- Humana (Trenton, NJ)
- …by driving meaningful impact and shaping the future of claims management? As a Senior Pharmacy Claims Professional , you will play a crucial role ... Join us and lead the development of solutions that make a meaningful difference The Senior Pharmacy Claims Professional will play a pivotal role in … more
- Deloitte (Philadelphia, PA)
- 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
- Evolent (Trenton, NJ)
- …and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on ... (health administration, epidemiology, public health, biology)- Required.** **1-3 years of professional experience in claims -based healthcare analytics with a… 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