Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.

Job DescriptionJob Title: Parts Manager Location: Peotter's Auto Body Job Type: Full-Time Job Summary:We are seeking a highly organized and experienced Parts Manager to oversee our parts department at a large auto body shop. The ideal candidate will be responsible for managing inventory, ordering parts, maintaining vendor relationships, and ensuring a smooth workflow between the parts department and repair technicians. Key Responsibilities: • Manage and maintain an accurate inventory of automotive parts and supplies., • Order and receive parts, ensuring timely availability for repairs., • Develop and maintain strong relationships with suppliers and vendors to negotiate pricing and availability., • Work closely with service and repair teams to coordinate the timely delivery of parts., • Monitor stock levels and implement inventory control measures to reduce waste and increase efficiency., • Oversee and manage parts department staff, including training and scheduling., • Ensure all parts are properly labeled, stored, and accounted for., • Process invoices, purchase orders, and warranty claims efficiently., • Stay up to date with industry trends, pricing, and new product offerings., • Maintain a clean, organized, and safe working environment., • Ensure compliance with company policies, safety regulations, and industry standards. Qualifications: • Must have CCC ONE knowledge., • Proven experience as a Parts Manager or in a similar role within an auto body shop or dealership., • Strong knowledge of auto parts, suppliers, and inventory management., • Proficiency in inventory management software and ordering systems., • Excellent organizational, problem-solving, and multitasking skills., • Strong communication and interpersonal skills., • Ability to work in a fast-paced, high-volume environment., • Leadership experience with the ability to manage and motivate a team., • High school diploma or equivalent required; additional technical training or certifications are a plus. Benefits: • Competitive salary based on experience., • Health, dental, and vision insurance., • Paid time off and holidays., • 401(k) with company match., • Opportunities for career growth and development.

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 DescriptionCommercial Lines Assistant Account Manager At King Risk Partners, our mission is to provide unparalleled insurance solutions with a personalized touch. As a Commercial Lines Assistant Account Manager, you will play a pivotal role in ensuring our clients experience top-tier service, helping businesses safeguard their assets through expertly tailored insurance packages. Your efforts will directly impact our growth trajectory and contribute to our reputation as a trusted industry leader. Performance Objectives • Efficiently manage a portfolio of commercial client accounts, ensuring all policy updates, renewals, and servicing requests are processed accurately and promptly., • Collaborate closely with Account Managers to support the development and execution of strategic account plans that enhance client satisfaction and retention., • Serve as the primary point of contact for client inquiries, guiding them through policy details and claims processes with clarity and professionalism., • Analyze client needs and suggest coverage enhancements or modifications, demonstrating a consultative sales approach to improve policy offerings., • Prepare and deliver informative policy summaries and presentations that aid clients in understanding their coverage options., • Ensure compliance with all regulatory and company policies to mitigate risks and uphold our commitment to ethical insurance practices., • Leverage data analytics and CRM tools to maintain detailed client records, track interactions, and generate insights for relationship management.Environment & Resources You will be part of a dynamic team, leveraging state-of-the-art insurance management software and CRM systems. You'll have access to a wealth of knowledge and a collaborative environment that encourages professional growth. Essential Qualifications • 1-3 years of experience in commercial insurance or a similar client-focused role., • Exceptional ability to manage client relationships, with a focus on proactive communication and problem-solving., • Proficient in insurance management software and CRM tools., • Demonstrated understanding of commercial insurance products and regulatory requirements.Role Selling Points, • Join a rapidly expanding company recognized among the top 100 brokers in the United States., • Deepen your expertise in insurance with access to diverse product lines, from auto to employee benefits., • Advance your career in a supportive environment that values innovation and professional development., • Contribute to a company culture rooted in stellar client service and community impact.Call-to-Action If you're ready to take the next step in your career and make a significant impact in the world of insurance, we invite you to apply and join us at King Risk Partners—where your contribution truly matters. Apply Now.

Job DescriptionDescription: PromptCare is seeking a highly motivated, experienced and detail-oriented Reimbursement Specialist to join our team. The ideal candidate will have experience in infusion reimbursement and be able to work in a fast-paced environment. The Specialist will be responsible for all patient billing and collections and must be proficient in all phases of insurance data collection, verification, and authorization. Documentation and computer input of the new referral and subsequent patient admission from start to finish is critical and must always follow PromptCare’s policies and procedures. If you are a detail-oriented individual with a passion for healthcare billing and collections, we encourage you to apply for this exciting opportunity in the Homecare Infusion industry. To learn more about our company and services, please visit us at PromptCare In-home Respiratory and Infusion Reporting to: Departmental Lead, Supervisor or Manager Job Type: Non-Exempt, Full-time, 40 hours per week, Monday-Friday Location: Hybrid out of New Providence, NJ (2 days in the office and 3 days working from home) Requirements: • High School Diploma or equivalent, • 2-3 years of experience in electronic claims submission and medical collections preferred, • Working knowledge of insurance plans including Medicare and Medicaid required, • Industry experience with billing/collections in DME, home infusion and/or enteral preferred, • Accounts receivable and accounting experience preferred, • Knowledge of CPR+ and/or Caretend software preferred Job Responsibilities, included but not limited to: • Collections of third-party payor accounts for assigned payers, • Ensure proper follow-up is performed on all aspects of the revenue cycle related to reimbursement, including projects, problem and issues escalation, denials management and research, • Maintain and update shared documentation to assist Intake Team with the various policies, rules and limitations for insurance plans, • Identify adjustments, payment trends and denials and ensure problems are escalated as necessary, • Maintain confidentiality in all aspects of patient care, employee activities and office environment, • Communicate changes regularly or as often as needed, • Work collaboratively with other department staff such as Intake & Reauthorization Specialist to ensure timely collections, • Assist the PBM and Billing Specialist with issues, billing backlogs and end-of-month processes, • Field and troubleshoot calls from patients regarding benefit, claims and patient balances, • Pro-actively seek resolutions to any billing issues that may arise, • Perform CPR+/Caretend related transactions accurately and timely, • Perform other duties as assigned Physical Demands The physical requirements listed here indicate what an employee must meet to effectively perform this role's essential functions. The employee frequently needs to communicate verbally, listen attentively, and spend prolonged periods sitting at a desk and working on a computer. The role also requires lifting files, opening filing cabinets, and bending or standing as needed. Benefits & Perks • Comprehensive Medical, Dental, and Vision Package, • 401(k) Plan with Company Match, • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays, • Life Insurance: Standard coverage with optional enhancements, • Employee Assistance Program: Free counseling and coaching sessions, • Emotional Well-being and Work-Life Balance Resources, • Short & Long-Term Disability: Company-paid with optional supplements, • Accidental Death and Dismemberment Insurance, • FSA and HSA: Manage healthcare expenses, • Commuter Spending Programs, • Volunteer and Engagement Opportunities, • Employee Referral Bonuses, • Exclusive Discounts on entertainment, travel and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity.

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

Job Description New Jersey’s largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Medical Biller Position Summary Reporting to the Revenue Cycle Manager, the Medical Biller will be responsible for the accurate and timely posting of insurance and patient payments, reconciliation of remittances, and aggressive follow-up of outstanding insurance balances. The ideal candidate will possess extensive experience with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) posting, insurance denial management, and payer-specific reimbursement methodologies. Location is on-site five days a week in the office. This position requires a strong working knowledge of UnitedHealthcare, Aetna, Horizon Blue Cross Blue Shield, Medicare, and other commercial payers, with demonstrated success in filing reconsiderations, appeals, and overturning claim denials. Prior experience in a surgical practice environment is required, with vascular surgery experience strongly preferred. Medical Claims, Posting and AR Specialist Essential Responsibilities Insurance Payment Posting & Reconciliation • Accurately post insurance and patient payments from EOBs, ERAs, EFTs, lockbox files, credit cards, cash, and paper checks., • Review and reconcile remittance advice to ensure payments, adjustments, contractual allowances, deductibles, coinsurance, and patient responsibilities are correctly applied., • Identify and research underpayments, overpayments, payment variances, and reimbursement discrepancies., • Balance daily payment posting batches and ensure all deposits reconcile to bank deposits and practice management system records., • Maintain complete and accurate documentation of all payment transactions and supporting remittance records. Insurance Accounts Receivable Management • Manage assigned insurance A/R work queues to ensure timely follow-up and resolution of outstanding claims., • Analyze unpaid, partially paid, and denied claims to determine root cause and appropriate corrective action., • Conduct payer follow-up via payer portals, telephone, and written correspondence., • Monitor aging reports and prioritize accounts to maximize collections and reduce days in A/R., • Escalate complex reimbursement issues and payer trends to Billing Management. Denials, Reconsiderations & Appeals • Review denial codes, payer policies, medical necessity determinations, bundling edits, authorization issues, and coding-related denials., • Prepare and submit reconsiderations, corrected claims, and formal appeals with supporting documentation., • Demonstrate strong knowledge of UnitedHealthcare, Aetna, Horizon BCBS, Medicare, and other commercial payer reimbursement policies and appeal processes., • Work collaboratively with providers, coding staff, and management to obtain documentation necessary to support successful appeal outcomes., • Track appeal status and ensure timely follow-up through final resolution. Surgical Billing Support • Understand surgical billing concepts including global surgical periods, modifiers, operative reports, authorizations, and payer-specific reimbursement guidelines., • Review surgical claims for completeness and identify issues impacting reimbursement., • Collaborate with coding and billing teams to ensure accurate claim submission and payment resolution., • Support vascular laboratory, vascular surgery, and related specialty billing functions as needed.

