- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement ... work independently and collaboratively in a fast-paced environment. + Familiarity with business analysis and process improvement methodologies. + Willingness to… more
- NJM Insurance (Trenton, NJ)
- …within the organization? NJM's West Trenton Workers Compensation Department (WCC) is seeking a Business Process Analyst (based on credentials, this role can ... continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this...or Senior level based on skills, experience and credentials. Business Process Analyst , Associate: $49,871… more
- Prime Therapeutics (Trenton, NJ)
- …future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...project lifecycle + Identify, analyze, and implement system and process improvements using variety of personnel and data resources… more
- Highmark Health (Trenton, NJ)
- …**Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (eg ... change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control...claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Highmark Health (Trenton, NJ)
- …**Required** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (eg ... change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control...claims , billing, customer service, etc.) **Preferred** + 0 -… more
- NJM Insurance (Trenton, NJ)
- …consistency of data to support the end-to-end journey. Partner with the department Business Process Unit to identify, plan and prioritize source system ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...methods. NJM's Marketing team is Seeking an Associate Insights Analyst (the official NJM Title is Business … more
- Insight Global (Newtown, PA)
- …A healthcare insurance company's Enterprise Data Office is hiring for a Data/ Business Systems Analyst with strong techno functional experience to lead data ... will have expertise in Payor data and processes like Claims , Population Health and payor data standards. This person...and Requirements - 8+ years of experience as a Business Systems/Data Analyst - 5+ years in… more
- Robert Half Technology (Princeton, NJ)
- Description Professional Qualifications: * 5+ years experience in IT as a Technical Business analyst /system analyst and created functional requirements for ... the Insurance P& C domain. * Good understanding of the underwriting process includes the policy lifecycle, coverages, endorsements, forms, rating, etc. * Experience… more
- Baylor Scott & White Health (Trenton, NJ)
- …standards. + Collaborates across various departments to design and implement any business process and/or systems changes to meet encounter data processing ... and ROI. + Contributes to program improvement by designing and implementing business process and system changes, collaborating to resolve encounter data… more
- NJM Insurance (Trenton, NJ)
- …Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal ... audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …within Suns Revenue Management System and Consultants as needed. **Responsibilities:** The Rebate Analyst will be assigned to process and analyze Market Access ... and loaded correctly in operational systems (document anomalies as appropriate). Review, process and validate all claims , administrative fees and rebates… more
- Zurich NA (Trenton, NJ)
- …to deliver insights to management teams. + Supporting the planning and forecasting process and collaborating with business unit leadership to explain changes and ... Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Trenton, NJ)
- …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:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Prime Therapeutics (Trenton, NJ)
- …& Reporting Analyst - Remote **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Prime Therapeutics (Trenton, NJ)
- …build the future of pharmacy with us. **Job Posting Title** Health Informatics Analyst **Job Description** The Health Informatics Analyst leverages data and ... providing insights that inform strategic decision-making and improve patient and business outcomes. This role designs and executes data-driven solutions using… more
- Humana (Trenton, NJ)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer... will be an integral part of the Pricer Business and System Support team responsible for administering complex… more
- NJM Insurance (Trenton, NJ)
- …planning process . . Collaborate with cross-functional teams to develop business insights and recommendations. . Contribute to the ongoing development of ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...levels of service, integrity, and financial stewardship. The Actuarial Analyst (we have the ability to hire at the… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process . **Senior Insurance Compliance Analyst ** Job Family Grouping: Product Development ... & Support Job Family: Senior Analyst , Product Development & Support **How does this role...for P&C products + Collaborate with compliance/legal, underwriting, actuarial, claims and operations staff to ensure P&C products comply… more