- NorthMark Strategies (New York, NY)
- …achievements by embracing innovation, leveraging technology, and fostering differentiated business strategies. Our values are Integrity, Ability, and Energy, and ... Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a… more
- Axis (Princeton, 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
- AIG (New York, NY)
- …on legislative and regulatory developments, as well as industry trends impacting the business / claims area. + Maintaining best practices to promote consistency ... throughout claims and the business . + Ensuring appropriateness...start on July 27, 2026 . Locations Early Career Claims JD Analyst positions are in-person opportunities… 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
- Highmark Health (Trenton, NJ)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- AIG (Jersey City, NJ)
- …and action plans, including opportunities for contribution. + Drives resolution of claims by collaborating with internal and external business partners to ... Claims Complex Director - Healthcare Professional Liability (HPL)...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- Robert Half Technology (Florham Park, NJ)
- Description A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role ... should have experience with pharmacy insurance, medical insurance, and claims processing ** Key Responsibilities: + Collect and translate...8 years of experience as a Functional or Software Business Analyst . + Proven track record of… more
- Mount Sinai Health System (New York, NY)
- …care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director, and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 13288 Business Unit: MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular… 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
- Intermountain Health (Trenton, NJ)
- …sustaining business processes and processes impacted by data and systems. The business analyst serves as the central point for interface changes for systems ... and trading partner exchanges. **Essential Functions** + Participates in Business Process Management (BPM) including modeling processes using various notations… 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
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is ... coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results are final… more