Job Description APN Consulting, Inc. is a progressive IT staffing and services company offering innovative business solutions to improve client business outcomes. We focus on high impact technology solutions in ServiceNow, Fullstack, Cloud & Data, and AI / ML. Due to our globally expanding service offerings we are seeking top-talent to join our teams and grow with us. Direct Client Requirement Job Title: Product Owner / Product Manager Location: Summit, NJ (Hybrid) Job Type: Contract Role Summary: The Product Owner is accountable for shaping and delivering digital products that improve the experience and effectiveness of employees, clients, and business partners. This role combines strategic product management with hands-on product ownership, serving as the primary bridge between business stakeholders and cross-functional technology teams. The successful candidate will establish a clear product vision, translate complex insurance workflows into actionable requirements, prioritize the product backlog, and guide solutions from discovery through launch and continuous improvement. The role requires strong insurance domain knowledge, sound product judgment, and the ability to influence stakeholders without relying on formal authority. Key Responsibilities: Product Strategy, Vision, and Value • Define and communicate a clear product vision, strategy, roadmap, and measurable outcomes aligned with business-line priorities., • Partner with business leadership and users to understand goals, operating processes, pain points, and opportunities to improve customer experience, employee efficiency, risk management, and growth., • Evaluate ideas using customer impact, business value, cost, risk, technical feasibility, return on investment, and build-versus-buy considerations., • Create alignment and sustained stakeholder commitment to product priorities, trade-offs, and release decisions., • Monitor product adoption, performance, and business outcomes, then use insights and feedback to guide ongoing enhancements. Discovery, Process, and Requirements: • Lead discovery workshops and working sessions with business leaders, subject-matter experts, users, architects, developers, data teams, UX, and QA., • Document current-state and future-state workflows, business rules, data needs, integrations, exceptions, dependencies, and control requirements., • Translate product strategy and stakeholder needs into well-structured epics, features, user stories, acceptance criteria, process maps, and supporting prototypes or documentation., • Decompose complex requirements into appropriately sized, testable backlog items while preserving an end-to-end view of the product and user journey., • Identify unclear, conflicting, or missing requirements early and drive timely decisions to reduce delivery risk and rework., • Leverage AI-powered tools and technologies to improve product discovery, requirements definition, backlog management, stakeholder communication, and decision-making. Backlog and Agile Delivery: • Own, refine, and prioritize the product backlog based on business value, customer impact, risk, urgency, dependencies, and team capacity., • Ensure backlog items are clear, testable, and ready for development; communicate intended outcomes and clarify requirements throughout delivery., • Participate actively in Agile ceremonies, including backlog refinement, sprint planning, daily collaboration, sprint reviews, and retrospectives., • Partner with engineering to evaluate solution options and make informed scope and sequencing decisions without prescribing technical implementation., • Accept completed work against agreed acceptance criteria and the intended business outcome; make prompt decisions when trade-offs are required. Stakeholder Leadership and Change Adoption: • Act as the voice of the user and a trusted advisor to business stakeholders, balancing competing needs while maintaining focus on product outcomes., • Facilitate product demonstrations and feedback sessions throughout development, incorporating validated feedback into the roadmap and backlog., • Communicate product status, priorities, decisions, risks, dependencies, and expected value clearly to executive, business, and technical audiences., • Champion adoption by partnering on user acceptance testing, training, release readiness, communications, and post-launch support., • Build strong relationships across business lines, platform teams, vendors, and other Product Owners to coordinate shared capabilities and dependencies. Quality, Data, and Continuous Improvement: • Partner with QA and business testers to define expected behaviors, support test planning, review results, and resolve functional questions., • Analyze data flows, data quality, integration behavior, and exception scenarios to identify opportunities for process and product improvement., • Use qualitative and quantitative evidence to assess product effectiveness, validate assumptions, and recommend next-best investments., • Promote high standards for usability, accessibility, security, reliability, maintainability, and operational readiness. Required Qualifications: • 7 years of progressive experience as a Product Owner, Product Manager, Business Product Lead, or similar role delivering software or digital products., • Demonstrated success defining product direction and delivering products or capabilities that users value and adopt., • Strong knowledge of the insurance industry and familiarity with insurance operations and terminology, including policies, endorsements, renewals, claims, underwriting, premiums, exposures, client servicing, billing, accounts receivable, accounts payable, and financial transactions., • Proven ability to translate complex business needs into clear user stories, acceptance criteria, process flows, business rules, and functional requirements., • Hands-on experience managing and prioritizing a product backlog within an Agile or Scrum delivery environment., • Experience facilitating discovery, requirements, process-mapping, training, or decision-making sessions with business users and leadership., • Excellent written, verbal, facilitation, presentation, and stakeholder-management skills, with the ability to communicate effectively with executives, business teams, engineers, QA professionals, and subject-matter experts., • Strong analytical, problem-solving, prioritization, and decision-making skills., • Working knowledge of data mapping, transformation rules, APIs, error handling, exception management, and retry mechanisms., • Self-directed ownership, sound judgment, attention to detail, and a consistent record of timely delivery with limited supervision., • Working proficiency with AI Tools, Microsoft Word, Excel, PowerPoint, and Visio or comparable productivity and process-mapping tools. Preferred Qualifications • Experience in insurance brokerage or with commercial insurance technology and workflows., • Familiarity with policy administration, CRM, document management, finance, billing, or client-servicing platforms., • Experience with Azure DevOps or Jira, Salesforce, Sagitta, and related integration or data flows., • Working knowledge of data mapping, transformation rules, APIs, error handling, exception management, and retry mechanisms., • Ability to use SQL or comparable query tools for data validation and analysis., • Technical background or hands-on exposure to software development, web technologies, data platforms, or systems integration., • Relevant product, Agile, Scrum, business analysis, insurance, or project management certification. We are committed to fostering a diverse, inclusive, and equitable workplace where individuals from all backgrounds feel valued and empowered to contribute their unique perspectives. We strongly encourage applications from candidates of all genders, races, ethnicities, abilities, and experiences to join our team and help us build a culture of belonging.

Job Description Commercial Lines Account Executive - Onsite Seeking a Commercial Lines Insurance Specialist to manage a large transportation focused book of business. Must have experience managing a book of business. Looking for someone who has at least 3 years of managing a book of business and has strong customer service experience. In this role, you will be responsible for managing, growing, and retaining a book of commercial transportation accounts, including trucking fleets, motor carriers, logistics companies, and specialty transportation risks. You will serve as the primary strategic advisor to transportation clients, guiding them through complex coverage needs, risk management strategies, market negotiations, and policy administration. Key Responsibilities: Client Relationship Management & Strategy • Serve as the primary relationship manager for a dedicated portfolio of commercial transportation clients (e.g., long-haul trucking, fleet operations, intermodal, cargo, and freight brokerage)., • Conduct comprehensive risk management reviews and coverage analyses to identify exposures and recommend tailored insurance solutions., • Lead annual renewal strategy meetings, presenting market comparisons, risk evaluations, and coverage enhancements to key client decision-makers., • Act as a trusted advisor on industry regulations, safety protocols, compliance standards, and market trends affecting transportation fleets. Account Servicing & Policy Administration • Oversee the end-to-end policy lifecycle, including new business onboarding, renewals, endorsements, audits, and policy issuances., • Manage complex coverage lines specific to transportation, including Commercial Auto/Motor Carrier Liability, Physical Damage, Motor Truck Cargo, Auto Physical Damage, General Liability, Excess/Umbrella, Cyber, and Workers’ Compensation., • Address day-to-day client inquiries regarding coverage interpretation, claims handling, certificates of insurance, and contract reviews. Marketing & Carrier Negotiations • Partner with marketing teams and underwriters to market new and renewal transportation accounts., • Prepare comprehensive submission packages highlighting fleet safety programs, loss history, telematics data, and risk control measures to secure competitive terms., • Negotiate pricing, policy terms, conditions, and coverage structures with insurance carriers specializing in transportation risks. Qualifications & Skills • License: Active State Property & Casualty (P&C) Insurance License required., • Experience: 3+ years of commercial lines account management or account executive experience in a brokerage/agency setting., • Industry Knowledge: Deep understanding of transportation insurance products, policy forms, FMCSA regulations, MCS-90 endorsements, state/federal filings, and fleet safety practices., • Designations (Preferred): CIC (Certified Insurance Counselor), CPCU (Chartered Property Casualty Underwriter), TRS (Transportation Risk Specialist), or CRIS (Construction Risk and Insurance Specialist)., • Technology: Proficiency with agency management systems (e.g., Applied Epic, AMS360, EZLynx) and Microsoft Office Suite (Excel, Word, PowerPoint)., • Skills: Strong client-facing communication, presentation, and negotiation skills. High level of attention to detail and ability to prioritize in a fast-paced environment. Benefits & Compensation • Salary: Competitive base salary commensurate with experience ($[X] -$[Y]), plus performance-based bonus potential., • Health & Wellness: Comprehensive medical, dental, and vision coverage., • Retirement: 401(k) plan with company matching contribution., • Time Off: Generous Paid Time Off (PTO), paid holidays, and parental leave options., • Professional Development: Financial support for continuing education, licensing renewals, and professional designations (e.g., TRS, CIC, CPCU).

Job DescriptionSenior Commercial Line Account Manager (Mid to Large Market Risks)Excellent salary and benefits package available for a qualified individual. Salary: $65,000 - 90,000 Location: Summit, NJ Job Summary: Independent Agency is looking for an experienced Senior Account Manager experienced working with Mid to Large Market clients to join their team. This position will be responsible for a large book of business. This individual plays a leadership role in maintaining the relationship between the service team and the insurance carriers. Duties and responsibilities include but are not limited to: • Coordinating annual marketing efforts and carrier negotiations;, • Providing detailed cost and coverage analyses;, • Answering client policy and coverage questions;, • Consulting with clients on mid-term policy changes;, • Providing monthly reporting of client values to carriers;, • Coordinating and conducting claim review meetings for selected accounts;, • Visiting client sites to identify potential exposures and needs;, • Review loss analysis and complete risk management analysis, • Work with producers to complete action steps necessary to close renewals including gathering and researching risk management/insurance and renewal data for marketing., • S/he secures the renewal of existing business with assigned accounts and oversees activities related quality of service provided to clients., • The position involves working with multiple producers in the Agency. Required Competencies:, • P&C License required, • Extensive knowledge of Insurance Coverage products, • Excellent knowledge of and effective negotiation skills with insurance carriers, brokers, wholesalers and alternative risk markets, • Ability to provide first class service to assigned accounts including certificate issuance, returning phone calls and education of client staff with respect to insurance in general, • Ability to communicate verbally and in written form with clients, insurance company personnel and other vendor and third parties, • Knowledge of claims including participation in claim reviews, • Risk Management Background is Appreciated All inquiries will be kept confidential

