- 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