- 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 strong ... dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated,...This role may be filled at an Associate Insights Analyst , Insights Analyst , or Senior … more
- Highmark Health (Trenton, NJ)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Evolent (Trenton, NJ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will… more
- TYLin (Philadelphia, PA)
- …sustainable solutions. **Job Summary** Our Construction Management team is seeking an experienced Senior Delay and Claims Analyst to support various ... the primary responsibilities include schedule review and analysis, producing delay and claims review reports, and contractual compliance support, the role is part of… more
- Highmark Health (Trenton, NJ)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job creates data-driven insights which identify actionable opportunities and/or create ... to the Quadruple Aim of Healthcare: lower per capita health care costs, improved outcomes from and quality of...coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years… more
- AIG (Philadelphia, PA)
- Senior Actuarial Analyst , Specialty At AIG, we are reimagining the way we help customers to manage risk. Join us as an Actuarial Analyst , Specialty to take ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
- AmeriHealth Caritas (Philadelphia, PA)
- **Role Overview** Reporting to the Manager, the ** Senior Data and Quality Analyst ** will be part of our provider network compliance and reporting team. You will ... This is a 100% remote position **Responsibilities** + Lead Analyst responsible for assisting the Manager in developing and...Must have previous experience working with healthcare data or claims data + Bachelor's Degree OR In lieu of… more
- CVS Health (Trenton, NJ)
- At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts. +… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Senior Analyst , Performance Analytics to join our… more
- Norstella (Trenton, NJ)
- …therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health… more
- Humana (Trenton, NJ)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Prime Therapeutics (Trenton, NJ)
- …Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides information, analyses, and consultation ... STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or SQL coding skills +… more
- The Cigna Group (Philadelphia, PA)
- …findings to business partners at various levels of the organization. + Assist Senior Manager on planning processes and ad-hoc report requests. + Keep management ... and share best practices. **Qualifications** + 2+ years' of experience with health care data analysis required. Experience with trend analysis and health… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Guidehouse (Philadelphia, PA)
- …across strategy, commercial analytics, and data-driven solution design. As a Life Science Senior Consultant - Data Scientist / Analyst , you will: + Structure ... You Will Do** **:** We are looking for a Senior Consultant to join our Life Sciences team, which...include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data,… more
- Evolent (Trenton, NJ)
- …business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Evolent Health is looking for a Senior Product Owner to be a key member ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...the features into product releases. + Serve as a senior product owner on an Agile development team for… more
- Prime Therapeutics (Trenton, NJ)
- …Forecasting Principal - Treasury - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... daily and strategic liquidity decisions and by a variety of stakeholders, including Senior Leadership. This role is responsible for providing leadership to the other… more