Job DescriptionDescription: At LifeStation, our mission is simple but powerful: to use innovative technology and compassionate service to help seniors live safely, independently, and confidently. As one of the nation’s largest providers of medical alert monitoring and telehealth technology services, we are proud to make a meaningful difference in the lives of the families we serve every day. We are seeking a highly motivated and experienced Revenue Cycle Leader to lead our rapidly growing department. This individual will oversee the full revenue cycle, ensure efficient and accurate claims processing, and drive continuous improvement across billing, collections, and reporting functions. Success in this role requires deep expertise in Medicaid and Managed Care Organization billing, as well as strong experience with claims denials, rejections, and remediation workflows. Requirements: • Lead daily workflow for the billing and denials team: assign work, monitor production and quality, and keep recurring monthly billing runs on schedule in Brightree., • Review billing batches and claim edits for accuracy and completeness before submission, and clear rejections quickly., • Submit claims through Brightree, the clearinghouse and payor portals, and generate invoices and custom billing files for partners as required., • Train new team members, document procedures, and act as the first escalation point for team questions., • Meet weekly with the Manager or Director to review production, denial analytics and process issues., • Investigate and resolve billing discrepancies, invoice exceptions and partner or payor inquiries., • Work with intake, operations, customer care and IT to correct upstream issues that cause bad claims., • Proactively spot ways to improve billing accuracy, reduce manual touches and increase automation., • Support billing audits, reconciliations and reporting., • Oversee the reauthorization process so recurring services keep billing without gaps., • Support internal teams and external partners with authorization questions and issues., • Lead or assist with onboarding new partners and confirm they are set up to bill correctly in their first month., • Administer Salesforce billing cases: make sure cases are assigned, tracked and resolved on time., • Manage partner and payor portal access, user administration, password resets and access troubleshooting., • Maintain portal documentation, access records and process guidelines., • Support setup, maintenance and administration of EFT payment arrangements and keep payment information accurate., • Reconcile payments received by EFT, payment card and check against invoices and billing records, including ERA/835 posting., • Research and resolve payment discrepancies, unapplied cash, short payments and overpayments., • Keep documentation that supports payment activity and reconciliations. Qualifications: • High school diploma or equivalent required; associate or bachelor's degree preferred., • 3+ years of experience in medical billing, accounts receivable or revenue cycle management, ideally in DME, HME or a high-volume recurring billing setting., • Prior experience leading, training or mentoring a team, formally or informally., • Working knowledge of denial management, payor portals and ERA/EOB posting., • Familiarity with CMS-1500 claims and ICD-10 and HCPCS codes., • Strong attention to detail and commitment to accuracy., • Proficiency in Microsoft Office, particularly Excel and Outlook; Salesforce experience is a plus., • Comfort using automation and AI tools (such as claim-status automation or AI-assisted research and summarizing) to speed up daily work, while checking results for accuracy and protecting PHI., • Strong written and verbal communication skills., • Ability to manage multiple priorities and meet recurring deadlines.

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 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 Coding Manager – Vascular Surgery Position Overview We are seeking a highly analytical, solutions-oriented Coding Manager with a strong background in vascular surgery coding, proven people-management skills, and the ability to improve processes that drive coding quality, operational efficiency, and revenue performance. The Coding Manager will lead the professional coding team for a high-volume, multi-specialty vascular surgery practice encompassing hospital-based procedures, ambulatory surgery centers (ASCs), office-based laboratories (OBLs), office visits, imaging, and other vascular services. This position combines technical coding expertise with hands-on operational leadership. The Coding Manager will be responsible for managing and developing the coding team, establishing performance standards, identifying and resolving operational problems, conducting coding audits, improving provider documentation, and implementing initiatives that improve charge capture and reimbursement while maintaining strict compliance with applicable coding and billing requirements. A key responsibility will be to establish proactive processes that identify coding and documentation opportunities before claims are submitted, including pre-billing reviews, targeted audits, provider education, and systematic analysis of missed charges, undercoding, documentation deficiencies, and recurring errors. The successful candidate will be a strong problem solver who can independently analyze issues, develop practical solutions, lead cross-functional initiatives, and hold individuals accountable for measurable results. This person must be comfortable working directly with physicians, coding staff, billing and revenue cycle personnel, and executive leadership to translate findings into meaningful operational improvements. Core Responsibilities: 1. Coding Team Leadership and Performance Management • Lead and manage the day-to-day operations of the professional coding team, with direct responsibility for staff performance, productivity, accuracy, turnaround time, and quality., • Establish clear performance expectations, measurable departmental goals, and individual accountability standards., • Monitor coding production, work queues, backlogs, aging, quality metrics, and turnaround times; proactively address performance deficiencies., • Assign and balance workloads based on procedure complexity, coder experience, specialty expertise, and operational priorities., • Conduct regular team meetings, individual coaching sessions, performance reviews, and targeted training., • Identify skill gaps, develop improvement plans, and take appropriate corrective action when performance expectations are not met., • Develop standardized workflows, written procedures, escalation protocols, and cross-training plans to support consistent performance and business continuity., • Foster a culture of ownership, accountability, continuous improvement, and collaboration., • Ensure that the coding team operates efficiently and consistently meets established service-level expectations. 1. Technical Coding Oversight and Problem Resolution • Provide technical oversight of complex professional vascular surgery coding, including open and endovascular procedures, catheter-based interventions, imaging, hospital services, and evaluation and management (E&M) encounters., • Ensure appropriate CPT, HCPCS, ICD-10-CM, and modifier assignment in accordance with applicable AMA, CMS, NCCI, Medicare, and commercial payer requirements., • Serve as the escalation resource for complex coding cases, unusual operative reports, conflicting interpretations, and difficult coding scenarios., • Independently investigate coding discrepancies, identify root causes, and establish consistent, defensible resolutions., • Identify missed charges, undercoding, overcoding, incorrect modifier use, bundling errors, and documentation deficiencies., • Ensure appropriate application of vascular family and selective catheterization rules, global surgery requirements, and applicable bundling and reimbursement guidelines., • Develop standardized approaches to recurring coding questions and communicate decisions to the coding team., • Establish appropriate provider query processes when documentation is incomplete, ambiguous, or insufficient to support accurate coding., • Maintain current knowledge of coding changes, payer policies, regulatory requirements, and vascular surgery coding guidance. Technical oversight will encompass open vascular surgery, endovascular interventions, angiography and catheterization, thrombectomy and embolectomy, bypass procedures, dialysis access, atherectomy, stent placement, embolization, EVAR/TEVAR, carotid and peripheral interventions, hybrid procedures, and radiology supervision and interpretation. 1. Coding Audits, Quality Assurance, and Compliance • Develop and manage a structured coding audit program incorporating both prospective and retrospective reviews., • Establish risk-based audit priorities using procedure complexity, financial impact, historical error rates, payer requirements, provider documentation patterns, and denial trends., • Perform targeted audits to identify missed charges, coding inaccuracies, inconsistent practices, documentation gaps, and opportunities for improved reimbursement., • Track audit results by provider, coder, procedure category, error type, and financial impact., • Conduct root-cause analyses and implement corrective actions addressing the underlying causes of recurring errors., • Coordinate with providers to review audit findings, clarify documentation requirements, and implement corrective education., • Ensure audit findings translate into measurable changes in coding accuracy, documentation quality, and claim outcomes., • Maintain audit records, corrective action plans, education materials, and supporting documentation., • Escalate material compliance concerns to appropriate compliance and executive leadership., • Balance revenue optimization with coding integrity, medical necessity, and compliance requirements. 1. Revenue Optimization and Pre-Billing Claim Review • Establish proactive coding review processes to identify and correct coding and documentation issues before claims are released for billing., • Develop risk-based pre-billing review criteria for high-value procedures, complex operative reports, unusual coding combinations, and services with a history of missed charges or errors., • Review selected claims and encounters to identify opportunities for appropriate charge capture, complete coding, correct modifier assignment, and compliant reimbursement., • Work collaboratively with billing and revenue cycle leadership to identify and resolve coding-related claim issues before submission., • Analyze undercoding, missed charges, incomplete documentation, coding edits, and recurring billing corrections to identify systemic problems., • Develop processes to ensure all documented, billable services are captured appropriately without unbundling, unsupported coding, or other compliance violations., • Evaluate coding-related denials, underpayments, and reimbursement discrepancies to determine root causes and implement preventive measures., • Establish feedback loops between coding, billing, authorization, and clinical operations so that recurring issues are resolved at their source., • Measure the impact of coding improvement initiatives using appropriate indicators, including audit error rates, corrected claims, preventable denials, missed-charge findings, and net collectible revenue where measurable., • Recommend workflow changes that improve reimbursement accuracy and reduce rework, avoidable delays, and preventable revenue leakage. 1. Provider Education and Documentation Improvement • Develop and execute a structured provider education program based on audit findings, documentation deficiencies, coding trends, and revenue opportunities., • Establish regular provider feedback meetings to review coding and documentation patterns, explain deficiencies, and recommend practical improvements., • Present audit findings in a clear, objective, and actionable manner, using specific examples and appropriate coding guidance., • Develop provider-specific education plans where recurring documentation issues are identified., • Work directly with physicians and clinical leadership to improve operative reports, procedure notes, E&M documentation, and other records supporting professional claims., • Identify documentation improvements that support accurate reporting of the procedures performed and services provided., • Coordinate follow-up reviews to determine whether education has produced sustained improvement., • Maintain records of provider education, meetings, action items, and subsequent audit results., • Collaborate with clinical and administrative leadership to address documentation issues requiring broader workflow or practice-level changes. 1. Process Improvement and Project Execution • Identify operational problems, inefficient workflows, recurring errors, and opportunities to improve coding quality, staff productivity, documentation, and revenue performance., • Take ownership of assigned projects from problem identification through implementation, monitoring, and final evaluation., • Develop project plans that define the problem, root cause, proposed solution, responsible parties, implementation timeline, success measures, and expected results., • Lead initiatives such as provider education programs, coding audit projects, pre-billing claim review processes, workflow redesign, and corrective action plans., • Coordinate with physicians, billing, revenue cycle, authorization, clinical operations, compliance, and other stakeholders to implement changes., • Establish standardized workflows and controls to prevent recurring issues rather than relying on repeated manual correction., • Monitor implementation progress, identify obstacles, resolve issues, and hold responsible parties accountable for deliverables., • Evaluate project outcomes against established objectives and provide leadership with clear reporting on results., • Continuously assess existing processes for opportunities to improve efficiency, reduce rework, accelerate claim submission, and strengthen quality controls., • Demonstrate independent judgment and the ability to prioritize competing initiatives based on operational risk, financial impact, and organizational needs. 1. Analytics, Reporting, and Management Communication • Develop and maintain coding performance reports and dashboards that provide actionable insight into departmental operations., • Track key indicators, including:, • Coding productivity and accuracy., • Turnaround time, coding lag, and aged work queues., • Audit findings and error trends., • Provider-specific documentation deficiencies., • Pre-billing review findings and correction rates., • Missed-charge opportunities and coding-related revenue leakage., • Coding-related denials and claim corrections., • Staff performance, training needs, and improvement plans., • Project milestones and measured outcomes., • Use Microsoft Excel, EMR/PM reporting tools, and available analytics resources to investigate trends and identify root causes., • Distinguish isolated errors from systemic problems requiring workflow redesign, training, technology changes, or management intervention., • Present findings and recommendations clearly to revenue cycle and executive leadership., • Recommend corrective actions supported by data, financial impact, operational feasibility, and compliance considerations., • Follow up on implemented changes to confirm that improvements are sustained. 1. Technology, Automation, and Cross-Functional Collaboration • Evaluate opportunities to improve coding workflows through system enhancements, automation, reporting, and AI-assisted coding tools., • Participate in testing, implementation, and ongoing monitoring of coding technology., • Establish appropriate human review, quality assurance, and escalation procedures for automated coding outputs., • Work with billing and revenue cycle leadership to improve handoffs, reduce avoidable rework, and resolve coding-related claim issues., • Collaborate with authorization personnel to identify documentation or coding requirements that affect authorization and medical necessity processes., • Support the development of consistent policies and workflows across hospital, ASC, OBL, and office-based services., • Communicate operational risks, resource constraints, and improvement opportunities to leadership in a timely manner. Required Qualifications • At least 5–8 years of professional medical coding experience, including substantial hands-on vascular surgery coding experience., • Demonstrated experience managing, supervising, auditing, or leading a prof

