• Senior Claims Operations

    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
    Axis (04/25/25)
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  • Epic Billing and Claims Sr. Analyst

    Deloitte (Princeton, 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
    Deloitte (05/01/25)
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  • Senior Analyst , Healthcare…

    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
    Evolent (05/03/25)
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  • Senior Customer Implementation…

    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
    Highmark Health (04/03/25)
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  • Recovery & Resolution Analyst

    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
    Prime Therapeutics (04/18/25)
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  • Sr Analyst , Performance Suite Analytics

    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
    Evolent (04/03/25)
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  • Medicaid Provider Hospital Reimbursement…

    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
    Humana (04/30/25)
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  • Sr. Tax Analyst , Indirect

    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
    Terumo Medical Corporation (04/09/25)
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  • Sr Analyst , Product Performance Analytics

    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
    Evolent (04/01/25)
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  • Team Lead Managed Markets and Specialty

    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
    J&J Family of Companies (05/08/25)
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