- Wolters Kluwer (Philadelphia, PA)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- Evolent (Trenton, NJ)
- …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems ... and document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements… more
- Elevance Health (Wilmington, DE)
- …preferred. + Scaled Agile Framework Training strongly preferred. + 5+ years of claims editing experience with healthcare payers and/or claims editing ... **Clinical Content Analyst ** **Location:** This position will work a hybrid...CMS, CPT/AMA and other major payer policies based on healthcare correct coding and regulatory requirements. **How you will… more
- Evolent (Trenton, NJ)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
- Prime Therapeutics (Trenton, NJ)
- …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
- Sumitomo Pharma (Trenton, NJ)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Prime Therapeutics (Trenton, NJ)
- …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Elevance Health (Wilmington, DE)
- ** Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr.** is responsible for...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- Elevance Health (Wilmington, DE)
- **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
- Virtua Health (Mount Laurel, NJ)
- …join the Virtua Revenue Cycle Team as a Full-time Revenue Integrity Analyst . The role involves conducting charge audits, reviewing clinical charge capture workflows, ... The Revenue Integrity Department is crucial for the financial stability of healthcare organization, focusing on identifying and preventing errors in the full revenue… more
- CVS Health (Blue Bell, PA)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Trenton, NJ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- BlackRock (Wilmington, DE)
- **About this role** **GAAPS Alternatives | Analyst / Associate Transaction Services | Wilmington** **About BlackRock** Elevate your career by joining the world's ... is part of the Global Alternative Transaction Services (GATS) team within Business Operations. GATS is responsible for settlements and documentation globally and… more
- Elevance Health (Wilmington, DE)
- …closely with Provider data, Claims , Member enrollment strongly preferred. * Healthcare Advanced Analytics, Skilled analyst with strong proficiency in data ... ** Business Information Analyst Sr.** **Location:** This...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- Prime Therapeutics (Trenton, NJ)
- …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data… more
- Elevance Health (Wilmington, DE)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Preferred Skills, Capabilities, and Experiences:** + Master's degree in Business Administration, Computer Science, Healthcare Administration, or related… more
- West Pharmaceutical Services (Exton, PA)
- …injectable medicines to millions of patients daily, West's indelible mark on the healthcare industry has just begun. A name started our story. How will yours ... Duties and Responsibilities:** + Solve complex problems with broad business impact. + Works independently, with guidance only in...gate / strategic list. + Lead with the Project Analyst the development of technical information reports that form… more