- Highmark Health (Trenton, NJ)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Highmark Health (Trenton, NJ)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Deloitte (Philadelphia, PA)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... their role on a project, and they are eligible for a benefits package that is competitive for project delivery-focused professionals Work you'll do/Responsibilities… more
- Rocket Software (Trenton, NJ)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Subaru of America (Camden, NJ)
- ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe and protected by supporting our insurance, claims , and safety programs. You'll manage ... and strengthen Subaru's enterprise risk and safety practices. CORE RESPONSIBILITIES Claims : + Addresses workers' compensation (WC), general liability (GL), and auto… more
- University of Pennsylvania (Philadelphia, PA)
- …place to call home for work and play. The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees ... , a wide variety of professional development opportunities, supportive work and family benefits , a wealth of health and wellness programs and resources, and much… more
- BrightView (Blue Bell, PA)
- …you can grow to be your brightest. We're looking for a Quality Assurance Analyst . Can you picture yourself here? **Hybrid Schedule:** 4 Days Onsite in Blue Bell, ... Agency Resumes At This Time **Job Summary** + The Claims Manager is a key leader in the Risk...**_BrightView offers a suite or health, wellness, and financial benefits to full-time team members. Benefits offerings… more
- Public Consulting Group (Trenton, NJ)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Utilities Service, LLC (Willow Grove, PA)
- …Retirement Analyst **Reports to:** Retirement Manager **Department:** HR Benefits **Location:** Willow Grove (Corporate Office) **Role Type:** Exempt **Position ... Overview:** The Sr. Retirement Analyst is responsible for calculating...contributions and loans, hardship withdrawal applications, retirement related death claims and the defined benefit contributions. +… more
- AmeriHealth Caritas (Philadelphia, PA)
- …who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other ... Review all associated documentation for completeness. Communicate with the configuration analyst , configuration team lead, tester, and requestor as required to… more
- WTW (Philadelphia, PA)
- …to the language. **Other:** Keep abreast of laws and regulations impacting employee benefits , claims procedures, and notice requirements by using our legal ... are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance ...also eligible for an annual short-term incentive bonus. **Company Benefits ** WTW provides a competitive benefit package… more
- Otsuka America Pharmaceutical Inc. (Trenton, NJ)
- …benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is ... can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work...posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug coverage, company… more
- Baylor Scott & White Health (Trenton, NJ)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
- CenterWell (Trenton, NJ)
- …part of our caring community and help us put health first** The Billing Analyst is responsible for supporting the organization's billing operations with a focus on ... to ensure billing accuracy, regulatory compliance, and effective reporting. The Billing Analyst serves as a positive role model and consistently promotes the… more
- Cognizant (Trenton, NJ)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Humana (Trenton, NJ)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Prime Therapeutics (Trenton, NJ)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Under the general supervisor of the Manager Accounts Receivable, the analyst is responsible for identifying, validating, submitting and reconciling all maternity ... + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG; claims coding ;Revenue Code Mapping, Data Analysis, Data warehousing, translated 5010 EDI files,… more
- University of Pennsylvania (Philadelphia, PA)
- …place to call home for work and play. The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees ... , a wide variety of professional development opportunities, supportive work and family benefits , a wealth of health and wellness programs and resources, and much… more
- Elevance Health (Wilmington, DE)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more