- Wolters Kluwer (Philadelphia, PA)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- Evolent (Trenton, NJ)
- …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
- Evolent (Trenton, NJ)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
- Prime Therapeutics (Trenton, NJ)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Sumitomo Pharma (Trenton, NJ)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Trenton, NJ)
- …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Evolent (Trenton, NJ)
- …Experience You'll Need (Required):** + Bachelor's Degree + 2+ years' experience in healthcare , Operations, IT business analyst , and/or product management + ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...+ Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims , configuration,… more
- Prime Therapeutics (Trenton, NJ)
- …Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and ... operations efforts by providing data, reporting and business intelligence services. This role is responsible for acting...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or… more
- Intermountain Health (Trenton, NJ)
- …- starting at $31.78/hr) Bachelor's degree in an information technology, clinical, or healthcare (clinical or business ) related field. Degree must be obtained ... **Job Description:** Application System Technical Analyst is responsible for providing analysis, design, configuration,...- Bachelor's degree in an information technology, clinical, or healthcare (clinical or business ) related field. Degree… more
- HealthEdge Software Inc (Trenton, NJ)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... towards success. **What You Bring:** + Bachelor's degree in Healthcare Administration, Business , Finance, Computer Science, or...degree. + Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims… 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
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Prime Therapeutics (Trenton, NJ)
- …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data… more