Medicare/Medicaid Appeals Analyst
100 Horizon Healthcare Services, Inc
Horizon Blue Cross Blue Shield of New Jersey is seeking an experienced Analyst to manage end-to-end complaint and appeal cases. You will conduct investigations, ensure regulatory compliance, and document clear decisions for leadership, CMS/state entities, and Administrative Law Judges. The role involves preparing comprehensive case files, coordinating with external reviewers, and maintaining thorough tracking and documentation. #J-18808-Ljbffr 100 Horizon Healthcare Services, Inc
- ...Cross Blue Shield of New Jersey is seeking a skilled analyst to manage end-to-end complaint and appeal cases, ensuring regulatory compliance and clear,... ...to deliver timely resolutions, supporting Medicaid and Medicare considerations and improving member experience. Responsibilities...Suggested
- Horizon Blue Cross Blue Shield of New Jersey is seeking an Appeals Analyst to manage end-to-end complaint and appeal cases, conduct... ...coordinate with internal teams and external reviewers, and support Medicaid and Medicare compliance while aiming for timely, accurate resolutions....SuggestedRemote job
- Business Analyst With Medicare And Medicaid Experience Location - 3 Penn Plaza- Newark- New Jersey 07105 - local is preferred 1 day office per week Visa- any Rate - $55/hr on 1099 or $50/hr on W2 Job Description: This position is responsible for the ability to understand...SuggestedWork at officeLocal area1 day per week
- Job TitleMinimum of 10+ years of experience as a Business Analyst with min 5+years in health care experience especially in MMIS... ...health care domain experience and should have good knowledge of Medicaid and Medicare.Strong hands-on experience on claims processing and...SuggestedRemote job
- ...Best place!!Job DescriptionJob Title: Health Payer Technology Medicare ConsultantJob Level: Senior Level Job Description: THIS IS WHAT... ...required to support health plan!Who is currently in Medicare/ Medicaid!Who holds 2+ years Program management, full lifecycle project,...Suggested
$87.3k - $119.07k
...and succeed, the Company succeeds.About the RoleThis senior level actuary analyst position resides within the Actuarial Department and focuses on Government Programs (Medicare, PDP, DSNP, Medicaid) Trend Forecasting. The role is responsible for supporting the evaluation...Live inLocal area- Business Analyst- Health Insurance Location: New Ark, NJ 6-10 months Rate: DOE $/hr. on w2 US Citizen and Green Card H4-EAD only No... ...experience as a Senior Business System Analyst is required. Medicare/Medicaid experience and at least 3 years of experience in the health insurance...
$100k
Company DescriptionJob DescriptionProvide expertise in development and filing of financial SEC disclosures. Liaise with the Legal, Management and independent auditors in determining appropriate disclosures. Research and interpret accounting and financial disclosure regulations...$72.7k - $76.96k
...This Opportunity WSP is currently initiating a search for a Jr. Data Analyst for our Newark, NJ office. The following role will be involved in projects with our Technology Team and be a part of a growing organization that meets our client’s objectives and solves their...Work at officeLocal areaFlexible hours- Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day...Work at officeFlexible hoursShift workDay shift
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$70k - $91k
...Analyst Req #: 0000265043 Category: Quality / Patient Safety Status: Full-Time Shift: Day Facility: Clara Maass Medical Center Department: Quality Resource Services Pay Range: $70,000.00 - $91,000.00 per year Location: 1 CLARA...Full timeTemporary workWork at officeFlexible hoursShift work- Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every...Work at officeFlexible hoursShift workDay shift
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Job Classification:Data Science & Analytics - Data Science & AnalyticsRole Overview + Why the Role MattersThe Sales Reporting Analyst delivers trusted, repeatable reporting and data maintenance that support new-business sales performance for Individual Life Insurance (ILI...Full timePart time$125.43k
Agency: Customs and Border ProtectionDepartment: Department of Homeland SecuritySub agency: Office of Field OperationsSalary: Starting at $125,431 Per year (GS 13)Dates: Open 10/15/2026 to 10/21/2026Schedule: Full-timeWork type: PermanentRelocation: FalsePosition ID: OFO...Work at office$97.39k - $182.59k
...and your search for important and impactful work lead to the same place.We are seeking a highly skilled Senior Business Solutions Analyst with strong data analysis, data governance, and Agile delivery experience to act as the bridge between business stakeholders and technical...Full timeTemporary workLocal areaRemote work- ...Job Description Job Description The Business Analyst gathers, analyzes, and translates business needs into actionable insights and solutions. This role supports informed decision-making by evaluating processes, identifying opportunities for improvement, and communicating...
$65 - $80 per hour
...Technical/Data Analyst – People Domain Job Details Employment Type: Contract Location: Hybrid – 3 days/week onsite in Newark, NJ Client: Major Financial Firm Pay Rate: $65 – $80 per hour C2C and W2 are acceptable About the Role Support the People...Hourly payContract work3 days per week- A great UHY client is seeking an Interim Business Intelligence Manager to join their team. The ideal candidate will have strong financial modeling, Microsoft Excel, and PowerBI experience. The Interim Business Intelligence Manager role is a temporary consulting ...Permanent employmentTemporary workInterim roleRemote work
- ...Business AnalystWe are looking for a Business Analyst who will be responsible for conducting market research, analyzing data, creating... ...market segmentation, and potential opportunities.4. Create visually appealing and professional slide decks for presentations, including...Remote work
- ...professional growth in strategy, operations, and business development. Summary Diamond Communications is seeking a motivated Business Analyst to join our Strategic Partnerships Group. This is an excellent opportunity for a recent graduate or early-career professional...Work at office
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- WebMD is seeking an AI Automation Analyst to join Medscape Education and drive AI-powered automation. This hybrid role blends analysis and engineering to prototype, implement tools, and optimize processes. You will translate business needs into technical specifications...
$40k - $60k
...Entry-Level Data Analyst Cawley & Bergmann, LLC Newark, NJ Full-Time | On-Site Salary: $40,000-$60,000 per year, based on experience About the Role Cawley & Bergmann is looking for an Entry-Level Data Analyst to join our Newark, NJ team....Full timeInternship- ...Soft Consulting is currently hiring for a Senior Epic Configuration Analyst for our premier client in Remote. Education and Experience: Minimum 2 years of experience in healthcare, Medicare, or Medicaid environments. 1 or more years of experience supporting Utilization...Currently hiringLocal areaRemote work
$155k - $185k
...clients through modern technology and AI-powered workflows.We are looking for a highly analytical and technically savvy Business Systems Analyst to help drive the evolution of Peregrine, our front-office investment platform, and Merlin, our next-generation AI ecosystem...Full timePart timeWork at officeRemote work- ...SEC Reporting Analyst Full-time Job Description SEC Reporting Analyst Newark New Jersey Exp 7-10 Deg Bachelors Bonus Provide expertise in development and filing of financial disclosure required by the Securities and Exchange Commission for Enterprise...Full time
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