- Lyric (Newtown Square, PA)
- … claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, chart auditor/reviewer, or claims edit/denial ... leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with...claim edits while using our software. The Senior Manager's insights will shape how our clients implement our coding… more
- NJM Insurance (Trenton, NJ)
- …opportunity!" Overview NJM Insurance Group's Claims Analytics Department is seeking a Claims Insights Analyst Intern (the official NJM Title is Business ... Insights Analyst , Intern). This role will work with various levels...desire to work collaboratively in a team environment The Claims Insight Analyst , Intern position can pay… more
- TEKsystems (Moorestown, NJ)
- …are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on digging ... Analyze large and complex datasets to identify patterns, discrepancies, and actionable insights Perform detailed claims reviews for accuracy, completeness, and… more
- Rocket Software (Trenton, NJ)
- …BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and local benefit ... in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and global benefit… more
- Prime Therapeutics (Trenton, NJ)
- …to assess competitiveness & accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide pricing ... Come build the future of pharmacy with us. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides analyses,… more
- Norstella (Trenton, NJ)
- …leverage your expertise in **healthcare data analytics** to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...ensuring our clients receive accurate, clinically relevant, and actionable insights to drive data-informed decisions in drug development, market… more
- Evolent (Trenton, NJ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- NJM Insurance (Trenton, NJ)
- …outstanding customer service was reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company has focused on a ... maintaining the highest levels of service, integrity, and financial stewardship. The Actuarial Analyst (we have the ability to hire at the II, Senior or Associate… more
- Evolent (Trenton, NJ)
- …generate meaningful impact through translating disparate data points into tangible insights and actions. Our team values accuracy, collaboration, and innovation, ... Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex risk-based… more
- Cardinal Health (Trenton, NJ)
- …+ Aggregate and harmonize data from multiple sources (eg, Salesforce, Trella Insights , Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- Humana (Trenton, NJ)
- …of Humana's Medicaid business, providing technical financial analysis and data-driven insights to drive market growth and operational effectiveness. This position ... CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion… more
- Globus Medical, Inc. (Collegeville, PA)
- …response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes ... **Position Summary:** We are seeking a detail-oriented and analytical Lead Rebate Analyst to oversee and manage the end-to-end rebate process. This position is… more
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... program data, metrics, and performance indicators to identify trends, patterns, and insights that assess program effectiveness, efficiency, and impact. + Design and… more
- Insight Global (Mount Laurel, NJ)
- …revenue cycle by evaluating, validating, and analyzing data trends to provide actionable insights across all levels of the organization. The team focuses on root ... cause analysis to ensure clean claims and accurate revenue capture. Analysts will conduct charge audits, identify workflow issues, monitor Epic workqueues, review… more
- Highmark Health (Trenton, NJ)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more
- PNC (Philadelphia, PA)
- …for the business. We are investing in a newly formed Small Business Marketing Analyst role and are seeking an innovative thought leader to build the foundation of ... and apply relevant data to marketing strategies. * Building foundational marketing insights capabilities that provide actionable performance insights at the… more
