- Wolters Kluwer NV (Philadelphia, PA)
- …days a month in the office OVERVIEW The Legal Invoice Review Quality Assurance Analyst ("QA Analyst " ) for Wolters Kluwer, Fulfillment Center of Excellence will ... Center of Excellence (LBACOE). The Legal Bill Analysis ("LBA") process involves the prompt, accurate and efficient auditing of...team members as part of critical legal expert QA Analyst "task force" that resolves ambiguities or "close judgment… more
- Berkley (Trenton, NJ)
- …equal employment opportunity employer. Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident and Health team! You ... and professional continuing education We'll count on you to: Process an average of 5 to 7 claims...employment. Sponsorship Details Sponsorship not Offered for this Role Job Description BAH - Stop Loss Claims Analyst… more
- 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
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey **To proceed with your application, you must be at least 18 years of age.** ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Pennington/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25028348-2) **Job Description:** Merrill Wealth Management… more
- TEKsystems (Ewing, NJ)
- …of the servicer and/or client + Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits + Reviews MI claim ... reasons for potential rebuttal + Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...on loans from Investor Reporting Department once the claim process has been completed + Assists in the training… 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
- CVS Health (Trenton, NJ)
- …it all with heart, each and every day. **Position Summary** The Medicaid Intake Business Operations team seeks an analyst with expertise in electronic claim ... key production and operational reports and metrics to detect any reconciliation failures, process failures, missing claims or files and work with Technology… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Certification(s) preferred Experience and Knowledge Required: + 1+ years' experience as a Business Analyst . + 1+ years' experience supporting underwriting or ... business requirements gathering for projects and enhancements, utilizing business analysis tools and techniques such as process...updated on the latest trends and best practices in business analysis and claims management within the… more
- Highmark Health (Trenton, NJ)
- …programming of applications as roles involved in the analysis of the overall business process (es). Uses functional and organizational knowledge to mentor junior ... CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and...stakeholders to identify solutions that may include training, a process change, or modifications to business rules.… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- The Cigna Group (Philadelphia, PA)
- …team member to join our growing and dynamic Network Analytics team as a Business Analytics Lead Analyst (Provider Contract Analytics) for the Mid America Market. ... include written, oral, and group presentation + Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment,… more
- Evolent (Trenton, NJ)
- …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) -… 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:** ... Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Norstella (Trenton, NJ)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why MMIT?** ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- TEKsystems (Philadelphia, PA)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...on loans from Investor Reporting Department once the claim process has been completed * Assists in the training… more
- The Cigna Group (Philadelphia, PA)
- …include written, oral, and group presentation + Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, ... team member to join our growing and dynamic Network Analytics team as a Business Analytics Associate. In this role, you will support the medical cost position of… more
- Insight Global (West Trenton, NJ)
- Job Description - As an Actuarial Analyst II, you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... understand changes in the frequency and severity of insurance claims - Analyze the impact of crash-avoidance technology on...due to a disability during the application or recruiting process , please send a request to Human Resources Request… more
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Evolent (Trenton, NJ)
- …and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Citigroup (New Castle, DE)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... to audience diversity. Limited but direct impact on the business through the quality of the tasks/services provided. Impact...to a variety of tasks related to the loan process . + Activities will include independently processing and closing… more
