- MetroPlusHealth (New York, NY)
- …degree required; Bachelor's degree preferredMinimum of 4 years of experience performing claims quality audits in a managed care settingExpertise in both ... to building strong relationships with its members and providers.Position OverviewClaims Quality Auditor is responsible for reviewing claims to determine… more
- MetroPlusHealth (New York, NY)
- …you do every day.About NYC Health + HospitalsMetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and ... its members and providers.Position OverviewThe Medical Payments and Fee Schedules Analyst will lead the analysis, development, and implementation of payment rates… 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… 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 ... through presentations, dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated, creative self-thinker… more
- Axis (Princeton, NJ)
- …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...+ Analytical and detail-oriented with a focus on delivering high- quality outcomes. + Strong facilitation skills and the ability… 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 ... passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with… more
- Vontier (Trenton, NJ)
- …Columbus, Ohio** are the preferred locations for this opportunity. **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root ... by providing data-driven insights into failure trends and warranty claims . * Assist in documenting quality data...and warranty claims . * Assist in documenting quality data processes, ensuring consistency, and improving accessibility of… more
- AIG (Jersey City, NJ)
- …How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims ... 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
- Mount Sinai Health System (New York, NY)
- …Sinai is one of the largest US health systems with a strong reputation for quality of care and research. We have over 38,000 employees working together to provide ... billions of dollars in high- quality care each year for millions of patients. We...System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending,… more
- Prime Therapeutics (Trenton, NJ)
- …combined pharmacy and PBM experience to include: 1 year of work experience in claims processing in an operations, audit or quality assurance environment, and 1 ... passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & Resolution Analyst is… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… 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 ... goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more advanced understanding...care EMR such as Epic/Clarity, eCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data ... deliver data products that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards and optimizing SQL… more
- Terumo Medical Corporation (Somerset, NJ)
- Contract Analyst , Temp Date: Sep 22, 2025 Req ID: 5174 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics ... **Job Summary** The Temp Contract Analyst is responsible for administering specific assigned stages of...involve the sale of Terumo product, to ensure high quality contracts that are effective, equitable and compliant. The… 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...Experience working in different types of database systems. + Quality customer service experience; meet customer's needs with a… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Data and Reporting Analyst Assoc- REMOTE **Job Description** The Associate Data & Reporting Analyst ... of reporting requirements through intake and prioritization sessions + Recommend quality and system improvements by analyzing the data issues, maintaining and… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... maintains the operation of the Office of Audit and Quality Assurance (OAQA), Office of Compliance & Support (OAS),...Office of Revenue is recruiting for (1) Admin Staff Analyst NM III to function as a(n) Executive Director,… more
- Evolent (Trenton, NJ)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Norstella (Trenton, NJ)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... class solutions in the USA, UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The Analyst II, RWD Delivery… 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
