- Highlight Health (Philadelphia, PA)
- …private equity investors. We are looking for a health coverage large and complex claims analysis expert - an expert who has scrutinized hospital and other claims ... been developed over decades of diverse work with a claims repricing organization, a claims audit department...depth knowledge of hospital billing rules and claim edits Insights into hospital fraud, waste, abuse, and overbilling as… more
- Chubb (Philadelphia, PA)
- Job Description Key Responsibilities: ESIS is looking for a Business Analyst onsite to act as a liaison between the ESIS business team and IT to support, build, and ... participant in larger high-visibility projects, delivering high-impact information and insights to ESIS' clients and stakeholders. Responsibilities include: Work… 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
- 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
- Evolent (Trenton, NJ)
- …narratives for stakeholders. **What You Will Be Doing:** + **Data Analytics & Insights ** : Analyze healthcare claims and authorization data to identify cost ... the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity… more
- Norstella (Trenton, NJ)
- …will leverage your expertise in healthcare data analytics to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...ensuring our clients receive accurate, clinically relevant, and actionable insights to drive data-informed decisions in drug development, market… more
- Evolent (Trenton, NJ)
- …generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Lyric (Trenton, NJ)
- …leveraging advanced coding, analytic reporting, and predictive modeling, the Clinical Data Analyst - Staff uncovers actionable insights that drive innovation and ... available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing...languages (SQL, Python, R) to manipulate data and generate insights from large data sets + Experience working in… more
- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We have a...using a variety of data visualizations to deliver business insights clearly and succinctly- Required. + Collaborative working style… more
- The Cigna Group (Philadelphia, PA)
- …our contracting partners. + Leverage Hospital and Payer Transparency competitor data/ insights in contract negotiation modeling. + Analyze reports and present ... of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management + Bachelor's degree… more
- Highmark Health (Trenton, NJ)
- …and the ability to communicate those concepts effectively. Delivers analytics and insights to key decision-makers to help guide and design programs and initiatives. ... PCPs, specialists, facilities, post-acute providers, and ancillary providers. + Interprets raw claims , provider, quality, and member data to build data sets to be… more
- Guidehouse (Philadelphia, PA)
- …or a similar quantitative discipline. + Experience integrating multiple commercial and claims datasets to generate enhanced / high-quality insights . + Experience ... team, which supports pharmaceutical and biotech companies with commercial insights and strategy as well as data and business...a Life Science Senior Consultant - Data Scientist / Analyst , you will: + Structure and execute comprehensive analytics… more
