Financial Claims Examiner II Jobs in Jersey City, NJ

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Financial Health Care Executive for Pharmacy Benefits Program

Vega Consulting Solutions

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Remote or Baltimore, Maryland, USA

Contract

Vega Consulting is hiring! Financial Healthcare Executive for a Pharmacy Benefits Management Program implementation with our direct client. This is a contract to hire opportunity. Seeking candidates who are eligible for hire and able to travel to Maryland when required. The PBM Executive must have has the financial acumen and deep expertise in pharmacy supply chain financial management, PBM transitions, and pharmacy operations. The successful candidate will be responsible for a new pharmacy supp
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Posted 60+ days ago | Updated 3 hours ago

Provider Service Analyst, Medicaid, Remote, USA

Gainwell Technologies LLC

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Remote or Denver, Colorado, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary We are seeking a talented individual for a Provider Services Analyst - Medicaid who provides on-site and remote account analysis
Posted 7 days ago | Updated 10 hours ago

Data Analyst III Medical Economics

Centene Corporation

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Missouri, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of v
Posted 40 days ago | Updated 2 hours ago

Sr. Accountant (SAP / Payroll and Benefits) - Remote

C4 Technical Services

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Remote or Eagan, Minnesota, USA

Contract

Sr. Accountant Remote Summary: The main function of an accountant is to analyze financial information and prepare financial reports to determine or maintain record of assets, liabilities, profit and loss, tax liability, or other financial activities within an organization. A typical accountant is responsible for analyzing and communicating financial information for clients. Job Responsibilities: Review accounting records, financial statements or other financial reports created by staff to a
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Posted 60+ days ago | Updated 6 hours ago

Senior Analyst, Network Relations

CVS Health

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Virginia, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 12 days ago | Updated 2 hours ago

Data Analyst IV Medical Economics

Centene Corporation

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Michigan, USA

Full-time

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations i
Posted 38 days ago | Updated 2 hours ago

Claims Systems Delivery Manager (Remote in US)

Gainwell Technologies LLC

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Remote or Milwaukee, Wisconsin, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Claims Systems Delivery Manager (Remote in US) at Gainwell, you can contribute your skills as we harness the power of tec
Posted 11 days ago | Updated 10 hours ago

Data Analyst

Allstate Insurance Company

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Remote

Full-time

National General is a part of The Allstate Corporation, which means we have the same innovative drive that keeps us a step ahead of our customers' evolving needs. We offer home, auto and accident and health insurance, as well as other specialty niche insurance products, through a large network of independent insurance agents, as well as directly to consumers. Job Description We are seeking a Data Analyst to support Analytics and Data Science teams by developing clean, reliable data pipelines and
Posted 6 days ago | Updated 2 hours ago

Data Warehoust Sr. Business Analyst (34075)

Myticas LLC

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Remote or Springfield, Illinois, USA

Contract

Clover Consulting (a Myticas Co.) has a direct client in Springfield, IL in need of a Data Warehouse BA for a REMOTE, long-term contract. Travel to Springfield may be required 2-4 times/year. Qualified candidates please provide resume. Functional Description: We are seeking a highly motivated Senior Business Analyst to support a large-scale Enterprise Data Warehouse (EDW) project. This role will serve as a critical liaison between business stakeholders and technical teams, ensuring that data war
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Posted 11 hours ago

Remote Project Manager

Apex Systems

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Remote or Milwaukee, Wisconsin, USA

Full-time

Job#: 2083184 Job Description: Our great client has an immediate opening for a Remote Project Manager. If you are interested please apply with resume to . Looking for 4+ years experience as a project manager interacting with SW Engineering teams. -Insurance industry or call center/claims experience would be nice to have Plans, coordinates and actively manages the technical delivery plans of technical solutions across a portfolio of teams supporting technical and data platforms. Manages the end-
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Posted 2 days ago | Updated 14 hours ago

Data Analyst - FULLY REMOTE

Apex Systems

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Remote or Missouri, USA

Full-time

Job#: 2083495 Job Description: Apex Systems is hiring for a Data Analyst for a major Healthcare company. 6 month contract-to-hire. FULLY REMOTE anywhere in the United States. You must be authorized to work in the United States without sponsorship. About the role: We assess staffing implications of resource allocations, collaborate with stakeholders to gather data on effort, and monitor spend to ensure budget alignment. We identify budget shift opportunities, track KPIs and benefits, provide data
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Posted 14 hours ago

Guidewire UAT Test Lead

Eliassen Group

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Anywhere, US

Contract

Description: Job Summary: We are seeking an experienced UAT Test Lead with expertise in Guidewire insurance platform to join our team. The successful candidate will be responsible for leading User Acceptance Testing (UAT) activities for our Guidewire-based insurance systems, ensuring that all system changes meet business requirements and are thoroughly tested. This is a key role that requires strong technical, analytical, and leadership skills to ensure the successful delivery of business-crit
Posted 28 days ago | Updated 2 hours ago

Systems Analyst III - EPIC Billing

Cleveland Clinic

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Remote or Cleveland, Ohio, USA

Full-time

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day. We all have the power to help, heal and change lives - beginning with our own. That's the power of the Cleveland Clinic Health System team, and The Power of Every One. Job Title Systems Analyst - EPIC Billing Location Cleveland Facility Remote Location Department Job
Posted 60+ days ago | Updated 2 hours ago

Staff Software Development Engineer

CVS Health

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Remote or Buffalo Grove, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 11 days ago | Updated 2 hours ago

Staff Full Stack Java Developer - myPBM

CVS Health

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Remote or Buffalo Grove, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 17 days ago | Updated 2 hours ago

PBM Data Engineer

CVS Health

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Remote or Scottsdale, Arizona, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 60+ days ago | Updated 2 hours ago

Jr. Data Scientist, Machine Learning - Remote

ConsultNet, LLC

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Remote

Full-time

Title: Jr. Data Scientist, AI and Machine Learning Location : 100% Remote Target Start Date : ASAP Type: contract or contract to hire Pay Rate: DOE We're looking for an industry-leading Data Scientist focused on building production-level machine learning solutions. Rather than a research role, this position emphasizes applying ML/AI to real-world healthcare challenges-such as reducing costs and improving care quality. You'll work with structured and unstructured data (claims, membership, provi
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Posted 40 days ago | Updated 1 hour ago

Sr Data Analyst P&C Insurance / Reinsurance - to 150k + bonus (SK)

Phaxis, LLC

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New York, New York, USA

Full-time

Salary is 130k to 150k + bonus We are seeking a detail-oriented Sr Data Analyst with strong SQL skills and a background in Property & Casualty (P&C) insurance or reinsurance. The ideal candidate will play a critical role in transforming data into actionable insights to support underwriting, pricing, and risk management decisions. Responsibilities: Extract, clean, and analyze data using SQL and other tools to support business functions Develop dashboards and reports to track key metrics for under
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Posted 29 days ago | Updated 14 days ago

Senior Automation Engineer

CVS Health

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Remote or Northbrook, Illinois, USA

Full-time

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all w
Posted 58 days ago | Updated 2 hours ago

AI/ML Health Data Scientist

Navigant Consulting

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Remote

Full-time

Job Family: Data Science Consulting Travel Required: Up to 10% Clearance Required: Ability to Obtain Public Trust What You Will Do: Business Development Identify policy and/or business problems and successfully capture from sourcing through award/close.Perform research on key accounts and clients to effectively qualify and scope new business opportunitiesDiscuss and develop solutions with client service teams and existing/new clientsActively engage within target accounts and relevant market(
Posted 1 day ago | Updated 2 hours ago