Job DescriptionCompany Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube. Job Description The Senior Manager, Payer Contract Analytics, will independently lead contract modeling and deal scenario strategy for AbbVie's key PBM and payer customers across Commercial, Medicare, and Medicaid channels. This role evaluates contract scenarios to clearly articulate AbbVie’s differentiated clinical value to payers while protecting branded product net price and preferred market access positions. This role combines expertise in contract modeling, predictive analytics, trend measurement, and financial reporting, and partners closely with Marketing, Finance, field-based Account Managers, and IT. The Senior Manager ensures AbbVie has the pricing and deal analytics needed to secure preferred formulary access at the right cost, managing cost-of-access risk for in-line and pipeline products and setting the standard for contract modeling excellence. This role reports to the Director, Immunology Contract Analytics. Key Job Responsibilities Contract Modeling and Deal Strategy Serve as the primary contract modeling lead for assigned brands and therapeutic areas with a primary focus on AbbVie’s Immunology portfolio of brands. Independently quantify the financial and long-range planning impact of national and regional PBM and payer contracts under different market access scenarios. Lead breakeven projections and gross-to-net evaluations of proposed contracts, identifying the rebate and access terms that secure preferred formulary position. Lead payer RFP modeling reviews with Account Managers, Finance, and Payer Strategy teams. Agree on modeling assumptions and key sales drivers early to improve forecast precision and speed up bid turnaround. Evaluate non-rebate contract terms, such as administrative fees, price protection, rebate guarantees, utilization management criteria, and biosimilar step-edit provisions, for their effect on net price and access durability. Insights and Executive Communication Turn modeling outcomes into executive-level narratives and recommendations that inform deal budgets and approval decisions. Serve as a trusted advisor, making sure competitive bid responses are evidence-based and reflect current market dynamics. Monitor payer and PBM contracting trends across Commercial, Medicare, and Medicaid channels, and independently answer contracting analysis questions from senior stakeholders. Post-Deal Performance Evaluation Run post-deal retrospectives that compare actual and forecasted financials and recalibrate contract models and assumptions as needed. Early Warning Performance Monitoring: Track contract performance KPIs (volume, share, net price, and forecast variance) through business-facing reporting tools, and flag accounts that are underperforming against their deal terms. Contract Analytics Capability Development and Talent Coaching Advance contracting analytics capabilities with APEX teams, vendor partners, and internal technical work groups. This includes AI-enabled scenario modeling, gross-to-net forecasting, scenario-specific demand analogues, key-driver sensitivity analyses, patient flow and flow-back modeling, sequential response simulations, time-to-event estimates, and competitor brand lifecycle event dynamics. Manage external analytics vendors to deliver high-quality, timely insights using analytical approaches suited to each contracting scenario question. Develop and mentor Payer Contract Analytics talent to strengthen pre- and post-deal insight generation that advance each brand's gross-to-net objectives over time. Qualifications The individual in this role should have the following background: Must have a Bachelor’s degree in Statistics, Economics, Actuarial Science, Business Analytics or a highly related field of study and 7+ years of work experience in financial modeling and/ or data analytics in the pharmaceutical, health care or other industry. Alternatively, would accept a Masters in the same disciplines and 5+ years of work experience in financial modeling and/ or data analytics in the pharmaceutical, health care or other industry. Strong business and financial acumen – prior experience in pharmaceutical contracting analyses with an emphasis on data and financial analysis is highly desirable. A working knowledge and understanding of the ever-evolving pharmacy channel stakeholder economics, including Payers, Pharmacy benefit managers (PBMs), and Group Purchasing Organizations (GPOs). Demonstrated experience analyzing syndicated claims data sets (for example, IQVIA LAAD or Symphony Health) and formulary status data (for example, MMIT) for Pharmacy channel products. Advanced Excel/VBA modeling skills, proficiency in SQL and/or Python, and experience building Microsoft Power BI dashboards. Applied experience with forecasting and statistical methods, such as Bayesian methods, analogue-uptake curves, decision tree models, parametric hazard models, Monte Carlo simulations, and time-series forecasting. Experience leading market assessments across biosimilar competition, 340B duplicate discount scrubbing on commercial rebate payments, PBM vertical integration fee schedules, and IRA policy impact on Medicare Part D contracting. A proven ability to turn complex scenario-based analyses into clear executive recommendations that influence market access contract strategy decisions. Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our long-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html

Job DescriptionCompany Description About AbbVie AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube. Job Description The Analytics and Performance Operations (APEX) team supporting AbbVie’s US Commercial organization is growing every day. We comprise highly respected researchers, analysts, and Data SMEs striving to be the gold standard Research & Analytics organization within the biopharmaceutical industry. We serve as strategic in-house advisor and pragmatic compass to Marketing, Sales, and Leadership – ensuring that all decisions are grounded in rigorous intelligence and earned intuition. We look at ‘data’ differently – as an input into insight generation, not an endgame. We appreciate ambiguity but recognize the need for clarity. We work tirelessly to build new capabilities and skill sets, encouraging our team members to pull up a chair, be themselves, be creative, speak their minds, and do good work. Patients depend on us, and we take that very seriously – without taking ourselves too seriously. We are smart, fun, quirky, and innovative – and we’d love for you to join us. The Manager of Data Strategy and Business Intelligence will develop and execute data strategy plans to support the Market Access and Patient Services organization. This role will report to the Associate Director – Market Access and Patient Services Data Transformation support enterprise capabilities for the APEX organization Responsibilities: • Maintain comprehensive knowledge of market access data architecture and data flows, • Proactively identify and resolve data quality and integrity issues, • Collaborate with Business technology Solutions (BTS) and data engineering teams to optimize data pipelines, • Troubleshoot complex data-related problems and implement sustainable solutions, • Develop and execute a plan for data acquisition and enablement across the various Market Access data domains, • Serve as a subject matter expert for data related to key Market Access domains (eg: claims, Payor and Plan hierarchy, syndicated data assets etc.), • Lead the design, build, and implementation of new BI platforms and analytics solutions, • Drive ongoing platform enhancements based on evolving business needs and technological advancements, • Establish and maintain BI standards, best practices, and governance frameworks, • Partner with business stakeholders to gather, document, and manage requirements for key performance indicators (KPIs), • Define and maintain business rules ensuring data accuracy and consistency across reporting, • Translate complex business needs into technical specifications for BI solutions, • Execute data assessments across new and existing data assets and make use case recommendations to analytics teams.Qualifications, • Bachelor’s degree in one of the following fields: Business, Management Information Systems, Engineering, and/or Operations is required 5+ years of experience in business intelligence, data analytics, or related field, • 3-5 years of experience in leading projects independently, • Experience in concepts of Managed Market controls and pricing (Trade, PBMs, Payors, Government), Pharmaceutical supply chain, Health system affiliations and formulary data, • Experience in business and/or analytics consulting roles for technology/analytics services companies a plus., • Strong working knowledge of syndicated pharmaceutical data sources, including claims data sources, • Proven track record of successfully delivering BI initiatives from concept to production, • Strong analytical mindset with passion for working with data, • Hands-on proficiency in BI tools and platforms (e.g. Power BI), • Experience with data modeling and database design principles, • Hands on ability with tools, programming languages and cloud infrastructure for ETL – SQL, Trino Snowflake, AWS., • Strong experience with data enablement including dimensional data models, ETL workflows and SQL queries leveraging a variety of technologies to support the analytics value chain across descriptive and predictive analytics Additional Information Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Individual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future. We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees. This job is eligible to participate in our short-term incentive programs. Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law. AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled. US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more: https://www.abbvie.com/join-us/reasonable-accommodations.html

