- 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
- 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
- New York State Civil Service (New York, NY)
- …the project intake process * Document the current or future state of the business process or function; create flow charts and process models describing ... systems implementation for users* May write procedure manuals and document business process deficiencies requiring resolution during or after implementation*… 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
- Molina Healthcare (New York, NY)
- …+ Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of ... Summary** Provides lead level support as a highly capable business analyst who serves as a key...operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to… 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 ... the Insurance P& C domain. * Good understanding of the underwriting process includes the policy lifecycle, coverages, endorsements, forms, rating, etc. * Experience… 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
- Mount Sinai Health System (New York, NY)
- …occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders from across the organization to develop ... sophisticated analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning, decision-making, goal… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... analytics to provide information, insights and BI ( Business Intelligence) solutions that contribute to sound strategic planning,...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Capgemini (New York, NY)
- … analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and analyze ... Experience Analyst Choosing Capgemini means choosing a company where...design and development teams Collaborate with product owners and business analysts to translate insurance requirements into measurable experience… more
- City of New York (New York, NY)
- …IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program Summary: The Division of ... and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the Assistant Director and be...contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates.… more
- UIC Government Services and the Bowhead Family of Companies (Dover, NJ)
- **Overview** Foreign Military Sales Program Analyst : Bowhead is looking for a Foreign Military Sales Program Analyst to support the PM CCS contract at Picatinny, ... NJ. The Foreign Military Sales Program Analyst will support and manage the partner nation cooperation...are accurate and are utilized in the case development process . + Vetting release of partner nation-requested capabilities in… 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
- AIG (New York, NY)
- …best practices, analytical techniques, and assessing the impact of loss trends and claims emergence. Specifically, the analyst will: + Work closely with ... customers to manage risk. Join us as an Actuarial Analyst for the Casualty Specialty Markets (CSM) to play...pricing and help identify growth opportunities. + Support the business review process and portfolio deep dives,… 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
- 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
- Humana (Trenton, NJ)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more