- 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
- Highmark Health (Trenton, NJ)
- …**Required** + 3 - 5 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** + 1 -… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Experience and Knowledge Required: + 3+ years' experience as a Business Analyst + 3+ years' experience supporting claims functionality in the Insurance ... of P&C products and their lifecycle to support the claims process and how it integrates with...objectives based on user needs and thorough understanding of claims business processes within the Property and… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
- Robert Half Finance & Accounting (Philadelphia, PA)
- …Accounting Functions Annual Budget Budget Processes Microsoft Power BI Power BI, OneStream Business process modeling Microsoft SQL Robert Half is the world's ... the next level? Join us as an Intermediate Financial Analyst and play a pivotal role in driving our...data-driven decisions and contributing to strategic goals across various business metrics, including sales, margins, and vendor claims… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** IT Systems Analyst **Job Description** The IT Systems Analyst is responsible as the Data ... assist in the communications interface between IT and the business community in the investigation, identification, and documentation of...in PBM / health care industry and/or experience in claims processing data + Experience in SQL, Redshift, and… more
- Humana (Trenton, NJ)
- …within all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an impact** **Required Qualifications** + ... and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those… more
- Insight Global (West Trenton, NJ)
- Job Description - As an Actuarial Analyst II, you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... understand changes in the frequency and severity of insurance claims - Analyze the impact of crash-avoidance technology on...due to a disability during the application or recruiting process , please send a request to Human Resources Request… more
- Cognizant (Trenton, NJ)
- …is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique ... world. Together, we're improving everyday life. **Job Title** **: Facets Config Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 00064334351** **Role and… more
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Prime Therapeutics (Trenton, NJ)
- …every decision we make. **Job Posting Title** Associate Health Informatics Analyst **Job Description** Design, document, develop and roll out financial, clinical ... **Responsibilities** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... analytics, rate maintenance, large account pricing, and product development. The Actuarial Analyst needs to be able to work with internal and external customers… more
- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... 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:**… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …to prioritization + Define and contribute to building documentation: For example: business requirement documentation, release documentation, process flows / data ... Delivery Team serves as a key partner between the business and technical teams to ensure the all intake...or for payment of money during the job application process . We do not require any financial, credit card… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Top 50 and rated A++ by AM Best. We are looking for a Compensation Analyst to join our team! Summary: Provides a full range of compensation analysis and program ... of compensation projects such as the annual compensation review process , systems implementations, performance management and bonus calculations. A typical… more
- Highmark Health (Trenton, NJ)
- …required to travel to the Pittsburgh office periodically for scheduled business meetings.** This job creates data-driven insights which identify actionable ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- Wolters Kluwer (Philadelphia, PA)
- …meets and/or exceeds the established standards by utilizing defined metrics and process improvement initiatives. You would be responsible for the prompt, accurate ... by management, as well as the ongoing monitoring/auditing of LBACOE analyst work to ensure compliance with established quality standards. **RESPONSIBLITITES** +… more
- Guidehouse (Philadelphia, PA)
- …and biotech companies with commercial insights and strategy as well as data and business analytics. This role will be a primary member of our Life Science advisory ... a Life Science Senior Consultant - Data Scientist / Analyst , you will: + Structure and execute comprehensive analytics...include but are not limited to medical and pharmacy claims (open and closed), formulary and managed care data,… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more