- CVS Health (Trenton, NJ)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the ... accuracy and quality of claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
- NJM Insurance (Trenton, NJ)
- …best practices in addition to state and federal regulations in support of quality claim outcomes, process improvements, data integrity, compliance, and best ... and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring...to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit… more
- Prime Therapeutics (Trenton, NJ)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... business partners with regard to related regulatory activity and quality efforts involving utilization and/or medication therapy management, network management,… more
- Penn Medicine (Philadelphia, PA)
- …Manager also assists with the routine development of CFA department coordinator and analyst staff, the hiring of qualified candidates, as well as develops, maintains ... and CPT principles. Supports the oversight of any coding quality initiatives that may be necessary as a result...be necessary as a result of internal and/or external audit activities as well as mitigating any potential risk… more