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

Job Description Introduction Axtria is a leading global provider of cloud software and data analytics to the Life Sciences industry. We help Life Sciences companies transform the product commercialization journey to drive sales growth and improve healthcare outcomes for patients. We are acutely aware that our work impacts millions of patients and lead passionately to improve their lives. Since our founding in 2010, innovation has been our winning differentiation, and we continue to leapfrog competition with platforms that deploy Artificial Intelligence and Machine Learning. Our cloud-based platforms - Axtria DataMax™, Axtria InsightsIQ™, Axtria SalesIQ™, and Axtria MarketingIQ™ - enable clients to efficiently manage data, leverage data science to deliver insights for sales and marketing planning, and manage end-to-end commercial operations. We work with over 100 Life Sciences companies, many with multiple engagements globally across 75+ countries. We continue to win industry recognition for growth and are featured in some of the most aspirational lists – INC 5000, Deloitte FAST 500TM, NJBiz FAST 50, SmartCEO Future 50, Red Herring 100, and several other growth and technology awards. Axtria is looking for exceptional talent to join our rapidly growing global team. People are our biggest perk! Axtria is recognized for its organizational culture in both US and India, including certification by the Great Place to Work® Institute. Our transparent and collaborative culture offers a chance to work with some of the brightest minds in the industry. Axtria Institute, our in-house university, offers the best training in the industry and an opportunity to learn in a structured environment. A customized career progression plan ensures every Axtrian is setup for success and able to do meaningful work in a fun environment. We want our legacy to be the leaders we produce for the industry. Will you be next? Role Summary We are looking for an experienced Solution Architect at the Associate Director / Senior Manager level to design, build, and lead delivery of commercial data and analytics solutions for pharmaceutical and life sciences clients. This role sits at the intersection of business and technology — the ideal candidate is equally comfortable architecting a large-scale data warehouse, engaging directly with client business stakeholders, leading a distributed delivery team, and shaping new opportunities through SOWs and proposals. This is a client-facing, hands-on leadership role requiring deep Life Sciences commercial domain expertise combined with strong data engineering and program management capability. Key Responsibilities 1. Life Sciences Commercial & Marketing Domain • Apply strong working knowledge of pharma commercial and marketing operations, including sales force effectiveness, market access, and brand/marketing analytics., • Bring hands-on familiarity with key commercial data sources: CRM (Veeva/Salesforce), IQVIA 867 (claims/sales), DDD, Xponent, Claims data (medical/pharmacy), Speaker Program data, Google Analytics/digital engagement data, and Omnichannel marketing data., • Understand data nuances, licensing constraints, and standard business rules associated with syndicated and third-party pharma data sources., • Translate commercial business questions (HCP targeting, segmentation, patient analytics, brand performance, omnichannel effectiveness) into data and reporting requirements.2. Data Architecture, Engineering & Solution Design, • Architect, build, and support large-scale enterprise data warehouse and data mart solutions supporting commercial reporting and analytics., • Be hands-on with modern data platforms and tools — Databricks, Redshift, cloud data warehousing (Snowflake/AWS/Azure/GCP), ETL/ELT pipelines, and reporting/BI tools (Tableau, Power BI, MicroStrategy, or similar)., • Design end-to-end solutions from the ground up — data models, ingestion frameworks, transformation logic, data quality checks, security/access, and reporting layers., • Define and enforce architecture standards, scalability, performance tuning, and data governance best practices., • Evaluate and recommend emerging technologies (including cloud modernization and AI/ML/GenAI use cases) to improve commercial analytics capabilities.3. Business Partnership, Issue Triage & Communication, • Act as the primary point of contact for business stakeholders — gathering requirements, prioritizing enhancements, and translating needs into technical solutions., • Lead triage and root-cause resolution of production data/reporting issues in partnership with business and technical teams., • Own and manage escalations, ensuring timely resolution and transparent communication to stakeholders and leadership., • Prepare and present Weekly Status Reports and Monthly Business Reviews (MBRs) to client stakeholders and internal leadership.4. Team & Program Leadership, • Lead and mentor a distributed delivery team across onshore and offshore locations, fostering strong collaboration and accountability., • Operate as both a Business SME and Technical SME, able to go deep into architecture discussions and equally comfortable framing business impact., • Own program management responsibilities: project planning, timelines, resource allocation, risk/issue management, and delivery governance., • Drive performance management, capability building, and career development for team members.5. Client Growth & Business Development, • Create Statements of Work (SOWs), proposals, and effort estimates for new client demands, change requests, or proactive solution recommendations., • Identify opportunities to expand engagement scope through innovative ideas, accelerators, or new analytics use cases., • Support pre-sales activities including solutioning, client presentations, and RFP responses as needed.6. Travel & Client Engagement, • Travel to client office(s) 2–3 days per week to support in-person collaboration, workshops, and stakeholder discussions. Required Qualifications & Experience, • 8-10 years of total IT/consulting experience, with at least 6 years focused on Life Sciences commercial data and analytics., • Proven experience architecting and delivering large data warehouse / data mart programs end-to-end., • Strong hands-on expertise in Databricks, Redshift (or equivalent cloud DW), ETL tools (Informatica, Talend, DBT, Glue, etc.), and reporting/BI platforms., • Demonstrated experience working directly with pharma commercial/marketing business teams, not just IT counterparts., • Experience managing onshore-offshore delivery models and cross-functional teams of 10+ members., • Prior experience authoring SOWs, proposals, or effort/cost estimates in a consulting environment., • Excellent verbal, written, and executive-level presentation skills., • Willingness and ability to travel to client sites 2–3 days per week. Pay Transparency Laws Salary range or hourly pay range for the position The salary range for this position is $119,500 to $163,875 annually. The actual salary will vary based on applicant’s education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant’s geographic location. The salary range reflected is based on a primary work location of Berkeley Heights, New Jersey. The actual salary may vary for applicants in a different geographic location. #LI-DM1 Powered by JazzHR PCU0s5yD0d

Job DescriptionDescription: PromptCare is seeking an experienced Manager, RCM Projects to lead revenue cycle recovery initiatives and special projects focused on reducing accounts receivable (A/R), preventing uncollectible rental billing, resolving CMN and PAR documentation gaps, and recovering revenue through denial and write-off analysis. This role manages projects from initial planning through completion, ensuring work is prioritized based on financial impact, assigned appropriately, and completed efficiently without duplication of effort. The Manager will also oversee designated contracted vendor teams performing revenue cycle activities in Brightree and collaborate closely with Billing, Collections, Cash Applications, Reimbursement, Patient Access, Intake, Resupply, Confirmation, Brightree System Configuration, and Field Operations teams to improve processes, resolve outstanding issues, and maximize revenue recovery. Job Type: Full-time, Exempt Job Location: Remote (Must be willing to travel to a PromptCare location as needed) Requirements: • 3+ years of experience in revenue cycle management, medical billing and collections, or accounts receivable follow-up, preferably in a DME/HME or healthcare setting, including experience leading projects, teams, or outsourced resources., • Hands-on experience with Brightree or a comparable healthcare billing and revenue cycle platform., • Solid understanding of revenue cycle functions, including rental billing, claims processing, CMN and prior authorization requirements, denials, cash posting, A/R aging, and collections., • A track record of running multi-stakeholder projects to measurable financial outcomes., • Experience coordinating or managing outsourced or offshore vendor teams., • Strong analytical skills, with the ability to work through large worklists and data sets, set priorities, and translate findings into action., • Advanced proficiency in Microsoft Excel (pivot tables, lookups, reporting) and the Microsoft Office Suite., • Excellent verbal and written communication skills for cross-functional and vendor-facing coordination., • Ability to manage multiple projects and competing priorities in a fast-paced environment. Preferred Qualifications • Bachelor's degree in Business Administration, Healthcare Administration, Finance, or a related field., • Experience in DME/HME rental billing and reimbursement, particularly respiratory equipment., • Experience with Snowflake, SQL, or other business intelligence and reporting platforms., • Experience working with robotic process automation (bots) or workflow automation in a revenue cycle setting., • Familiarity with payer-specific billing and collection requirements for Medicare, Medicaid, and commercial payers., • Experience developing vendor scorecards, SLAs, or performance improvement plans., • Lean, Six Sigma, PMP, or other process improvement or project management training. Job Responsibilities, included but not limited to: • Recovery Project Leadership, • Scope, plan, and run worklist-driven cleanup projects across rental stops, Held A/R, bulk CMN and PAR recovery, denials, unbilled revenue, cash posting, and payer changes, from initial analysis through closure., • Prioritize work by dollar impact and recoverability, such as authorizations that would release a stopped rental to bill, retro-eligible PARs that would release Held A/R, and orders at risk of going on stop., • Ensure active rentals are not generating uncollectible A/R into Held, and that open work is routed to the team best positioned to resolve it., • Define success measures for each project (dollars released, A/R reduced, accounts resolved, write-offs avoided) and report progress and results to revenue cycle leadership on a regular cadence., • Convert project findings into SOPs, recurring processes, system configuration actions to remediate root causes, and clean handoffs to functional owners so that gains are sustained after a project closes., • Vendor & Resource Coordination, • Serve as the primary point of contact for contracted vendors and Brightree service teams performing billing, collections, cash posting, denial management, Held A/R resolution, or data cleanup work in Brightree., • Assign and hand off work queues among internal staff, vendor teams, and automation to prevent duplication of effort and ensure full coverage of the inventory., • Monitor vendor productivity and quality against contracted service level agreements (SLAs); audit vendor work in Brightree for accuracy and compliance; and investigate discrepancies between vendor-reported production and Brightree system-of-record data., • Lead regular performance reviews with vendor partners covering trends, root causes of underperformance, and corrective action plans., • Support vendor onboarding, including Brightree access provisioning, workflow training, and quality and productivity expectations; coordinate with IT on user access, security permissions, and HIPAA requirements., • Recommend shifts in work allocation among internal staff, vendor partners, and automation based on capacity, inventory aging, and recovery priorities. Automation, Data & Reporting • Partner with IT and automation teams to define, test, and monitor bots and automated workflows used for bulk cleanup, such as CMN and PAR linking and updates., • Build and maintain project trackers, worklists, and dashboards using Brightree, Snowflake, or other reporting tools, giving leadership early visibility into progress and emerging issues., • Analyze Held, stop, denial, and write-off data to identify root causes and new bulk-resolution opportunities. Cross-Functional Partnership • Work with Billing, Collections, Cash Applications, Reimbursement, Intake, Resupply, Confirmations, Customer Service, Purchasing, and Field Operations to remove the upstream causes of Held A/R, stops, and denials., • Coordinate with Operations and equipment recovery teams so that cleanup projects align with ongoing rental stop and asset recovery processes., • Communicate Brightree workflow changes, payer requirements, and policy updates to vendor partners and project teams in a timely and accurate way., • Maintain accurate documentation of project charters, SOPs, vendor agreements, scorecards, SLAs, and performance review outcomes., • Ensure compliance with company policies, healthcare regulations, and applicable industry standards. Core Competencies • Project Leadership & Execution, • Revenue Cycle Acumen, • Vendor & Relationship Management, • Data Analysis & Prioritization, • Cross-Functional Collaboration, • Accountability & Follow-Through, • Process Improvement, • Attention to Detail Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and listen. This position is ability to sit and work at a computer for extended periods. Occasional travel may be required for vendor meetings, training, or conferences. . Benefits & Perks • Comprehensive Medical, Dental, and Vision Package, • 401(k) Plan with Company Match, • Generous PTO: Vacation, Sick Time, Personal Days, and Paid Holidays, • Life Insurance: Standard coverage with optional enhancements, • Employee Assistance Program: Free counseling and coaching sessions, • Emotional Well-being and Work-Life Balance Resources, • Short & Long-Term Disability: Company-paid with optional supplements, • Accidental Death and Dismemberment Insurance, • FSA and HSA: Manage healthcare expenses, • Commuter Spending Programs, • Volunteer and Engagement Opportunities, • Employee Referral Bonuses, • Exclusive Discounts on entertainment, travel, and various other supplemental and cellphone plans Equal Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws. We foster a work environment in which diversity and inclusion are embraced, people are hired and advanced on their merits, and employees are treated with mutual respect and dignity

