- Evolent (Trenton, NJ)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… 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 ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Penn Medicine (Philadelphia, PA)
- …academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will ... Pennsylvania and will not be hired by Penn Medicine**_** **Nurse Risk Management Analyst : JR00103053** Work Hours are 8:00AM-4:30PM, M-F, will be located on the… more
- Virtua Health (Mount Laurel, NJ)
- …join the Virtua Revenue Cycle Team as a Full-time Revenue Integrity Analyst . The role involves conducting charge audits, reviewing clinical charge capture workflows, ... The Revenue Integrity Department is crucial for the financial stability of healthcare organization, focusing on identifying and preventing errors in the full revenue… 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 ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...a health plan, consulting firm, hospital system or other healthcare -related experience-Preferred. + 1-5 years of experience using SQL… more
- Highmark Health (Trenton, NJ)
- …through analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality ... patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. This position… more
- Highmark Health (Trenton, NJ)
- …insights which identify actionable opportunities aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- Highmark Health (Trenton, NJ)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more