- TEKsystems (Moorestown, NJ)
- …We 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 ... of their work. You will support decision-making and operational performance by analyzing claims data , identifying trends, and maintaining data integrity… more
- NJM Insurance (Trenton, NJ)
- …is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong understanding of data sources and associated business processes to ... will perform analysis on large and diverse sets of data to tell compelling stories through presentations, dashboards and...dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated,… more
- NJM Insurance (Trenton, NJ)
- …Overview NJM Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business Insights ... levels of management to support the development of a data - driven culture by empowering users through the use...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… more
- Prime Therapeutics (Trenton, NJ)
- …future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...system and process improvements using variety of personnel and data resources + Translate complex details of system capabilities,… more
- Carrington (Cherry Hill, NJ)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… 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 ... project timelines, and delivery weekly status reporting + Drive timely project and data tracking with input of weekly time tracking + Perform other related duties… more
- Insight Global (Newtown, PA)
- …Skills and Requirements - 8+ years of experience as a Business Systems/ Data Analyst - 5+ years in the healthcare (Medicare/Medicaid/payor space) ... Enterprise Data Office is hiring for a Data / Business Systems Analyst with strong techno...initiatives. The ideal candidate will have expertise in Payor data and processes like Claims , Population Health… more
- Prime Therapeutics (Trenton, NJ)
- …a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Data & Reporting Analyst - Remote **Job Description** The Data & ... or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation of quality process improvement… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Statistical Analyst A/B (Department of General Internal Medicine) Job Profile Title Statistical ... Analyst A Job Description Summary The Statistical ...programming skills to create analytical datasets from health care claims , administrative databases, clinical trials, and surveys to construct… more
- Insight Global (Hopewell Township, NJ)
- …and knowledge of Machine Learning models Experience with 3rd party Patient level claims data (IQVIA, Komodo, Symphony, etc) Experience working with partners in ... AI Products organization to support their Patient Experience AI capabilities. The Sr. Analyst will be assigned to a specific therapeutic area and help lead… more
- Baylor Scott & White Health (Trenton, NJ)
- …+ Performs analysis and reporting activities related to risk score calculation, claims /encounters data submission, chart review programs and audits, and related ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...performance metrics. + Analyzes claims and supplemental data to identify reporting… more
- Prime Therapeutics (Trenton, NJ)
- …+ Serves as the lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and ... + 5 years of relevant Healthcare experience including: analyzing and using healthcare claims data , clinical research study design, and/or epidemiology + Previous… more
- BrightView (Blue Bell, PA)
- …you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in Blue Bell, ... Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk...and risk mitigation strategies + Ensure reserve adequacy and data integrity throughout claim lifecycles; prepare and deliver regular… more
- Prime Therapeutics (Trenton, NJ)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… 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 ... and federal regulations in support of quality claim outcomes, process improvements, data integrity, compliance, and best practices. + Collaborate with claims … more
- CVS Health (Trenton, NJ)
- …1+ year(s) Knowledge of ICD-10 codes **Preferred Qualifications** + 1-2 years of DG ( Data Group) experience + Strong knowledge of claims processing + Exceptional ... it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the accuracy and quality of claim audits across… more
- Evolent (Trenton, NJ)
- …Product Focus** **Overview:** Evolent is seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data -driven initiatives focused on ... our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to… more
- NJM Insurance (Trenton, NJ)
- …Insight Analyst Associate). This position applies an understanding of data sources and associated business processes to provide management with research, ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...and visualizations to drive strategic decision-making. The Business Insights Analyst , Associate is a motivated, creative thinker and has… more
- University of Pennsylvania (Philadelphia, PA)
- …prospective data from clinical trials and observational studies, observational data , electronic health records, large administrative claims , and echo imaging ... health and wellness programs and resources, and much more. Posted Job Title Statistical Analyst B - Epidemiology Division Job Profile Title Statistical Analyst B… more