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.

Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work in 2025 for the sixth consecutive year. Selective Insura

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. 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.). 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. 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.

Provides pharmacy consulting services to customers regarding the effective usage of medications, awareness with drug interactions and offering preventive healthcare services such as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, company policies and procedures. Supports the efficient workflow of the pharmacy and assists the pharmacy manager in identifying ways to optimize pharmacy financials, inventory management and enhance customer experience Engages customers and patients by greeting them and offering assistance with products and services. Resolves customer issues in a timely manner 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.). Develops strong relationships with most valuable customers by anticipating customer needs and proactively offering services. Supports efforts on enhancing customer experience by increasing focus on healthcare services (e.g. patient consultation, medication management, drug therapy reviews, and perform retail, clinical, or wellness services such as immunizations, flu shots, and diabetes awareness) thereby promoting the shift of the pharmacy role from transactional to interpersonal. Counsels patients and answers their questions regarding usage of medicine, side effects, interactions, contraindications, patient information privacy, generics, less expensive medicines, over-the-counter products, and refers to medical provider as needed to ensure medication is taken correctly, health needs addressed, and satisfaction with service. Performs pharmacist tasks including compounding, drug therapy reviews, verification, and medication management. Reviews, interprets and accurately dispenses prescribed medications when necessitated by workload. Ensures the pharmacy operates in accordance to regulations, company policies and standards. Assists pharmacy manager with establishing procedures that promotes the efficient workflow of the pharmacy including assigning roles, coordinating activities and soliciting employee suggestions. Responsible for the opening and closing of the pharmacy and shift change duties. 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 has the ultimate responsibility for ensuring that the elements of Good Faith are present. Maintains current knowledge of information technology associated with pharmacy systems such as Intercom Plus, registers, automation, StoreNET to provide support to customers as well as pharmacy staff. Proposes and implements enhancements to pharmacy systems to further promote productivity. Ensures the accurate processing of insurance claims to resolve customer issues and prevent payment rejections. Follows-up with insurance companies as well as medical providers and participates in 3rd party audit. Follows-up with medical providers' offices to clarify prescribed medications, dosages, refills, interactions and allergies to suggest alternative medications, and answer medical provider questions Performs retail, clinical, and wellness services such as immunizations, flu shots, diabetes awareness and other preventive healthcare services. Assists and supports the pharmacy manager in analyzing performance data including pharmacy financial, customer service, and implementation of procedures for pharmacy asset protection and inventory management. Reviews KPI's with Pharmacy Manager, Store Manager, and Healthcare Supervisor. Develops and maintains good relationships with local medical community including physicians, nurses, and other health care providers. Participates in community outreach activities to promote the pharmacy business and further enhance growth opportunities. Partners with Central Pharmacy Operations for customer registration, 3rd party reviews, and assists with resolving customer issues to support the Well Experience locations. In virtual environments, conducts virtual product review by following specific company procedures and guidelines (e.g. using specific photographs taken by the technicians sent electronically during the F4 process and reduce transactional tasks). Assists the Pharmacy Manager with staff hiring and training. Reinforces the direction of Pharmacy Manager in staff performance by coaching, and providing constructive feedback, monitoring customer service, and fostering employee development. Promotes teamwork and motivates team members by establishing expectations, monitors and recognizes progress, and fosters a shared vision. Maintains current knowledge and skills related to pharmacy and healthcare by reading pharmacy related journals, company publications, and communications. Maintains awareness of developments in retail and management and pursues best practices that would enhance performance Obtains necessary certifications, education credits and training such as People Plus Learning modules as required by the Company Seeks professional development by monitoring one's performance, solicits for constructive feedback, and leverages pharmacy manager and store manager as mentor and coach Supports the Pharmacy Manager and Store Manager by communicating relevant corporate health and wellness services or strategy information to pharmacy staff. Willingness to obtain a Doctor of Pharmacy (Pharm D) degree from an accredited educational institution prior to the start date in position. Willingness to obtain pharmacist licensure from the respective Board of Pharmacy in the states within the district within 90 days of hire per district guidelines. Certified Immunizer or willing to become an immunizer within 90 days of hire.

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.

Work with a Top 20 CPA and advisory firm that Accounts for Anything. Aprio has 40 U.S. office locations, as well as international office locations and more than 3,200 team members that speak 60+ languages across the globe. By bringing together proven expertise, deep understanding, and strategic foresight for fast-growing industries, Aprio ensures clients are prepared for wherever life or business may take them. Discover a top-rated culture, vast growth opportunities and your next big career move with Aprio. We're seeking an experienced Employment Tax Manager to join our growing team. Aprio's tax professionals are committed to exceptional client service and developing and implementing intelligent strategies that can assist our clients with their federal, state and local employment tax issues, as well as help them identify cost savings opportunities. The Employment Tax Manager offers the opportunity to advise clients on complex employment tax issues, support transaction-related projects, lead consulting engagements, and help expand a specialized practice within one of the fastest-growing advisory firms in the country. This is an excellent opportunity for someone who enjoys solving complex tax challenges, working on sophisticated consulting engagements rather than pure compliance work, building trusted client relationships, and contributing to the growth of a highly specialized consulting practice. It is open to flexible remote work, with preference for candidates located in new major Aprio office markets (Atlanta or Chicago preferred). Responsibilities: Client Advisory & Consulting • Serve as a trusted advisor on federal, state, and local employment tax matters., • Provide strategic guidance regarding payroll tax compliance, withholding requirements, information reporting, worker classification, and employment tax risk management., • Advise clients on complex employment tax issues resulting from mergers, acquisitions, reorganizations, and other corporate transactions., • Identify employment tax savings and process improvement opportunities for clients. Technical Engagement Delivery • Review and prepare employment tax analyses, technical memoranda, and client deliverables., • Assist clients with IRS and state employment tax audits, notices, and controversy matters., • Support preparation and review of amended employment tax returns and refund claims., • Conduct technical research utilizing platforms such as CCH, Checkpoint, Bloomberg Tax, and other research tools. Relationship Management • Build and maintain strong client relationships through exceptional service and technical expertise., • Collaborate with partners, directors, and cross-functional service teams to deliver integrated solutions., • Identify additional client needs and support business development initiatives. Team Leadership • Mentor, develop, and coach associates and senior associates., • Review work product and provide technical guidance., • Contribute to practice development initiatives, training, and knowledge sharing. Qualifications: • Bachelor's degree in Accounting, Finance, Taxation, or a related field, • Certified Payroll Professional (CPP) accreditation preferred, • Recent experience working in a public accounting firm or in a multi-state payroll tax environment, • 4-5 years' experience years of payroll tax consulting and/or compliance experience in the employment tax space, • Experience in federal, state and local employment tax matters including compliance and issue resolution, • Exceptional verbal and written communication skills, • Computer expertise including knowledge of technology $98,500 - $164,000 a year The salary range for this opportunity is stated above. As such, an actual salary may fall closer to one or the other end of the range, and in certain circumstances, may wind up being outside of the listed salary range. The application window is anticipated to close on October 1, 2026 and may be extended as needed. Why work for Aprio: Whether you are just starting out, looking to advance into management or searching for your next leadership role, Aprio offers an opportunity to grow with a future-focused, innovative firm. Perks/Benefits we offer for full-time team members: • Medical, Dental, and Vision Insurance on the first day of employment, • Flexible Spending Account and Dependent Care Account, • 401k with Profit Sharing, • 9+ holidays and discretionary time off structure, • Parental Leave coverage for both primary and secondary caregivers, • Tuition Assistance Program and CPA support program with cash incentive upon completion, • Discretionary incentive compensation based on firm, group and individual performance, • Incentive compensation related to origination of new client sales, • Top rated wellness program, • Flexible working environment including remote and hybrid options What's in it for you: • Working with an industry leader: Be part of a high-growth firm that is passionate for what's next., • An awesome culture: Thirty-one fundamental behaviors guide our culture every day ensuring we always deliver an exceptional team-member and client experience. We call it the Aprio Way. This shared mindset creates lasting relationships between team members and with clients., • A great team: Work with a high-energy, passionate, caring and ambitious team of professionals in a collaborative culture., • Entrepreneurship: Have the freedom to innovate and bring your ideas to help us grow to become the CPA firm of choice nationally., • Growth opportunities: Grow professionally in an environment that fosters continuous learning and advancement., • Competitive compensation: You will be rewarded with competitive compensation, industry-leading benefits and a flexible work environment to enjoy work/life balance. EQUAL OPPORTUNITY EMPLOYER Aprio is an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race; color; religion; national origin; sex; pregnancy; sexual orientation; gender identity and/or expression; age; disability; genetic information, citizenship status; military service obligations or any other category protected by applicable federal, state, or local law. Aprio, LLP and Aprio Advisory Group, LLC, operate in an alternative business structure, with Aprio Advisory Group, LLC providing non-attest tax and consulting services, and Aprio, LLP providing CPA firm services.

