- Cognizant (Trenton, NJ)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Medtronic (New York, NY)
- …data + Demonstrated business communication and presentation skills, both live and remote + Experience in analysis of large administrative claims or EHR ... to support the development of internal evidence in support of business development and reimbursement strategy, as well as primary peer-reviewed publication-level… more
- Molina Healthcare (New York, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Axis (New York, NY)
- …insurance or reinsurance contract interpretation and dispute management. * Prior experience as a reinsurance claims analyst . Salary range anticipated 150-240K. ... the selection process. Reinsurance Claim Lead Job Description Job Family Grouping: Reinsurance Claims Job Family: Claims The Casualty Reinsurance Claims Lead… 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
- Acxiom (New York, NY)
- Acxiom Health https://www.acxiom.com/healthcare/ is a business unit within Acxiom, focused on transforming healthcare and pharmaceutical marketing through precision ... seeking a highly analytical and detail-oriented **Healthcare & Media Strategy Sr. Analyst ** to inform Acxiom Health Product in developing data-driven solutions for… more
- Zurich NA (New York, NY)
- Actuarial Analyst 122695 Zurich North America is currently looking for an Actuarial Analyst to join our Middle Markets and E&S Reserving team. This role will be ... in the evaluation of reserves, financial reporting or the pricing of business . Key Accountabilities: + Calculates actuarial best estimate reserves (loss and… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …Share on News Feed LocationUS-NJ-Whippany ID2025-2928 Category Pharmacy Position Type Full Time Remote ... Overview The Adjudication Analyst is responsible for various operational aspects of...significance with regard to the functioning of a program's business rules in order to investigate and resolve issues.… more
- Tiffany & Co. (Whippany, NJ)
- **Position Overview:** As the Analyst , Global Trade & Logistics, you will play a key role in supporting, analyzing, and optimizing the movement of goods across ... landed costs. + Provide guidance when needed for item classification, claims , service failures, expediting clearance/shipments, assisting with special requests, etc.… more
- Centene Corporation (New York, NY)
- …**Position Purpose:** As part of Fidelis Care, the Senior Health Care Analyst provides analytic support for financial modeling, trend analysis, therapeutic class ... Develops financial models to project cost or estimate savings for specific business decisions. + Develops and manages therapeutic class cost and utilization… more
- Molina Healthcare (New York, NY)
- …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. +...leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of… more
- NTT America, Inc. (Trenton, NJ)
- …you can grow, belong and thrive. **Your day at NTT DATA** The Production Control Analyst will contribute to the support of the NJ MMIS Project and upcoming new ... actions following documented procedures. + Work closely with Programmers and Business Analysts to solve issues, complete projects, and deploy new functionality.… more
- Lumen (Trenton, NJ)
- **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. ... team of lawyers providing advice and counsel to human resources and business leaders related to employees, employment policies, and compliance with local, state… more