- Axis (Red Bank, NJ)
- …Accommodation is available upon request for candidates taking part in the selection process. ** Claims Business Analyst ** **How does this role contribute to ... our collective success?** We are seeking a Claims Business Analyst to join our Business Technology Services (BTS) division, focusing on supporting … more
- NJM Insurance (Trenton, NJ)
- …Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business Insights Analyst , ... Claims Operations and assist in preparing presentations for business leaders. + Develop competitive models and analysis utilizing...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… 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 and ... support business continuity and technology initiatives. This position requires subject...in Personal Injury Protection (PIP), Workers' Compensation, and/or General Claims . The ideal candidate will have a strong understanding… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... understanding of data sources and associated business processes to provide management with research, analysis and...dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated,… more
- NJM Insurance (Trenton, NJ)
- …process improvement, business continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this position is to work ... NJM's West Trenton Workers Compensation Department (WCC) is seeking a Business Process Analyst (based on credentials, this role can also be filled as… more
- Prime Therapeutics (Trenton, NJ)
- …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business , Science or related area of study, or equivalent… more
- Cognizant (Trenton, NJ)
- About the role As a **Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end test ... strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality Engineering team and… more
- Prime Therapeutics (Trenton, NJ)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are...define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business… more
- Highmark Health (Trenton, NJ)
- …+ Bachelor's Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience ... significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses,...based role - looking for someone who has some claims experience and looking to become familiar with risk… more
- Robert Half Technology (Princeton, NJ)
- Description Professional Qualifications: * 5+ years experience in IT as a Technical Business analyst /system analyst and created functional requirements for ... endorsements, forms, rating, etc. * Experience in working in Underwriting and Claims applications. * Experience in data integration and data quality projects. *… more
- Baylor Scott & White Health (Trenton, NJ)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position analyzes ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… 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 ... process improvements, data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans that detail… more
- Terumo Medical Corporation (Somerset, NJ)
- Contract Analyst , Temp Date: Sep 22, 2025 Req ID: 5174 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics ... **Job Summary** The Temp Contract Analyst is responsible for administering specific assigned stages of...purchase agreements in accordance with TMCs approved templates and business standards. 2. Responsible for drafting and/or reviewing contract… more
- CVS Health (Trenton, NJ)
- …role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims ... educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report...manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy operations including… 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 , Client Analytics The Client Analytics team provides a...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… 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:** ... **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management tools to solve complex business … 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:** ... Job Description The Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes...focus, utilizes and develops analytic tools to solve complex business challenges as well as support decision making that… more
- Highmark Health (Trenton, NJ)
- …and making a big impact for those we serve. This job performs business analysis tasks by supporting stakeholders of a specific system application(s), handling user ... may include training, a process change, or modifications to business rules. Traces business requirements through to...years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 -… more
- Norstella (Trenton, NJ)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...successful delivery and application of RWD in support of business and analytic goals. **Responsibilities:** * Customer Enablement &… more
- CVS Health (Trenton, NJ)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more