- Healthfirst (NJ)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- Healthfirst (NJ)
- …products, claims editing, reference data and their enhancements including claims configuration improvements, compliance and systems enhancements. + Follow ... the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier management. + Interpret… more
- RWJBarnabas Health (Oceanport, NJ)
- …Application Analyst is responsible for the installation, upgrades and the configuration of the application. The Application Analyst assists in the ... Application Analyst I, Professional Billing, Full Time, Hybrid, NJReq...Billing, Resolute Professional Billing with SBO, Resolute Professional Billing Claims / Remittance + Preference for knowledge and work… more
- HealthEdge Software Inc (Trenton, NJ)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Deloitte (Jersey City, NJ)
- …ends on 9/3/24. Work you'll do As a Technology Senior Consultant (Business Analyst / Configuration Lead) within our practice, your responsibilities will include: + ... capital projects to help solutions for them along with high technical configuration and business analytics skillsets and can support project execution activities… more