- Prime Therapeutics (Trenton, NJ)
- …Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst is responsible for serving as the ... analysis. This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process… more
- Prime Therapeutics (Trenton, NJ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- Evolent Health (Trenton, NJ)
- …Stay for the culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical ... You'll Be Doing:** Evolent Health is looking for a Senior Product Analyst to be a key...the highest value capabilities. + Define, document, and communicate technical requirements for Evolent's Applications via user stories, definitions… more
- Prime Therapeutics (Trenton, NJ)
- …analysis and application of advanced and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy ... and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Remote...requirements, assesses the benefit impact on current design and claims processing, presents to the stakeholder and/or other internal… more
- HealthEdge Software Inc (Trenton, NJ)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key role in building and implementing proprietary healthcare edits… more
- CVS Health (Blue Bell, PA)
- …for case reserves as well as provider discounts to apply to billed large claims . **Required Qualifications** + The ideal candidate is an actuarial student with the ... the latest actuarial techniques. + Demonstrates a high level of personal drive, technical acumen, and communication. + Must have passed a minimum of two actuarial… more
- The Cigna Group (Philadelphia, PA)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims… more
- NJM Insurance (Trenton, NJ)
- …+ Triaging and analyzing scorecards and outputs from predictive models for General Claims , Personal Lines, Personal Injury Protection (PIP) claims and Medical ... and trends related to fraudulent Personal Lines and Commercial Lines policies and claims . + Conduct background research on available public databases to support the… more
- Penn Medicine (Philadelphia, PA)
- …for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, ... using data, the Data Scientist will provide statistical analysis of medical claims . This position will function to make significant contributions related to … more