As a Contracts Manager at Linesight, you will work with highly experienced, culturally diverse, and passionate teams nurturing a strong social dynamic and a shared sense of achievement. You will gain vast industry experience that will open doors for you, extend your skillset and expand your perspective. We will empower, support, and enable you to take real responsibility in your role so that you can take charge of your career progression with us. For us lasting trusted relationships are everything, both with our teams and our clients. In this role you will: • Administer the tender process across multiple contracts from GCs to professional consultant appointments, • Track and manage tender process steps including bidder prequalification, tender issue, queries and responses, tender submissions, and post-tender queries and negotiation., • Draft contracts and collate contract documentation, • Oversee post-contract management, including providing contract administration advice to the client, claims tracking, and producing and processing contract change orders, • Partner closely with the construction project management and cost management teams, • Work with the commercial team to advise the client on contract award We would love to hear from you if you: • Have strong research skills and an in-depth understanding of legal agreements, • Have working experience with Ariba or similar tender management platforms, • Have a working knowledge of local and international contract laws and corporate policies, • Are a proven people leader, • Have excellent negotiation, persuasion and judgment skills, • Are an excellent communicator verbally and in writing, • Are detail oriented and quality focused All interviews are conducted either in person or virtually with video required. The salary range for this role is between $108,000 to $145,067 but actual salary offered is dependent on experience, skill set and education. Linesight offers a comprehensive benefits package designed to support your health, financial well-being, and professional growth. Our benefits include medical, dental, and vision insurance, life and disability coverage, a 401(k) plan with company match, paid time off, paid holidays and educational assistance. Linesight is a highly successful global project and cost management consultancy that keeps clients coming back. And for that we have our people to thank. You see we're not like the others. We're different. Unique. It's our fresh thinking and focus on what matters that has led to our evolving. We are on a journey working in some of the most exciting innovative sectors with some of the world's most prestigious companies delivering major projects that deliver a more sustainable built environment.?We have an open culture and a flat structure where you can expect to be treated with genuine care, respect, and empathy. With Linesight, you can truly discover the power of team! Diversity, inclusion and accessibility Linesight is committed to transparent, equal opportunity employment practices. We are building a diverse and inclusive organisation, accessible to all, based on having a safe culture which enables all our people to be their true selves. We are a people business, and we understand that the more inclusive we are, the happier our people and better our work will be. We will ensure that individuals with disability are provided reasonable accommodation to participate in the application or recruitment process and are accommodated in the workplace. If you require assistance or accommodation of any kind, please mention this in your application, we would love to hear from you!

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,

Developing and maintaining relationships with internal and external partners as their lead contact within the claims department for assigned claims and the claims of his/her direct reports. AXIS is seeking a Claim Manager Casualty Programs to join our North America Claims team and will report to th

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

Optum NY/NJ, is seeking a Patient Care Coordinator to join our team in Springfield, NJ. Optum is a clinician-led care organization that is changing the way clinicians work and live. As a member of the Optum Care Delivery team, you'll be an integral part of our vision to make healthcare better for everyone. At Optum, you'll have the clinical resources, data and support of a global organization behind you so you can help your patients live healthier lives. We believe you deserve an exceptional career, and will empower you to live your best life at work and at home. Experience the fulfillment of advancing the health of your community with the excitement of contributing new practice ideas and initiatives that could help improve care for millions of patients across the country. Because together, we have the power to make health care better for everyone. Join us and discover how rewarding medicine can be while Caring. Connecting. Growing together. Optum Multi-Specialty has an immediate opening for a friendly, patient focused and detail oriented Patient Care Coordinator to join our team. The Patient Care Coordinator is responsible for the completion of set processes and protocols. Works cooperatively with all members of the care team to support the vision and mission of the organization, deliver excellent customer service and adhere to Lean processes. Supports the teams in meeting financial, clinical and service goals. Working Hours: Monday through Friday from 8:00 am to 7:00 pm, and rotating Saturdays between the hours of 8:00 am to 2:00 pm. This is a 40-hour work week, and the shifts are to be determined by the practice manager upon hire. May be asked to float to other clinics as needed Location: 55 Morris Ave-Suite 100, Springfield NJ 07081 Primary Responsibilities: • Obtain accurate and updated patient information, such as name, address, insurance information, • Perform insurance verification on the date of service, • Obtain patient signatures for required documents, • Upload a valid Government issued state ID of patient and patient insurance cards, • Accurate and complete occupational medicine registration workflow, • File and maintain medical records, • Consistently correct registration work queue errors, • Confirms and schedule appointments, • Answer telephone calls promptly and courteously, • Perform referral documentation promptly, • Working daily in the claims edit work queue to correct registration errors for submission to insurance companies, • Performs certain follow-up services for patients in a prompt and courteous manner, such as scheduling specialist appointments, scheduling follow-up appointments and obtaining copies of lab results or specialist reports, • Adhere to the standards identified via Sparq regarding Optum Employee Policies, • Work cohesively with fellow employees to achieve specific team goals, • Comfortable working in high pace environment, • Participate in planning, coordinating, and implementing care in conjunction with the multidisciplinary team in accordance with the Plan of Care, • Assure the continuity of care through scheduling and tracking systems, • Provide effective communication to patient / family team members and other health care professionals as evidenced by documentation, case conferences, communication notes, and evaluations, • Notify clinical staff of schedule changes as they occur, • Comply with administrative policies to ensure quality of care, • Demonstrate precision and efficiency in scanning documents and monitoring the fax server, retrieving and / or scanning documents and assigning to the appropriate electronic chart, • Participate in orientation (scheduling segment) of new field employees and distribute updates and changes as needed, • Perform other related duties and assignments as required, • Organize and maintain medical records, • All employees are expected to keep abreast of current medical requirements relevant to their position, which includes maintaining patient confidentiality and abiding by all HIPAA and OSHA requirements, • Complete new clinical competencies rolled out by the Educational Committee, • Work Independently, and Assist with Clinical duties on a limited basis, • Ability to work across multiple departments, • Performs other duties as assigned What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include: • Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays, • Medical Plan options along with participation in a Health Spending Account or a Health Saving account, • Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage, • 401(k) Savings Plan, Employee Stock Purchase Plan, • Education Reimbursement, • Employee Discounts, • Employee Assistance Program, • Employee Referral Bonus Program, • Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED, • 1+ years of computer proficiency experience including MS Word, Excel and Outlook and the ability to use multiple web applications, • 1+ years of experience working in medical office position performing duties such as scheduling appointments, checking patients in/out, insurance verification, collecting co-pays, and maintaining medical records, • Ability to work a 40-hour work week:, • Monday through Friday 8:00 am to 7:00 pm, • Rotating Saturdays from 8:00 am to 2:00 pm, • Access to reliable transportation with the ability to travel 10% of the time for coverage purposes Preferred Qualifications: • Knowledge of Epic EMR software, • Bilingual in Spanish and English Soft Skills: • Ability to work independently and maintain good judgment and accountability, • Demonstrated ability to work well with health care providers, • Strong organizational and time management skills, • Ability to multi-task and prioritize tasks to meet all deadlines, • Ability to work well under pressure in a fast-paced environment, • Excellent verbal and written communication skills; ability to speak clearly and concisely, conveying information in a manner that others can understand, as well as ability to understand and interpret information from others Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $18 - $32 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required

As a developer, manufacturer, and supplier of essential medicines, Hikma Pharmaceuticals USA Inc. and its affiliates' mission is to bring Better Health. Within Reach. Every Day. for millions of patients around the world. We are a trusted, reliable partner and dependable source of over 800 high-quality generic, specialty and branded pharmaceutical products that hospitals, physicians and pharmacists need to treat their patients across North America, the Middle East, North Africa and Europe. Through our 32 manufacturing plants, eight R&D centers, and 9,500+ employees worldwide, we are always hard at work creating high-quality medicines and making them accessible to the people who need them. We are committed to building a diverse and inclusive team and encourage applications from candidates of all backgrounds. We are seeking a talented and motivated Corporate Account Manager to join our team. In this role, you will be responsible for supporting the Hikma National Accounts team and U.S. product portfolio by ensuring seamless internal execution of customer-related activities and operational processes while managing external operational initiatives. This role serves as a critical liaison between the National Accounts team and key internal functions, including Trade Operations, Finance, Supply Chain, Pricing, Customer Service, and Distribution. The Corporate Account Manager is responsible for process execution and customer opportunity management to ensure exceptional operational support and customer satisfaction. • Serve as the primary operational support partner for the National Accounts team and the U.S. product portfolio., • Administer internal opportunity management process including opportunity entry, documentation, workflow routing, status tracking, internal follow-up, and closure., • Ensure timely follow-up and completion of open customer opportunities and action items., • Coordinate cross-functionally with Pricing, Portfolio, Contracts, and Trade Operations teams, driving thorough and timely customer and opportunity feedback., • Facilitate customer opportunities internally through collaboration with supply, pricing, portfolio, and contract teams, prepare and coordinate customer ready operational updates and supporting materials., • Manage external execution of operational initiatives with customer base including but not limited to year-end buys, wholesaler stocking efforts, • Support execution of customer compliance and market-share initiatives including internal coordination, action tracking, documentation, and follow-up., • Partner with Supply Chain, Trade Operations, and Distribution teams to resolve customer requests related to purchase orders, product availability, and general product inquires., • Monitor product availability, allocations, backorders, and shipment status and share key findings, updates, and proposed action with the National Accounts team., • Coordinate with Finance to support National Accounts team requirements for customer claims, failure to supply, and returns inquiries and communications., • Identify, lead and implement process improvement opportunities that enhance customer service, efficiency, and excellence., • Support special projects and strategic initiatives as assigned. We value the skills and experiences candidates bring to the table. While we have listed some qualifications below, we encourage candidates to apply even if they do not meet all of them: • Bachelor's degree in Business, Supply Chain, Finance, Marketing, or related field., • 3 to 7 years of experience in pharmaceutical, healthcare, distribution, customer operations, trade operations, or related commercial support functions., • Understanding of the generics industry. Experience managing commercial workflows, sales systems, customer-related processes, operational reporting, and cross-functional execution within the pharmaceutical, healthcare, distribution, or related industry., • Working knowledge of the generic pharmaceutical industry, including wholesalers, GPOs, distributors, and supply chain dynamics., • Experience working in a highly cross-functional environment., • Exceptional organizational, project management skills, and attention to detail., • Ability to manage multiple priorities simultaneously in a fast-paced environment., • Strong organizational, problem-solving, process-management, and execution capabilities, with the ability to identify operational gaps and coordinate timely resolution., • Excellent verbal and written communication skills., • Proficiency in Microsoft Excel, PowerPoint, and other business productivity tools. Base Salary: $92,850 to $135,000 annually. The compensation for this position will be determined during the interview process and will vary based on multiple factors, including, but not limited to, work location, prior experience and job-related knowledge, relevant skills and expertise, current business needs, and market factors. The Talent Acquisition team can provide more details about the specific salary range for the job location during the hiring process. • Annual performance bonus, commission, and share potential, • Auto enrollment in a Hikma-sponsored 401(k) program at a pre-tax contribution rate of 4% of eligible pay. Hikma will match 100% of the first 6% of eligible pay that you contribute, • A generous paid time off (PTO) bank starting with 20 days (prorated based on hire date). Additional days granted upon reaching work milestone anniversaries, • 3 personal days (prorated based on hire date), • 11 company paid holidays, • Comprehensive benefits including health, dental, vision, mental health, disability, life insurance, prescription drug coverage, and a variety of voluntary benefits, • Employee discount program, • Wellbeing rewards program, • Safety and Quality is a top organizational priority, • Career advancement and growth opportunities, • Tuition reimbursement, • Paid maternity and parental leave *Eligibility requirements apply to some benefits and depend on the job classification, role, and length of employment. Benefits are subject to change as well as specific plan or program terms.

