155 general claims manager jobs found

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. Job Overview We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Sales Account Manager, Oncology. In this field-based role, the Prostate Cancer Sales Specialist will focus on achieving sales goals in their assigned geographic territory. This role serves the Greater Sacramento area and the successful candidate must live within territory. This individual will...

Job Summary The Manager, Clinical Operations works closely with the OPDC Monitoring Oversight Lead to manage monitoring oversight activities including managing Clinical Monitoring Consultants (CMC) contracted to perform monitoring oversight duties as well as escalating issues related to CRO monitoring quality. While focusing on quality and compliance, uses metrics and key performance indicators to drive monitoring oversight activities to achieve timelines and deliverables across the portfolio. Additionally, the Manager, Clinical Operations will support planning, resourcing, contracting, and budgeting of CMC resources to conduct monitoring oversight tasks. The Manager, Clinical Operations will also coordinate reporting and review of CRO related Key Performance Indicators (KPIs) Monitoring Oversight Lead. Job Description Manage Monitoring Oversight activities in North America, and other regions as assigned With the OPDC Monitoring Oversight Lead, plan...

Job Summary The Field Force Effectiveness team at Otsuka America Pharmaceutical, Inc. plays a highly visible role in optimizing the performance of the sales and marketing efforts, for the field sales teams. As a result, Systems Training plays a key role in ensuring that the sales force understands how to effectively utilize our technology to enhance customer interactions, optimize selling opportunities and provide insight on our business processes that support our business. The Senior Manager of National Systems Training work with the field sales teams to design, develop and deliver new hire systems tech training on our InGenius (CRM System), ORION (Field Reporting) and Business Planning system across all brands. The role is also responsible or continual training on system enhancements and capabilities for the organization. In addition, the role will require system training content updates and cross collaboration between systems owners and multiple departments such as...

At Otsuka our mission is to create new products for better health worldwide. Our purpose is to defy limitation so that others can too. In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a complex portfolio of products with competing priorities that include balancing inventory, managing vendor / supplier relationships, optimizing total delivered cost to meet finished goods demand with focus on delivering value to our patients, our suppliers, and to Otsuka. You will create an environment for proactive communications with cross functional collaborators that will help ensure both internal and external customer demands are consistently met with no laps in supply and availability of products to our patients. Additional facets of the role include coordinating purchase requisitions in the...

Company Description Statistics show that women and underrepresented groups tend to apply to jobs only if they meet 100% of the qualifications. Sobi encourages you to change that statistic and apply. Rarely do candidates meet 100% of the qualifications. We look forward to your application! At Sobi, each person brings their unique talents to work as a team and make a difference. We are dedicated to developing and delivering innovative therapies to improve the lives of people who live with a rare disease. Our edge comes from our team of people and our commitment to patients. Our mission and culture at Sobi North America get us excited to come to work every day, but here are a few more reasons to join our team: Competitive compensation for your work Generous time off policy Opportunity to broaden your horizons by attending popular conferences Emphasis on work/life balance Collaborative and team-oriented environment Making a positive impact to help ultra-rare...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for MOTREX Co. Ltd. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Overview Are you looking to drive culture and make a meaningful impact in an organization? We are seeking a passionate and dedicated Sr HR Coordinator to join our team! In this role, you will be working closely with employees and management to foster a positive work environment. If you are enthusiastic about people, thrive in a fast-paced setting, and are eager to contribute to our mission of creating an exceptional workplace, you should apply! This position will be...

Company Description At Western Digital, our vision is to power global innovation and push the boundaries of technology to make what you thought was once impossible, possible. At our core, Western Digital is a company of problem solvers. People achieve extraordinary things given the right technology. For decades, we've been doing just that. Our technology helped people put a man on the moon. We are a key partner to some of the largest and highest growth organizations in the world. From energizing the most competitive gaming platforms, to enabling systems to make cities safer and cars smarter and more connected, to powering the data centers behind many of the world's biggest companies and public cloud, Western Digital is fueling a brighter, smarter future. Binge-watch any shows, use social media or shop online lately? You'll find Western Digital supporting the storage infrastructure behind many of these platforms. And, that flash memory card that captures and preserves...

