- Lyric (Newtown Square, PA)
- …an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste ... support are not available for this position. The Data Analyst will support excellence of execution with post payment...Support the payment integrity team in a variety of business processes including but not limited to processing medical… 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
- TEKsystems (Moorestown, NJ)
- …are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on digging ... business initiatives Collaborate with cross-functional teams to drive process improvements Ensure data quality through meticulous validation and error-checking… more
- Deloitte (Philadelphia, PA)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and… more
- Deloitte (Philadelphia, PA)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... focus on delivering services to clients, without additional expectations related to business development or promotion. Their employment is tied to their role on… 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
- Highmark Health (Trenton, NJ)
- …**Required** + 1 - 3 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** + 0 -… more
- NJM Insurance (Trenton, NJ)
- …consistency of data to support the end-to-end journey. Partner with the department Business Process Unit to identify, plan and prioritize source system ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...methods. NJM's Marketing team is Seeking an Associate Insights Analyst (the official NJM Title is Business … more
- Insight Global (Newtown, PA)
- …A healthcare insurance company's Enterprise Data Office is hiring for a Data/ Business Systems Analyst with strong techno functional experience to lead data ... will have expertise in Payor data and processes like Claims , Population Health and payor data standards. This person...and Requirements - 8+ years of experience as a Business Systems/Data Analyst - 5+ years in… more
- Insight Global (King Of Prussia, PA)
- Job Description One of our large healthcare software clients are looking for a Business Analyst to join their growing team. The Staff Business Analyst ... analysis, and solution design phases of high focus initiatives. The Staff Business Analyst collaborates closely with senior stakeholders, technical teams, and… more
- BrightView (Blue Bell, PA)
- …establishing performance goals and accountability measures + Oversee the end-to-end claims process for Auto, Workers' Compensation, and General Liability ... of claims professionals, providing strategic oversight, TPA performance management, process improvement leadership, and claims outcome optimization. The role… more
- Baylor Scott & White Health (Trenton, NJ)
- …standards. + Collaborates across various departments to design and implement any business process and/or systems changes to meet encounter data processing ... and ROI. + Contributes to program improvement by designing and implementing business process and system changes, collaborating to resolve encounter data… more
- NJM Insurance (Trenton, NJ)
- …Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal ... audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… 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:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Humana (Trenton, NJ)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer... will be an integral part of the Pricer Business and System Support team responsible for administering complex… more
- NJM Insurance (Trenton, NJ)
- …planning process . . Collaborate with cross-functional teams to develop business insights and recommendations. . Contribute to the ongoing development of ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...levels of service, integrity, and financial stewardship. The Actuarial Analyst (we have the ability to hire at the… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Globus Medical, Inc. (Collegeville, PA)
- …Rebate Analyst to oversee and manage the end-to-end rebate process . This position is responsible for leading rebate program analysis, calculation, validation, ... structures, cross-functional collaboration skills, and a proactive approach to process optimization. **Essential Functions:** + Lead the design, implementation, and… more
- Elevance Health (Wilmington, DE)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
