- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- Overview The Adjudication Analyst is responsible for various operational aspects of the implementation, support, analysis, and quality assurance of ... to adjudicator/s locations when necessary. Submit a Referral (https://careers-connectiverx.icims.com/jobs/2928/ analyst %2c- adjudication /job?mode=apply&apply=yes&in\_iframe=1&hashed=-1834382591) Share on News Feed LocationUS-NJ-Whippany… more
- Highmark Health (Trenton, NJ)
- …of issues related to benefit interpretations, customer service inquiries, claims adjudication , benefits issues, membership and billing activity, etc. This job is ... problems related to benefit interpretations, rating concerns and any subsequent adjudication requirements. To this end, the incumbent cultivates and maintains… more
- CVS Health (Florham Park, NJ)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst , you will perform a critical role in the analysis of Medicare and Commercial ... and/or Rebate knowledge beneficial. + Experience with Caremark business systems, claims adjudication , formulary, drug, and client systems with an emphasis on the… more
- TD Bank (New York, NY)
- …more specific details for this role. **Job Description:** Preferred Qualifications: As an Analyst in the Corporate Banking and ESG Technology team at TD Securities ... end to end life cycle of the corporate loan from credit review, adjudication , term sheet, loan servicing, loan trading and trade settlement. Also build dashboards… more
- Cognizant (Trenton, NJ)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Amazon (New York, NY)
- …team is looking for a smart, motivated, and analytical Credit Risk Analyst to join our underwriting and portfolio management team. The successful candidate ... Establish, constantly improve, and be a thought leader for a credit adjudication and performance monitoring platform * Develop processes, mechanisms and Standard… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing ... models. ? Experience in working with insurance plans and understanding of claim adjudication processes. Non-Bargaining Unit, E01 - Partner MSO Services - MSH, Mount… more
- City of New York (New York, NY)
- …Issue Notices of Violation for non-compliance with NYC regulations and appear at adjudication hearings to present evidence as needed. PREFERRED SKILLS: - Academic or ... professional background in mechanical engineering, HVAC systems and/or plumbing systems. - Experience in regulatory enforcement, environmental investigation and assessment related to water and/or wastewater treatment. - Must pass medical clearance and FIT… more
- Prime Therapeutics (Trenton, NJ)
- …and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit ... while serving as a subject matter expert on benefits and claim adjudication system coding setup. **Responsibilities** + Analyzes new business requirements for… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …day-to-day activities of the US and India Managed Care Rebate Analysis and Adjudication process. This will include review and approval of managed care rebates, admin ... for Amneal. Where disputes are identified, support and work with respective analyst to secure paybacks from customers. Communicate often with customers to advise… more