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards....

The Supplier Relationship Specialist is responsible for the supplier management lifecycle and support of supplier-facing applications. This role will function as the central point of contact for suppliers, and QTS employees who desire to initiate a new supplier relationship or update an existing supplier relationship. This person will be responsible for effectively supporting suppliers to maximize the relationship value to the organization. RESPONSIBILITIES, other duties may be assigned. Take a strategic approach at cultivating supplier relationships to maximize value Ensure new and existing suppliers are maintaining QTS compliance requirements, documentation, and information via QTS tools Responsible for managing the processes required to effectively manage supplier data, including planning, risk identification and risk assessment, due diligence review and documentation requirements, and updates to the processes Provide support to suppliers for...

Important Recruitment Information for this vacancy: Applications will be reviewed as they are received El Dorado Correctional Facility 1737 SE Highway 54, P.O. Box 311 El Dorado, KS 67042 About the Position: Who can apply: External Classified/Unclassified Service: Classified Full/Part-time: Full-Time Regular/Temporary: Regular Work Schedule: Varies based on shift assignment. Facility is currently working 8 hour shifts. Shifts are 6:00am-2:00pm, 2:00pm-10:00pm, 10:00pm-6:00am Shift assignment will be made based on facility staffing needs; we cannot guarantee a shift placement during the hiring process. Eligible to Receive Benefits: Yes Veterans’ Preference Eligible: Yes Compensation: Pay Grade 24; Step 10; $48,484.80/$23.31 Employment Benefits: Comprehensive medical, mental, dental, vision, and additional coverage Sick & Vacation leave Work-Life Balance programs: parental leave, military leave,...

Important Recruitment Information for this vacancy Job Posting closes: January 30, 2026 Required documents uploaded by: January 30, 2026 Kansas Department of Health and Environment: Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans. Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. KDHE does not provide sponsorships for this position. E-Verify: Kansas Department of Health and Environment (KDHE) participates in...

The Category Sourcing Manager ("CSM") is responsible for developing, executing, and managing corporate sourcing initiatives for a variety of direct and indirect categories, depending on expertise. The CSM will perform complex data analysis to identify new sourcing & other cost optimization opportunities to generate cost savings for categories managed. Categories would include, but not limited to: Electrical, Mechanical, Capital Improvement Projects, SG&A, IT, MRO, Facilities Maintenance, Data Center Infrastructure Fit-outs and Data Connectivity. The CSM is responsible for negotiating complex/competitive programs & communicating to line of businesses and Senior Management the value propositions associated with Category proposals. The CSM will work collaboratively with internal user departments to facilitate, optimize and execute the purchase and corporate governance of these spends categories within organization. RESPONSIBILITIES, other duties as assigned....

Important Recruitment Information for this vacancy Job Posting closes: Open until filled Agency Information: The Kansas Department of Wildlife and Parks (KDWP) is an executive branch agency in charge of operating and regulating the use of state parks, state lakes, recreational grounds, wildlife areas and sanctuaries, fish hatcheries, natural areas, historic sites and other lands, waters, and facilities for the promotion of public health, safety, and for the use and pleasure of visitors. The agency is also charged with the development and conservation of wildlife and the natural resources within the state. The agency oversees 29 state parks, 500 miles of trails, approximately 460,301 acres of leased or owned public lands, management of four hatcheries, and four nature centers. To meet our mission, projects, and goals, KDWP employs approximately 466 full time employees and up to 350 temporary employees, throughout the state, with diverse and varying...

Important Recruitment Information for this vacancy Job Posting closes: open until filled Required documents (as listed in Qualifications and Required Documents sections) must be uploaded by close date. Incomplete applications may not be considered. Agency Information Kansas Department for Children and Families | www.dcf.ks.gov Economic and Employment Services Southwest / Emporia About the Position Who can apply: External Classified/Unclassified Service: Unclassified Full-Time/Part-Time: Full-Time Regular/Temporary: Regular Work Schedule: Monday-Friday Eligible to Receive Benefits: Yes Veterans' Preference Eligible: Yes Compensation: $19.16 / hourly. Salary may be dependent upon the candidate’s qualifications and experience. Employment Benefits In addition to the starting salary, the State of Kansas offers a significant benefits package that is available the first day of employment. All benefits eligible,...

