- 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
- 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
- Highmark Health (Trenton, NJ)
- …**Required** + 3 - 5 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** + 1 -… 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 ... CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and...stakeholders to identify solutions that may include training, a process change, or modifications to business rules.… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT ... Business Systems Analyst is responsible for solving...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Evolent (Trenton, NJ)
- …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) -… more
- Evolent (Trenton, NJ)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Norstella (Trenton, NJ)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why MMIT?** ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- TEKsystems (Trenton, NJ)
- …of the servicer and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits * Reviews MI claim ... reasons for potential rebuttal * Files Appeal or Supplemental Claims ensuring all allowable advances and interest are recovered...on loans from Investor Reporting Department once the claim process has been completed * Assists in the training… more
- Humana (Trenton, NJ)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Tax Analyst , Indirect Date: Jun 26, 2025 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical ... than 160 nations. Terumo Medical Corporation is comprised of two strategic business divisions: Terumo Interventional Systems and Terumo Medical Products. We believe… more
- Insight Global (West Trenton, NJ)
- Job Description - As an Actuarial Analyst II, you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... understand changes in the frequency and severity of insurance claims - Analyze the impact of crash-avoidance technology on...due to a disability during the application or recruiting process , please send a request to Human Resources Request… more
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Evolent (Trenton, NJ)
- …and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… 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 ... selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:**… more
- Terumo Medical Corporation (Somerset, NJ)
- Field Inventory Analyst Date: Jun 26, 2025 Req ID: 4736 Location: Somerset, NJ, US Company: Terumo Medical Corporation Department: Field Inventory & Inventory ... inventory locations. 7. Lead strategic analyses and inventory reporting to support business unit and corporate objectives. 8. Provides data analysis for production… more
- Bristol Myers Squibb (Princeton, NJ)
- …intake and loading requirements. Act as subject matter expert related to Model N claims & payment processing and reporting functionality and has a high level of ... Acting as a Subject Matter Expert regarding Model N claims & payment processing and reporting functionality including: +...equivalent and/or relevant analytical or operational experience in finance, business , or a related discipline. + Minimum 4 -… more
- Highmark Health (Trenton, NJ)
- …guide and design programs and initiatives. Through close collaboration with business stakeholders, works to create and maintain documentation supporting business ... technical teams to understand technical workflows, develop and submit technical business requirements and validate data generated by recurring analytic engine… more
- Highmark Health (Trenton, NJ)
- …meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross functional teams to reduce trends. + May support ... of multiple processing systems and workflows + Knowledge of claims processing methodologies + Ability to interpret all government...behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of… more
- Virtua Health (Mount Laurel, NJ)
- …root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle ... action plan development with workqueue issues. Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing… more