- St. Joseph's Health (Paterson, NJ)
- Retail Pharmacy Operations Analyst Job ID2024-25575 LocationPaterson, New Jersey ShiftRegular Full-Time Apply Now ... (https://careers-sjhmc.icims.com/jobs/25575/retail- pharmacy -operations- analyst /login) Apply Now (Internal Candidate) Save This Job Job Saved Overview St.… more
- St. Joseph's Health (Paterson, NJ)
- …areas such as ambulatory, ancillary, financial and/or administrative systems. The Application Analyst Pharmacy Informatics I should have organizational and time ... Pharmacy Informatics Application Analyst I Job ID2024-25426 LocationPaterson, New Jersey ShiftRegular Full-Time Apply Now… more
- Elevance Health (Morristown, NJ)
- …new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Business Analyst II** is responsible for translating ... **Business Analyst II** _Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of an Elevance Health… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - Remote **Job Description** The Senior Actuarial Analyst is ... reporting, and projections + Lead, perform, and review complex ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Actuarial Analyst -Remote **Job Description** The Actuarial Analyst is responsible for ... review data analyses, reporting, and projections + Perform and review ad hoc pharmacy data mining and analyses to help investigate and answer challenging questions… more
- Baylor Scott & White Health (Trenton, NJ)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... requirements preferred. + Experience with healthcare encounters, enrollment and pharmacy data preferred. **BENEFITS** Our competitive benefits package includes the… more
- The Cigna Group (Morris Plains, NJ)
- **Software Engineering Senior Analyst (QA Engineer)** Evernorth Technologies Coverage Review Determination (CRD) delivers Access to Care (ATC) solutions to internal ... opportunities to our business. The CRD **Software Engineering Senior Analyst (QA Engineer)** will serve as the QA Engineer...as the QA Engineer Lead of the CRD OnePA Pharmacy Team and will be responsible for ensuring the… more
- Prime Therapeutics (Trenton, NJ)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's degree in technical or… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Sr. Contract Compliance Analyst Date: Sep 18, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57778 **Who we are** ... it relates to formulary access and tier position for biosimilars and pharmacy drugs (Medical Claims/Managed Care), and Pharmaceutical contract language. Ability to… more
- Brookfield Properties (East Rutherford, NJ)
- …where people, businesses, and communities thrive. This NYC / NJ-based Development Analyst will be primarily focused on sourcing new development opportunities in an ... Frequency: Bi-weekly Annual Base Salary Range: $75,000 - $95,000 Medical & Pharmacy Coverage: Yes, under Brookfield Medical Plan Dental Coverage: Yes, under… more
- Hackensack Meridian Health (Eatontown, NJ)
- …leads to fulfillment and professional growth. **Responsibilities** The Quality Assurance Analyst is responsible for identifying areas of improvement specific to each ... accreditation requirements of relevant agencies such as CMS, New Jersey Board of Pharmacy , New Jersey Board of Respiratory Care and The Joint Commission. + Conducts… more
- Insight Global (Camden, NJ)
- …of Insight Global's healthcare clients in Camden, NJ is seeking a Revenue Integrity Analyst to join their team. This individual will be responsible for oversight of ... - Coding Certification (CPC or COC or CPC-H or CCS) - Supply-chain and/or pharmacy item and process null We are a company committed to creating diverse and… more
- The Cigna Group (Florence, NJ)
- …reviewing historical demand and analyzing inventory levels. + Work with pharmacy operations to establish product/service requirements. Order pharmaceuticals for the ... pharmacy based off medication inventory requirements. + Maintain and...Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and… more
- Hackensack Meridian Health (Neptune, NJ)
- …+ At the time of newly created treatment plans for both Radiation, Pharmacy or complex service(s), review plans and cross reference the patient's insurance benefits ... to those plans by use of the Epic Beacon Pharmacy work que. Obtain new prior authorizations when needed...or J code as required so that both the Pharmacy and staff in patient financial services are able… more
- The Cigna Group (Morris Plains, NJ)
- …and adherence + Work closely with Contracting team to help research pharmacy inquiries around reimbursement due to rental network/PBM relationship + Completes ... Health Services** Evernorth Health Services, a division of The Cigna Group, creates pharmacy , care and benefit solutions to improve health and increase vitality. We… more
- IQVIA (Warren, NJ)
- …assist programs and vouchers + 15 years of related experience related to Pharmacy / Manual Claims processing + Equivalent work experience may be substituted for ... degree + Incumbent will have a thorough understanding of event processing and monitoring in a global corporate environment. Must have comprehensive knowledge of triaging server, network and application related issues. + Must be able to organize, direct and… more
- The Cigna Group (Morris Plains, NJ)
- …meet our financial commitments to our customers. The Risk & Underwriting Senior Analyst role will be responsible for all underwriting activities in supporting Sales ... for renewing and new sales clients. The Risk & Underwriting Senior Analyst will develop client-specific pricing strategies with competitive offers in the marketplace… more
- The Cigna Group (Morris Plains, NJ)
- …consistent service. Internally, the ECE must collaborate across Accredo Specialty Pharmacy , Care Solutions, eviCore Medical Benefit Management, Express Scripts PBM, ... data sets produced by partners across the medical and pharmacy space; Participating in client meetings, educational events, trainings...in a consultative role to provide expertise in business analyst tools, process and best practices. + Has a… more
- The Cigna Group (Morris Plains, NJ)
- …formulary consulting and financial analysis. + Lead Centralized Business Analyst Support (CBAS) team functions to oversee formulary implementation, maintenance, ... point of contact for various corporate initiatives. **QUALIFICATIONS** + BS in Pharmacy , Doctor of Pharmacy + Current US pharmacist license + 9 - 11 years… more
- WTW (Short Hills, NJ)
- …specialty consulting services including clinical/health management program design, pharmacy solutions, disability/absence management strategies and claims audit ... services. Product-based solutions such as our pharmacy purchasing coalition round out our broad-based suite of offerings. **Explore an opportunity.** As a Health and… more