- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …within Suns Revenue Management System and Consultants as needed. **Responsibilities:** The Rebate Analyst will be assigned to process and analyze Market Access ... and loaded correctly in operational systems (document anomalies as appropriate). Review, process and validate all claims , administrative fees and rebates… more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- **Job purpose** The Senior Analyst , Pricing and Contracts is responsible for supporting OTC Sales, Marketing, operations and other functions of the business ... signed are accurately reflected in Vistex agreement management platform 1. **Open Claims /Chargeback Team Lead:** _Manage end-end review and co-ordination of open … more
- Sun Pharmaceuticals, Inc (Princeton, NJ)
- …to the Head of Commercial Operation for generics & institutional business . **Duties and responsibilities** Generic Product Launch Management: + Lead planning ... to ensure prioritization, backorder resolution, and supply allocation. + Drive process improvements in ERP/order systems for greater efficiency and customer… 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
- NJM Insurance (Trenton, NJ)
- …within the organization? NJM's West Trenton Workers Compensation Department (WCC) is seeking a Business Process Analyst (based on credentials, this role can ... continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this...or Senior level based on skills, experience and credentials. Business Process Analyst , Associate: $49,871… more
- Axis (Princeton, NJ)
- …by law. Accommodation is available upon request for candidates taking part in the selection process . ** Claims Business Analyst ** **How does this role ... contribute to our collective success?** We are seeking a Claims Business Analyst to join...as JIRA, Azure DevOps, and TFS. + Experience creating Business Requirements Documents (BRDs), user stories, and process… more
- Prime Therapeutics (Trenton, NJ)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...+ Respond to inquiries related to specific job function process or support systems and provide documentation and tracking… 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
- Insight Global (Newtown, PA)
- Job Description A health insurance client is hiring for a Business Systems Analyst to join their Enterprise Automation & workflow team. This team is responsible ... their business processes and systems. As the Business Systems Analyst , you are going to...are looking for a technically driven, solutions oriented systems analyst that communicates process solutions, recommendations, and… 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
- Robert Half Technology (Princeton, NJ)
- Description Professional Qualifications: * 5+ years experience in IT as a Technical Business analyst /system analyst and created functional requirements for ... the Insurance P& C domain. * Good understanding of the underwriting process includes the policy lifecycle, coverages, endorsements, forms, rating, etc. * Experience… 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)
- …indemnity and expense payment audits as needed. Required Skills and Experience: + WC Claims experience and strong knowledge of process and procedures. + Strong ... Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… 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
- Highmark Health (Trenton, NJ)
- …programming of applications as roles involved in the analysis of the overall business process (es). Uses functional and organizational knowledge to mentor junior ... stakeholders to identify solutions that may include training, a process change, or modifications to business rules....years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 -… more
- Prime Therapeutics (Trenton, NJ)
- …& Reporting Analyst - REMOTE **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… 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
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process . **Senior Insurance Compliance Analyst ** Job Family Grouping: Product Development ... & Support Job Family: Senior Analyst , Product Development & Support **How does this role...for P&C products + Collaborate with compliance/legal, underwriting, actuarial, claims and operations staff to ensure P&C products comply… more
