- The Cigna Group (Trenton, NJ)
- …not limited to the following: + Efficiently query multiple data types (medical and pharmacy claims , EMR, lab, chargemaster) using SQL to identify populations of ... Deep healthcare data (eg, PBM experience, Provider Networks, Billing, Medical and Pharmacy claims ), statistical analysis experience, and an understanding of all… more
- Haleon (Warren, NJ)
- …building strategic science & technology into new capabilities for R&D. This ** Senior Scientist** helps define the long-term, global Wellness strategy by identifying ... to ensure key science platforms The New Ingredient for Health end points ** Senior Scientist** role focuses on: + New Ingredients & Delivery Technologies + Evidence… more
- Deloitte (New York, NY)
- Life Sciences Market Access Senior Manager An evolving customer and regulatory landscape, mounting pipeline of next-gen assets and portfolio pressures, and ... individuals to expand our network of Market Access focused Senior Managers to help us expand our footprint of...team in development of quantitative and/or qualitative analysis (eg, claims data analysis, market research data) to drive meaningful… more
- CVS Health (Trenton, NJ)
- …from home anywhere in the United States. We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and… more
- VNS Health (Manhattan, NY)
- …operations and administration of medical management for VNS Health Plans. Assists senior leadership in planning, directing and coordinating all medical and related ... activities. Participates in implementing standards of medical service and advises senior leadership on medical and administrative questions and policies as they… more
- CenterWell (Trenton, NJ)
- …+ Experience with Medicare Advantage + Experience with member level claims **Additional Information** **Scheduled Weekly Hours** 40 **Pay Range** The compensation ... many other opportunities. Application Deadline: 03-02-2025 **About us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive,… more
- Prime Therapeutics (Trenton, NJ)
- …operations systems, particularly those that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, ... considering the business needs and direction. Experience serving as the senior member on business intelligence or analytics/data warehousing projects with… more