- Public Consulting Group (Trenton, NJ)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… more
- Brink's (Kenilworth, NJ)
- …equal opportunity to participate and grow. Job Description Job Summary: The Claims Analyst will investigate reconciliation discrepancies to reduce claim ... early communication to branches and escalation as needed of lead indicators of claims ; variances, CVS backlog...VA team for support + Escalate to assigned Variance Analyst any claims not resolved within 25… more
- Amazon (New York, NY)
- Description Amazon's Global Risk Management & Claims team is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, ... The ideal candidate will possess an in-depth understanding of insurance claims processes, global cargo regulations, and risk management in transportation. As… more
- Axis (Princeton, NJ)
- …is available upon request for candidates taking part in the selection process. The Reinsurance Claims Lead is a key contributor to the reinsurance team at AXIS. ... does this role contribute to our collective success? The lead reinsurance claims professional is diligent in...interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role,… more
- HomeSafe Alliance (Trenton, NJ)
- **Title:** Lead IT Business Process Analyst ( Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer** **Feedback and Continuous Improvement:** +… more
- Molina Healthcare (New York, NY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… more
- Terumo Medical Corporation (Somerset, NJ)
- Contract Analyst Date: Jan 8, 2025 Req ID: 3722 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Contracting and Analytics **Job ... Summary** The Contract Analyst is responsible for administering specific assigned stages of the Terumo Medical Corporation (TMC) Sales Contract Lifecycle that may… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… 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...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** BA or BS… more
- Molina Healthcare (New York, NY)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- CGI Technologies and Solutions, Inc. (New Brunswick, NJ)
- **Life Insurance Process Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Connecticut, Hartford **Alternate ... CGI is seeking a highly skilled and experienced Life Insurance Process Analyst with a strong background in Life Insurance operations. The ideal candidate… more
- Elevance Health (Morristown, NJ)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Terumo Medical Corporation (Somerset, NJ)
- Field Inventory Analyst Date: Dec 27, 2024 Req ID: 3665 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Field Inventory Management ... recommend par levels for existing and potential new inventory locations. 7. Lead strategic analyses and inventory reporting to support business unit and corporate… more
- Molina Healthcare (New York, NY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Lumen (Trenton, NJ)
- …connect the world and shape the future. **The Role** We are seeking a Lead Product Marketing Manager to drive the creation and delivery of unique market positioning ... to identify and develop valuable messaging that will drive engaging content. The Lead Product Marketing Manager is expected to be a content marketing expert across… more
- Amneal Pharmaceuticals (Bridgewater, NJ)
- …role will be responsible for leading and supporting the Managed Care claims processing, contract maintenance, formulary and data validation, data management, report ... that govern the processing of all customer managed care claims (such as price protection, managed care rebates, admin...active role in the closing process. The Manager will lead , manage, develop and motivate individuals to collectively build… more
- City of New York (New York, NY)
- Job Description *Applicants must be permanent in the title of Administrative Staff Analyst or have a permanent comparable civil service title.* Reporting to the ... Chief Operating Officer, the Director of Disability Retirement Services will lead the Division, providing strategic oversight for the processing of disability and… more
- Sanofi Group (Bridgewater, NJ)
- …the team is aware of / compliant with relevant policies and SOPs. + Lead the implementation of Consumer Omnichannel Data Hub (ODH) across Sanofi NA. + Collaborate ... channels at various stages of consumer marketing funnel. + Lead the centralization of data across consumer media channels,...may be considered. + Experience working as a media analyst at a marketing agency, media company, or related… more