- Public Consulting Group (Trenton, NJ)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- CAI (Trenton, NJ)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- Bank of America (Pennington, NJ)
- Wealth Management Fraud & Claims - Sr. Fraud Analyst Pennington, New Jersey **Job Description:** At Bank of America, we are guided by a common purpose to help ... on retention and re-establishing client confidence. Wealth Management Fraud & Claims associates will handle inbound calls from clients, branch offices, banking… more
- Prime Therapeutics (Trenton, NJ)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (Trenton, NJ)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- NJM Insurance (Trenton, NJ)
- …West Trenton Workers Compensation Department (WCC) is seeking a Sr. Business Process Analyst (based on credentials, this role can also be filled as an Associate ... or Analyst ) who supports the business process improvement, business continuity...business continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this position is… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Tax Analyst , Indirect Date: Feb 1 , 2025...Assist in dealing with customers on sales tax refund claims and other customer related issues 9. Other duties ... 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
- Guardian Life (Holmdel, NJ)
- **Position Summary** The Senior Regulatory Filing Analyst is responsible for drafting, filing and securing regulatory approval of new group and retail insurance ... contract language can have on administration, marketing, sales, underwriting, pricing, claims and, ultimately, financial performance. + BS in Business Administration… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- CGI Technologies and Solutions, Inc. (New Brunswick, NJ)
- **Life Insurance Process Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Connecticut, Hartford **Alternate ... CGI is seeking a highly skilled and experienced Life Insurance Process Analyst with a strong background in Life Insurance operations. The ideal candidate… more
- Terumo Medical Corporation (Somerset, NJ)
- Field Inventory Analyst Date: Jan 25, 2025 Req ID: 3665 Location: Somerset, NJ, US, 08873 Company: Terumo Medical Corporation Department: Field Inventory Management ... processes and data to identify opportunities for improvement. **Job Details/Responsibilities** 1 . Associate is responsible to follow requirements of TMC Quality… more
- BlackRock (Princeton, NJ)
- **About this role** **GAAPS Analyst / Associate Private Markets Operations - Middle Office | Wilmington** **About BlackRock** Elevate your career by joining the ... privates, infrastructure debt, renewable power, direct lending and trade claims including funding and documentation matters + Preferably 3-4...per week, with the flexibility to work from home 1 day a week. Some business groups may require… more
- Prime Therapeutics (Trenton, NJ)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (Trenton, NJ)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Prime Therapeutics (Trenton, NJ)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (Trenton, NJ)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more
- Terumo Medical Corporation (Somerset, NJ)
- …with Terumo representatives and customer Key Decision Makers. **Job Details/Responsibilities** 1 . Full profit and loss responsibility for sales and margins within ... of regular updates and monthly activity reports. 9. Work with the Contract Analyst and Legal Teams to manage RFI's/RFP's, new contracts and amendments for each… more