- Guardian Life (Holmdel, NJ)
- …platform or similar technology + 3+ years of experience as Life Claims Technical Analyst in Life Insurance industry. + Outstanding analytical and ... **Overview** As Claims Technical Analyst in...**Overview** As Claims Technical Analyst in Individual Markets ...will play a key role in supporting the Life Insurance claims processing, product and system configuration… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Deloitte (Jersey City, NJ)
- …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 ideas and ... Care & Life Sciences, Digital Banking & Payments, Investment & Wealth Management, Insurance , Telecom, Media and Energy & Resources. Our OTT team brings clients the… more
- Cognizant (Trenton, NJ)
- …liaison between the business community and the IT organization in order to provide technical solutions to meet user needs. Duties include: Work as a liaison among ... IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business… more
- Evolent (Trenton, NJ)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Trenton, NJ)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... 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)
- …major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an AIG ... Who we are American International Group, Inc. (AIG) is a leading global insurance organization. Building on 100 years of experience, today AIG member companies… more
- Evolent (Trenton, NJ)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care,… more
- Highmark Health (Trenton, NJ)
- …and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal ... results tying back to customer impacts. Interface closely with the business and technical staff during all phases of a project, including unit and system testing,… more
- Evolent (Trenton, NJ)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using data to identify ... more years of experience within a healthcare analytics role, working with Claims , Membership, or Authorization Data, and consulting both internal and external… more
- Highmark Health (Trenton, NJ)
- …delivery. The incumbent serves as a consultative subject matter and technical expert for clinical and population health analytics, leveraging advanced analytical ... with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with… more
- Evolent (Trenton, NJ)
- …the existing and modernized platform + Manage the documentation and intake of technical debt items from the engineering team to maintain a complete and prioritized ... stories, and acceptance criteria + Work with Business domain technical leads and Engineering Technical leads to...Degree + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR… more
- Highmark Health (Trenton, NJ)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- Cognizant (Trenton, NJ)
- …Have Excellent communications + Healthcare/PBM Domain experience preferred. + Have ** Technical knowledge/experience in Facets Claims ** processing and relevant ... anticipate their needs and translate them into product requirements. Understand both Technical and business requirements. + Defining the vision for the team's… more
- Highmark Health (Trenton, NJ)
- …+ Assign, monitor, and review progress and accuracy of work. + Provide technical leadership in first-line resolution of complex technical problems. + Provide ... of experience specific to the Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) may be… more