- Insight Global (Raritan, NJ)
- …in business discipline or related field. * Experience in Medicaid , Rebate Management, and/or compliance is preferred. Knowledge and understanding of product, ... to the Senior Manager, and will oversee the critical operational aspects of Medicaid Payments. The Contractor will provide oversight on all issues relating to rebate… more
- Highmark Health (Trenton, NJ)
- …thinking to identify business needs for growing and sustaining the Medicaid business . Apply SME knowledge and oversee multiple teams' activities related ... :** enGen **Job Description :** **JOB SUMMARY** Support enGen's Diversified Business Solutions leadership in strategic activities to expand IT capabilities for… more
- Prime Therapeutics (Trenton, NJ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems ... career in the IT AI space.** The Sr. IT Business Systems Analyst (BSA) is responsible for...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
- Humana (Trenton, NJ)
- …Time Zone. The Business Intelligence Engineer 2 will be supporting business -area created technology solutions revolving around Humana's Medicaid and Medicare ... Fund Data & Reporting team is looking for a Business Intelligence Engineer 2 to support Dashboards and system...Dashboards and system enhancements related to our rapidly growing Medicaid product in various new states as well as… more
- J&J Family of Companies (Raritan, NJ)
- …GP) system to account for changes in law, interpretation of law, and changes in business processes and contracting strategies. The Lead Analyst also serves as a ... & Johnson's Family of Companies is recruiting for a **Government Pricing Lead Analyst (Part-time),** located in **Raritan, NJ** . **This is a part-time position,… more
- Prime Therapeutics (Trenton, NJ)
- …change process + Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned ... passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible… more
- embecta (Parsippany, NJ)
- …needs of our diverse and global employees. The Pricing & Contracts Sr. Analyst will support the analytics, operations and contracting functions within US Sales ... Channels and Canada, as required. Primary responsibilities include providing business reporting, trend analysis, analytics, financial modeling for RFP's and contract… more
- Elevance Health (Morristown, NJ)
- …and performing complex actuarial studies related to risk adjustment analytics in both the Medicaid and Medicare Advantage lines of business . **How You Will Make ... **Risk Adjustment Actuarial Analyst II - Advanced Analytics** **On-Site Requirement: Hybrid...Analyzes and develops SAS and SQL programming to support Medicaid and Medicare Advantage risk adjustment initiatives. + Performs… more
- Prime Therapeutics (Trenton, NJ)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Risk Assessment and Oversight) - Remote **Job Description** The Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs...which may include validating compliance gap closures throughout the business , partnering to facilitate company-wide Compliance Risk Assessment, and… more
- Prime Therapeutics (Trenton, NJ)
- …on trend, benefit design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid ). This role will also provide actuarial ... every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ...or PBM + Previous experience pricing Commercial, Medicare or Medicaid lines of businesses + 3 years of experience… more
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