- Lyric (Newtown Square, PA)
- … claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, chart auditor/reviewer, or claims edit/denial ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...claim edits while using our software. The Senior Manager's insights will shape how our clients implement our coding… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a ... presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker and… more
- NJM Insurance (Trenton, NJ)
- …opportunity!" Overview NJM Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business ... Insights Analyst , Intern). This role will work with various levels...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… 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 ... Analyze large and complex datasets to identify patterns, discrepancies, and actionable insights Perform detailed claims reviews for accuracy, completeness, and… more
- NJM Insurance (Trenton, NJ)
- …television, social media, and other methods. NJM's Marketing team is Seeking an Associate Insights Analyst (the official NJM Title is Business Insight Analyst ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...dashboards and visualizations to drive strategic decision-making. The Business Insights Analyst , Associate is a motivated, creative… 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
- CGI Technologies and Solutions, Inc. (Wilmington, DE)
- **Healthcare System Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Delaware, Wilmington **Position ID:** ... **Position Description:** CGI is seeking a creative and innovative Healthcare System Analyst /Manual Tester to join our fast-paced and groundbreaking Agile team. We… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Norstella (Trenton, NJ)
- …leverage your expertise in **healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...ensuring our clients receive accurate, clinically relevant, and actionable insights to drive data-informed decisions in drug development, market… more
- NJM Insurance (Trenton, NJ)
- …outstanding customer service was reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company has focused on a ... maintaining the highest levels of service, integrity, and financial stewardship. The Actuarial Analyst (we have the ability to hire at the II, Senior or Associate… more
- Evolent (Trenton, NJ)
- …generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ... Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex risk-based… more
- Globus Medical, Inc. (Collegeville, PA)
- …response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes ... **Position Summary:** We are seeking a detail-oriented and analytical Lead Rebate Analyst to oversee and manage the end-to-end rebate process. This position is… more
- Insight Global (Mount Laurel, NJ)
- …revenue cycle by evaluating, validating, and analyzing data trends to provide actionable insights across all levels of the organization. The team focuses on root ... cause analysis to ensure clean claims and accurate revenue capture. Analysts will conduct charge audits, identify workflow issues, monitor Epic workqueues, review… more
- CVS Health (Trenton, NJ)
- …software, and documentation. + Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues. + ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more
- Highmark Health (Trenton, NJ)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more
