- 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
- 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
- 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
- Daiichi Sankyo Inc. (Basking Ridge, NJ)
- …Department as well as serving as a mentor in order to foster their professional growth and development as well as their achievement of Company and/or departmental ... expectations and goals as identified by senior management. **Responsibilities** - Lead drafting and negotiating contracts for commercial, Medicaid and Medicare… 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