- Humana (Trenton, NJ)
- **Become a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on ... procedures, contract provisions, and state and federal legislation. The Claims Review Representative 3...and state and federal legislation. The Claims Review Representative 3 performs advanced… more
- Highmark Health (Trenton, NJ)
- …position, product development, network options, strategic partnerships, utilization review , local/national client demographics and dentist distribution. Interpret ... added benefits. Meet with all identified practices in assigned territory to review practice financial and quality performance. + Perform effective on-site visits… more
- Prime Therapeutics (Trenton, NJ)
- …partnerships with various levels of leadership within the organization, acting as a representative of the broader Reporting and Analytics team + Coach and provide ... of work experience in data analysis and reporting + 3 years of SQL experience + Must be eligible...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Terumo Medical Corporation (Somerset, NJ)
- …optimal stock rotation to reduce losses from expiry and maximize ROI. Review operational processes and data to identify opportunities for improvement. **Job ... to provide ideas, methods, or processes for improvement by unit/company performance. 3 . Assist with inventory covered by consignment agreements and field Inventory… more
- Virtua Health (Mount Laurel, NJ)
- …remote. Once training is complete, the schedule will be 2 days onsite and 3 days remote. Job Summary: The position is responsible for root cause analytics along ... This role supports the revenue cycle workflows, charge capture, workqueue and denial review processes within an Epic based EMR. This position will help optimize… more