- 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
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey;Chandler, Arizona; Newark, Delaware **To proceed with your application, you must be ... be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Pennington/Wealth-Management-Fraud Claims Sr-Fraud- Analyst \_25021380) **Job Description:** Merrill Wealth Management… 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
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Experience and Knowledge Required: + 3+ years' experience as a Business Analyst + 3+ years' experience supporting claims functionality in the Insurance ... of P&C products and their lifecycle to support the claims process and how it integrates with...objectives based on user needs and thorough understanding of claims business processes within the Property and… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Deloitte (Philadelphia, PA)
- …2 years' experience delivering via an Agile/Scrum methodology + 2 years' experience with Business Process Modeling (BPM) tools, Business rules integration + ... hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay… more
- Evolent (Trenton, NJ)
- …a Senior Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) -… 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:** ... Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… 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
- Insight Global (West Trenton, NJ)
- Job Description - As an Actuarial Analyst II, you will collaborate with other actuaries and colleagues across the company to solve important business problems. ... understand changes in the frequency and severity of insurance claims - Analyze the impact of crash-avoidance technology on...due to a disability during the application or recruiting process , please send a request to Human Resources Request… more
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Cognizant (Trenton, NJ)
- …to enhance productivity and accuracy. + Collaborate across departments to recommend business process and system enhancements. **Team Development & Engagement** + ... IT Consulting Firm that leverages modern technologies to transform a variety of business operations. The **Encounters Analyst ** plays a critical role in ensuring… more
- Evolent (Trenton, NJ)
- …and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data. **Qualifications Required and ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Evolent (Trenton, NJ)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... 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:**… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …to prioritization + Define and contribute to building documentation: For example: business requirement documentation, release documentation, process flows / data ... Delivery Team serves as a key partner between the business and technical teams to ensure the all intake...or for payment of money during the job application process . We do not require any financial, credit card… more
- Pearson (Trenton, NJ)
- **Job Title: Vendor Management Analyst ** **Location: Remote** **At Pearson, we're committed to a world that's always learning and to our talented team who makes it ... And as a result, our category has seen explosive growth and our business has experienced enormous increases in awareness and enrollments. This presents an incredible… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Top 50 and rated A++ by AM Best. We are looking for a Compensation Analyst to join our team! Summary: Provides a full range of compensation analysis and program ... of compensation projects such as the annual compensation review process , systems implementations, performance management and bonus calculations. A typical… more
- CVS Health (Trenton, NJ)
- …will respond, manage, and resolve escalated and complex global issues for claims /calls and plan sponsor support teams. The **Plan Sponsor Liaison** will proactively ... ideas, and solutions. The Plan Sponsor Liaison will work with cross-functional business units and vendors to support the customer's needs; promotes collaboration… 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:** ... opportunity to support the evolution of value-based care across all lines of business by collaborating directly with our health plan partners. We are advocates for… more
- Virtua Health (Mount Laurel, NJ)
- …root cause analytics along with audits to help identify opportunities, issues, and process improvement within the Revenue Cycle. This role supports the revenue cycle ... action plan development with workqueue issues. Assist in strategic pricing process to optimize reimbursement within budget guidelines. Participate in ongoing… more