• Claims Review Representative

    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
    Humana (07/10/25)
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  • Dental Network Service Representative

    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
    Highmark Health (06/27/25)
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  • Senior Data & Reporting Analyst - Remote

    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
    Prime Therapeutics (07/10/25)
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  • Field Inventory Analyst

    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
    Terumo Medical Corporation (07/09/25)
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