Location: Cranford, NJ, US Newark, NJ, US Jersey City, NJ, US Brooklyn, NY, US Manhattan, NY, US Position Overview: The Project Manager is responsible for a construction project's overall direction, completion, and financial outcome. Directs and supervises the work of project administration, project superintendents, and engineers to establish operational priorities and maintain effective relationships with owners, subcontractors, etc. District Overview: Weeks Marine's vast reach and deep expertise, combined with the sheer size and diversity of its equipment fleet, enables the company to serve as a one-stop shop for clients in both the private and governmental sectors, providing exceptional customer service, environmental sensitivity, operational efficiency, and a long-standing commitment to safety. Location: This position will be based out of our District Home Office in Cranford, NJ. Weeks Marine Construction's projects span across the NE region of the US. One of the many things that makes Week's culture unique is that we go where the work is, which exposes your career to abundant opportunities. We relocate our teams based on the work that is available, combined with the development plans, skill sets and career goals of each team member. This means your Kiewit adventure is custom-designed to meet our shared needs. Responsibilities: • Maintain healthy safety culture and compliance with company safety policy, • Be responsible for ensuring the project meets or exceeds its financial objectives, by overseeing and monitoring each stage of the development, • Coordinates daily/weekly meetings with all the area superintendents and project engineers to develop means and methods, schedule contracting needs and long lead delivery times, • Manage all field operations and work sequences in conjunction with the Project Executive, • Review project estimate or plan to determine estimated job cost, procedures for accomplishing the project, staffing requirements, and allotment of available resources to various phases of the project, • Oversee and approve the monthly job cost updates and quarterly cash flow projections. Also, review, approve, and negotiate change orders, • Anticipate project needs with sufficient lead-time to avoid delays of production. Establishes work plan and staffing for each phase of the project, works closely with Project Executive and HR team to manage the relationship with staff and craft, • Form and lead an effective project management team, define and delegate management responsibilities, and set goals, • Review and control of work planning process by project team, • Resolve any unexpected technical difficulties and other problems that may arise, • Be an effective leader, communicate with department leads regarding work scopes, • Ensure project superintendents understand and execute the work as required, • Ensure safety, quality, and production are maintained, • Responsible for project closeout. Secure loose ends by finishing paperwork, obtaining retainages, supporting supervisors, and expediting claims Qualifications: • Ability to travel and relocate as needed, • 10+ years' experience in all aspects of managing construction projects with a proven track record of successful outcomes - specifically working in Infrastructure, Bridges, Docks, and Marine., • An undergraduate degree in construction engineering, construction management, or a related degree is preferred, • Ability to understand project scheduling and cost control, and to read and understand project owner specifications and engineering drawings, • Work independently as well as part of a team, • Strong work ethic - willing to do what it takes to get the job done, • Good attention to detail with the ability to recognize discrepancies, • Effective oral and written communication skills, • Strong organization/time management skills Other Requirements: Regular, reliable attendance Work productively and meet deadlines timely Communicate and interact effectively and professionally with supervisors, employees, and others individually or in a team environment Perform work safely and effectively. Understand and follow oral and written instructions, including warning signs, equipment use, and other policies. Work during normal operating hours to organize and complete work within given deadlines. Work overtime and weekends as required. May work at various different locations and conditions may vary Openings are to fill both existing vacancies and newly created positions Base Compensation: $157,000/yr - $197,000/yr (Actual compensation is subject to variation due to such factors as education, experience, skillset, and/or location) We offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off. We believe in equal opportunity in employment practices without discrimination and comply with all laws regarding human rights in the provinces where we operate.

Develop and execute a plan for data acquisition and enablement across the various Market Access data domains. Serve as a subject matter expert for data related to key Market Access domains (eg: claims, Payor and Plan hierarchy, syndicated data assets etc. The Manager of Data Strategy and Business In

AXIS is seeking a Senior Claims Specialist, Casualty Programs to join our North America Programs Claims team and will report to the Claims Manager, Casualty Programs Claims. As a direct report to the Claims Manager, Casualty Programs Claims, the candidate should possess the ability to manage Casualt

Location: Houston, TX, US Requisition ID: 182515 Job Level: Senior Level Home District/Group: Weeks Marine - Construction Department: Field Operations Market: Marine Employment Type: Full Time Temporary Position Overview The Project Manager is responsible for a construction project's overall direction, completion, and financial outcome. Directs and supervises the work of project administration, project superintendents, and engineers to establish operational priorities and maintain effective relationships with owners, subcontractors, etc. District Overview Weeks Marine's vast reach and deep expertise, combined with the sheer size and diversity of its equipment fleet, enables the company to serve as a one-stop shop for clients in both the private and governmental sectors, providing exceptional customer service, environmental sensitivity, operational efficiency, and a long-standing commitment to safety. Weeks Marine is headquartered in Cranford, New Jersey, and manages a network of regional offices in Louisiana, Texas, Hawaii, Guam, Ontario, and Nova Scotia. Location This position will be based out of our District Home Office in Cranford, NJ. Weeks Marine Construction's projects span across the NE region of the US. One of the many things that makes Week's culture unique is that we go where the work is, which exposes your career to abundant opportunities. We relocate our teams based on the work that is available, combined with the development plans, skill sets and career goals of each team member. This means your Kiewit adventure is custom-designed to meet our shared needs. Responsibilities Maintain healthy safety culture and compliance with company safety policy Be responsible for ensuring the project meets or exceeds its financial objectives, by overseeing and monitoring each stage of the development Coordinates daily/weekly meetings with all the area superintendents and project engineers to develop means and methods, schedule contracting needs and long lead delivery times Manage all field operations and work sequences in conjunction with the Project Executive Review project estimate or plan to determine estimated job cost, procedures for accomplishing the project, staffing requirements, and allotment of available resources to various phases of the project Oversee and approve the monthly job cost updates and quarterly cash flow projections. Also, review, approve, and negotiate change orders Anticipate project needs with sufficient lead-time to avoid delays of production. Establishes work plan and staffing for each phase of the project, works closely with Project Executive and HR team to manage the relationship with staff and craft Form and lead an effective project management team, define and delegate management responsibilities, and set goals Review and control of work planning process by project team Resolve any unexpected technical difficulties and other problems that may arise Be an effective leader, communicate with department leads regarding work scopes Ensure project superintendents understand and execute the work as required Ensure safety, quality, and production are maintained Responsible for project closeout. Secure loose ends by finishing paperwork, obtaining retainages, supporting supervisors, and expediting claims Qualifications Ability to travel and relocate as needed 10+ years' experience in all aspects of managing construction projects with a proven track record of successful outcomes - specifically working in Infrastructure, Bridges, Docks, and Marine. An undergraduate degree in construction engineering, construction management, or a related degree is preferred Ability to understand project scheduling and cost control, and to read and understand project owner specifications and engineering drawings Work independently as well as part of a team Strong work ethic - willing to do what it takes to get the job done Good attention to detail with the ability to recognize discrepancies Effective oral and written communication skills Strong organization/time management skills Other Requirements Regular, reliable attendance Work productively and meet deadlines timely Communicate and interact effectively and professionally with supervisors, employees, and others individually or in a team environment Perform work safely and effectively. Understand and follow oral and written instructions, including warning signs, equipment use, and other policies. Work during normal operating hours to organize and complete work within given deadlines. Work overtime and weekends as required. May work at various different locations and conditions may vary Openings are to fill both existing vacancies and newly created positions Base Compensation: $157,000/yr - $197,000/yr (Actual compensation is subject to variation due to such factors as education, experience, skillset, and/or location) We offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off. We believe in equal opportunity in employment practices without discrimination and comply with all laws regarding human rights in the provinces where we operate.

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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Director of Claims & Risk Manager in Livingston, NJ. Director of Claims & Risk Manager will be responsible for overseeing various insurance programs in place, monitoring the work product of the carrier/TPA, and conducting meaningful claim review with the client as a leader. Foster strong relationshi