- Humana (Trenton, NJ)
- …Medicaid claims analytics dataset using Databricks. Conduct in-depth analysis of healthcare claims utilizing revenue codes, CPT/HCPCS, ICD-10 diagnosis codes, DRG, ... etc. Partner with actuarial, financial, and clinical teams to align...analysis, reserving or trending) + Experience in managing large healthcare claim datasets and conducting trend analysis + Deep… more
- Atlantic Health System (Morristown, NJ)
- …Atlantic Home Care and Hospice We also have more than 900 community-based healthcare providers affiliated through Atlantic Medical Group. We are part of Atlantic ... in a row) + Best Places to Work in Healthcare - Modern Healthcare + 150 Top...+ Security 500: Security Magazine + Official Health Care Partner of the New York Jets + NJ Sustainable… more
- Datavant (Trenton, NJ)
- …company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right ... team. Together, we're rising to the challenge of tackling some of healthcare 's most complex problems with technology-forward solutions. Datavanters bring a diversity… more
- Stryker (Trenton, NJ)
- …communicate compelling value propositions for data platforms, predictive tools, and healthcare analytics. + Leverage customer feedback, usage patterns, and CLV ... insights to improve offerings and engagement. + Partner with clinical operations to develop evidence generation strategies and real-world data studies. + Collaborate… more
- Matheny Medical and Educational Center (Peapack, NJ)
- …Matheny's technology strategy, ensuring alignment with organizational priorities and compliance with regulatory standards, including HIPAA. + Oversee the operation ... fostering professional growth and aligning efforts with departmental goals. + Partner with clinical and administrative teams to identify opportunities for… more
- Mount Sinai Health System (NJ)
- …clinical care, research, education, and community outreach. The Associate Chair will partner with the VMSCCC Quality Department to assure continued accreditation of ... SYSTEM** Is one of the largest and most honored healthcare providers in New Jersey. Newsweek has recognized us...Participate, as requested, in payor contract negotiation and contract compliance activities with the goal of optimizing and improving… more
- Merck (Trenton, NJ)
- …Partners and Consultants, as well as work cross-functionally to act as a partner and point of contact for the business' performance needs and communicate them ... the complexities of payer and pathway controls, and how can we ensure compliance while addressing the limitations and challenges faced by our customers, including… more
- Nelnet (Trenton, NJ)
- …security services for campus-based organizations including higher education institutions, healthcare providers, city, county and state government agencies and ... firm, we leverage our knowledge combined with the industry standards for compliance and information security issues to provide our customers with world class… more
- Prime Therapeutics (Trenton, NJ)
- …limited to membership growth, market share and profitability, and benefit designs + Partner with Compliance and Government Affairs to understand, interpret and ... Exchanges under the Affordable Care Act. This position ensures quality and compliance standards are met while driving successful capability development and execution… more
- Humana (Trenton, NJ)
- …enterprise architecture strategies for infrastructure, networking, and security. + Partner with cross-functional teams to ensure architectural alignment with ... emerging technologies in infrastructure, networking, and cybersecurity. + Drive compliance to architectural standards and governance across infrastructure, networking,… more