- Healthfirst (NJ)
- … business rules within the claims processing system. + Identify claims configuration and contract implementation defects and improve departmental performance ... are adequately implemented based on technical planning documents. + Ensure post implementation accuracy of claims configuration implementations and mass claim… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Hackensack Meridian Health (Edison, NJ)
- …and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops functional ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … more
- Healthfirst (NJ)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Evolent (Trenton, NJ)
- …be doing** : This individual will spearhead the requirements management for implementation projects across our client and Evolent organizations. By driving Evolent's ... + 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable… more
- Hackensack Meridian Health (Edison, NJ)
- … III on our Digital Technology Services team** **!** **Our openings include:** **Applications Analyst III - Epic Resolute HB/PB Claims :** Candidates need to be ... and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops functional… more
- New Jersey Resources (Wall Township, NJ)
- Sr. Corporate Insurance and Risk Analyst Wall Township, NJ, USA Req #2627 Monday, December 2, 2024 Energize your future and join our team as we pursue a reliable, ... New Jersey Resources is seeking a Sr. Corporate Insurance and Risk Analyst to administer risk management plans, including procurement of all corporate insurance… more
- Elevance Health (Woodbridge, NJ)
- **Provider Contract Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will live ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior** is responsible for providing analytical support to the Cost of Care… more
- Intermountain Health (Trenton, NJ)
- **Job Description:** As a Business Systems Analyst , you will work closely with the business areas to identify and understand their needs and requirements. The major ... to major projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in support of… more
- ADP (Roseland, NJ)
- **ADP is hiring a Global Data Security Analyst !** **Are you ready to help us design the future-state to secure and govern our Data?** It's the Wild West, in terms of ... Data Security sure there are some claims of those who've struck it rich, and have...pesky data bandits at bay **As a Data Security Analyst ** you will need to leverage all of your… more
- Lincoln Financial Group (Trenton, NJ)
- …73933 **Role at a Glance** Lincoln National Corporation seeks an Analyst , Application Development in Radnor, PA to consult/analyze and deliver assignments/projects ... for Group Protection IT Claims of application development responsibility. Act as a resource...and existing programs to determine requirements, solution, test and implementation plans. Create Group Protection systems, tools and functionality,… more
- Hackensack Meridian Health (Hasbrouck Heights, NJ)
- …the revenue cycle. **Responsibilities** A day in the life of a Billing Analyst with Hackensack Meridian Health includes: + Utilizes billing system reports for ... and recommends procedural or system changes as necessary. Assists with implementation of automation or other efficiencies upon identification of opportunities. +… more
- Bausch + Lomb (Bridgewater, NJ)
- …to the Senior Director for Insurance & Risk Management, **t** he **Treasury** ** Analyst , Insurance & Risk Management** plays a critical role in supporting the ... management, development and implementation of the company's insurance programs. This position focuses on risk identification, mitigation, prevention, and transfer… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Tax Analyst , Indirect Date: Dec 5, 2024 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical ... wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with the Senior Tax Manager as well as… 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,...and maintaining detailed documentation to support the building and implementation of proprietary healthcare edits, including specifications, test plans,… more
- Subaru of America (Camden, NJ)
- …by Analyst (including sales results, underwriting results, coverages, and claims handling) and makes recommendations to F&I Development Manager to increase ... application of Subaru's product philosophy. + Monitors cancellations and claims denials to ensure appropriate handling. + Serves as...+ Serves as project manager of the development and implementation of all F&I products sold by our retailers… more
- Prime Therapeutics (Trenton, NJ)
- …in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or ... reporting requirements and testing of new reporting development prior to implementation to Production. + Participates in initiatives or projects that support… more
- Deloitte (Jersey City, NJ)
- …on 9/3/24. Work you'll do As a Technology Senior Consultant (Business Analyst /Configuration Lead) within our practice, your responsibilities will include: + Leading ... governance structure and process design, contractual compliance, risk management, claims management, and project controls and analytics Qualifications required: +… more