- 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
- 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
- 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
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** : To ... to include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience with emphasis on data… 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)
- …Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal ... audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… 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
- Zurich NA (Trenton, NJ)
- …to deliver insights to management teams. + Supporting the planning and forecasting process and collaborating with business unit leadership to explain changes and ... Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The… 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
- 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:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… 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
- Intermountain Health (Trenton, NJ)
- …process re-engineering, projects and committees to improve the efficiency of the business + Identify system and process improvement opportunities to reduce ... **Job Description:** The Denials Analyst is responsible for tracking denials across the...lead committee meetings and present their findings to diverse business audiences ranging up to C-suite level with confidence… more
- Prime Therapeutics (Trenton, NJ)
- …build the future of pharmacy with us. **Job Posting Title** Health Informatics Analyst **Job Description** The Health Informatics Analyst leverages data and ... providing insights that inform strategic decision-making and improve patient and business outcomes. This role designs and executes data-driven solutions using… 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
- NJM Insurance (Trenton, NJ)
- …planning process . . Collaborate with cross-functional teams to develop business insights and recommendations. . Contribute to the ongoing development of ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...levels of service, integrity, and financial stewardship. The Actuarial Analyst (we have the ability to hire at the… more
