- CenterWell (Trenton, NJ)
- …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
- Humana (Trenton, NJ)
- …years' advanced experience developing complex SQL queries + 1+ years' experience in Healthcare related data ie. Provider, Insurance, etc. + Experience with pharmacy ... claims data + Advanced knowledge of Excel (ex. Pivot...provide work visa sponsorship for this role._** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure… more
- Humana (Trenton, NJ)
- …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
- Evolent (Trenton, NJ)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
- Teva Pharmaceuticals (Parsippany, NJ)
- …and experience implementing digital and data-driven solutions to support value-based healthcare strategies. Location: This is a hybrid opportunity (3 days/week in ... Analytics teams to enable access to real-world data (RWD), claims data, and health economics models. + Support the...+ Experience with payer data, RWE platforms, and value-based healthcare technologies. **Skills:** + Strong understanding of the US… more
- Boll & Branch (Summit, NJ)
- At Boll & Branch, we're reimagining luxury for the modern home with an uncompromising commitment to quality, sustainability, and ethical craftsmanship. We're looking ... development across our lifestyle categories, guiding products from concept through pre -production while ensuring they meet our highest standards. The ideal candidate… more
- Evolent (Trenton, NJ)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or… more
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