- Axis (Princeton, NJ)
- …Description: This role is a highly analytical and detail-oriented position within our Claims Operations team, with a specialized focus on Bordereaux Management. ... effectively with cross-functional teams to drive process improvements and enhance claims management efficiency. *Preferred candidates will be able to commute to… more
- Deloitte (Jersey City, NJ)
- …technology who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ... test changes, enhancements, and each new release as assigned. The Team Operations and Technology Transformation delivers market leading expertise and industry depth… more
- AIG (Parsippany, NJ)
- Senior Actuarial Analyst - Excess Casualty At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial Analyst , ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions.… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Highmark Health (Trenton, NJ)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Guardian Life (Holmdel, NJ)
- …Providing advice and support for Guardian's Product, State Filing, Actuarial, Pricing, Claims and Operations areas concerning Group life insurance, Accidental ... **Reporting Relationships** As our Compliance Lead, you will report to our Senior Compliance Leader, who reports to the Head of Group Benefits Compliance.… more
- Prime Therapeutics (Trenton, NJ)
- …appropriate + Identify accounts that are subject to collections; coordinate with Senior Recovery and Resolution Analyst to support driving collections activities ... decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst...PBM experience to include:##1 year of work experience in claims processing in an operations , audit or… more
- Evolent (Trenton, NJ)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Humana (Trenton, NJ)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- Terumo Medical Corporation (Somerset, NJ)
- …and help shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with the Senior ... Sr. Tax Analyst , Indirect Date: Apr 29, 2025 Req ID:...with $6+ billion in sales, 30,000+ employees worldwide and operations in more than 160 nations. Terumo Medical Corporation… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- AIG (Parsippany, NJ)
- …performance measurement. They collaborate with Marketing, Operations and Financial Management. Senior Actuarial Analyst - A&H At AIG, we are reimagining the ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations , Marketing and Risk Management, among other functions.… more
- BD (Becton, Dickinson and Company) (Franklin Lakes, NJ)
- …expertise + Strong understanding preferred in any of the following areas chargeback operations , pricing claims management, contract operations , policy and ... **Job Description Summary** Reporting to the Senior Manager, Distributor and Central Membership, this position is responsible for the administration of Central… more
- AIG (Parsippany, NJ)
- …we are reimagining the way we help customers to manage risk. Join us as a Senior Loss Sensitive Analyst to play your part in that transformation. It's an ... Business: Analytical and data presentation, accounting knowledge, insurance (eg claims , coverage, etc.), program types, and research/documentation skills +… more
- J&J Family of Companies (Raritan, NJ)
- …Services (CMS). In addition, the individual will lead the recruiting and hiring of 1 Senior Analyst and 2 Analysts and will train them on all MFP operational ... + Oversee a team of Analysts responsible for the day-to-day MFP operations including contract administration, daily payment processing, and research and resolution… more