- Prime Therapeutics (Trenton, NJ)
- …Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst is responsible for serving as the ... analysis. This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description Summary** ... liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests...of 3 years of systems analysis experience in appropriate technical environment. + 5+ years of experience in analysis.… more
- Evolent Health (Trenton, NJ)
- …Stay for the culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Analyst to be a key...the highest value capabilities. + Define, document, and communicate technical requirements for Evolent's Applications via user stories, definitions… more
- Prime Therapeutics (Trenton, NJ)
- …analysis and application of advanced and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy ... and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Remote...requirements, assesses the benefit impact on current design and claims processing, presents to the stakeholder and/or other internal… more
- HealthEdge Software Inc (Trenton, NJ)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits… more
- MetLife (Bridgewater, NJ)
- …Experience and Technical Skills: * 2 plus years of LTD claims management experience * Critical thinking, attention to detail, written and verbal communication, ... meetings Key Responsibilities: * Conduct quality reviews of LTD claims of various complexity * Identify trends, root causes...performance and quality standards * Partners with team and claims organization to develop criteria and standards in which… more
- Axis (Princeton, NJ)
- …or reinsurance contract interpretation and dispute management. Prior experience as a reinsurance claims analyst . Role Factors: In this role, you will typically ... technical matters, coverage analysis, emerging trends, and other claims related matters. + Participate in professional associations/professional development… more
- Capgemini (Bridgewater, NJ)
- …world. **Job Loction : Newark, NJ** **Job Description** Capgemini is seeking a Senior Business system analyst with Healthcare domain experience along with strong ... Healthcare Business Analyst Choosing Capgemini means choosing a company where...SQL skills **Required Skills :** + Senior HealthCare BSA, with at least 7 years of… more
- NJM Insurance (Trenton, NJ)
- …+ Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical ... and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support the… more