Important Recruitment Information for this vacancy Job Posting closes: Open Until Filled Required documents (as listed in Qualifications and Required Documents sections) must be uploaded by close date. Incomplete applications may not be considered. Agency Information Kansas Department for Children and Families | www.dcf.ks.gov Economic and Employment Services – Work Programs Southeast Region / Location is negotiable and may be based in any of the following DCF Service Centers: Parsons, Chanute, Ottawa, Fort Scott, or Columbus About the Position Who can apply: External Classified/Unclassified Service: Unclassified Full-Time/Part-Time: Full-Time Regular/Temporary: Regular Work Schedule: Monday-Friday Eligible to Receive Benefits: Yes Veterans' Preference Eligible: Yes Compensation: $39,852.80 Annual; $19.16 Hourly Employment Benefits In addition to the starting salary, the State of Kansas offers a significant...

Important Recruitment Information for this vacancy: Job Posting closes: February 1, 2026 Kansas Department of Transportation At KDOT, we reward our staff’s hard work by providing training opportunities, a family-oriented work environment and service recognition. Promotional opportunities, free parking, and potential hybrid work schedules are also offered. KDOT is a great place to work, so come be part of our team! Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. KDOT does not provide sponsorships for this position. E-Verify: The Kansas Department of Transportation (KDOT) participates in E-Verify and will provide the federal government with your I-9 information to confirm that you are authorized to work in the U.S. For additional information regarding E-Verify, please click here. For...

Important Recruitment Information for this vacancy Job Posting closes: January 30, 2026 Required documents uploaded by: January 30, 2026 Kansas Department of Health and Environment: Our agency is led by Secretary Janet Stanek, who was appointed by Gov. Kelly in Dec 2021. KDHE is comprised of three divisions: Public Health, Environment, and Health Care Finance (which includes the State’s Medicaid program, KanCare). We are the only agency in the nation to have these three entities under one roof which allows us to take a holistic approach to improving and protecting the health and well-being of all Kansans. Verification of identity and employment eligibility to work in the United States is required by federal law. For a list of acceptable documents that establish these criteria, please refer to the federal Form I-9. KDHE does not provide sponsorships for this position. E-Verify: Kansas Department of Health and Environment (KDHE) participates in...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Our Performance Suite Analytics team offers candidates the opportunity to support the evolution of value-based care across all lines of business by collaborating directly with our...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

Become a part of our caring community and help us put health first The Grievances & Appeals Representative 2 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request is warranted and then delivers final determination based on trained skillsets and/or partnerships with clinical and other Humana parties. The Grievances & Appeals Representative 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. The Grievances & Appeals Representative 2 assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Eligibility Analyst- REMOTE Job Description The Eligibility Analyst is responsible for representing commercial or government programs' eligibility and acts as a subject matter expert for department projects, Run functions and escalated client issues. This role is responsible for mentoring and training the Eligibility Specialist. Responsibilities Serves as subject matter expert representing eligibility on file process for new and existing clients and department projects; monitors eligibility mailbox and Prime Resolution daily, participates in workstream meetings, assists with providing information regarding business requirements, and performs User Acceptance Testing Serves as primary contact for external...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact through translating disparate data points into tangible insights and actions....

Important Recruitment Information for this vacancy The Department of Commerce participates in the E-Verify program. Agency Information: As the state’s lead economic development agency, the Kansas Department of Commerce strives to empower individuals, businesses and communities to achieve prosperity in Kansas. Commerce accomplishes its mission by developing relationships with corporations, site location consultants and stakeholders in Kansas, the nation and world. Our strong partnerships allow us to help create an environment for existing Kansas businesses to grow and foster an innovative, competitive landscape for new businesses. Through Commerce’s project successes, Kansas was awarded Area Development Magazine’s prestigious Gold Shovel award in 2021, 2022, 2023 and 2024, and was awarded the 2021 and 2022 Governor’s Cup by Site Selection Magazine. The Kansas Department of Commerce administers the KANSAS WORKS workforce system, which links businesses, job...