- WelbeHealth (Trenton, NJ)
- …Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and ... accurate pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or company policies and procedures. **Essential Job… more
- NJM Insurance (Trenton, NJ)
- …opportunities for improvement to present to management. + Collaborate with the BPU, claims management, law and regulation, and internal audit to ensure the ... Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal… more
- Boswell Engineering (South Hackensack, NJ)
- …$85,000.00 Salary Category Human Resources Description Benefits and Compliance Analyst Location: South Hackensack, NJ (Boswell Headquarters) Department: Human ... is seeking a meticulous and experienced Benefits and Compliance Analyst to join our Human Resources team. As our...(1094-C/1095-C), Form 5500s, and EEO-1 reporting. + Disability & Claims Management: Manage the full lifecycle of Short-Term and… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr. Tax Analyst , Indirect Date: Dec 17, 2025 Req ID: 3804 Location: Somerset, NJ, US, 08873 Company: Terumo Americas Holding, Inc. Department: TAH Tax Terumo Medical ... 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
- Highmark Health (Trenton, NJ)
- …and training materials specific to underwriting functions, ensuring clarity for audit and compliance. + Collaborate closely with underwriters to analyze existing ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + Experience in… more
- CVS Health (Florham Park, NJ)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Support Services as they work with clients in the development of formularies; Rebate audit team as questions arise on audits by manufacturers and clients. + Adhering… more
- Insight Global (Mount Laurel, NJ)
- …the organization. The team focuses on root cause analysis to ensure clean claims and accurate revenue capture. Analysts will conduct charge audits, identify workflow ... master, coding and billing guidelines (including CPT codes), and internal audit processes. Technical expertise in Epic is strongly preferred, particularly in… more
- AIG (Parsippany, NJ)
- …network. Customers value AIG's strong capital position, extensive risk management and claims experience and its ability to be a market leader in critical ... relates to invested assets, and management of the risks, controls and AIG audit as it relates to investments and supporting Investment FP&A. Responsibilities +… more
- Highmark Health (Trenton, NJ)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... include but not limited to, review/editing of content submissions and best practices, audit reports, etc. The incumbent is expected to make major contributions to… more