UNKNOWN

FEED

This role will manage and execute all audit procedures to ensure adherence to expected consistency of quality expectations as well as monitor and track all audit scores by employees. SourcePro Search has a fantastic opportunity for an experienced Quality Audit/Analyst for one of our top clients in Norther New Jersey.

SourcePro Search

Quality Analyst / Medical Auditor

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FULL_TIME

YEAR

We are seeking a full-time, fully benefited Vitalief employee to serve as a Clinical Trials Medicare Coverage Analyst in a fully remote capacity, supporting Vitalief’s client, a leading academic clinical research center in the Chicago area. KEY RESPONSIBILITIES Conduct Medicare Coverage Analyses (MCA) for a mixture of oncology and non-oncology clinical trial protocols identifying which procedures and services are billable to Medicare versus those considered research related.

Vitalief

Clinical Trials Medicare Coverage Analyst

partner JazzHR

Applying expert knowledge of Medicare, Medicaid, managed care, and commercial payer requirements across the claim-generation lifecycle, including edits, claim splits, bill holds, rejections, late charges, and other exceptions, the Billing Optimization Analyst exercises independent judgment to diagnose root causes, works with billing, IT, and operational teams to implement fixes, and ensures issues do not recur. Monitor first-pass clean-claim rate, bill-hold days, DNFB, rejection trends, and billing throughput to confirm implemented improvements are sustained, identify new improvement opportunities, and coordinate additional follow-up when results do not meet established performance targets.

Med-Metrix, LLC

Billing Optimization Analyst

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This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture. The Itemized Bill Review Senior Analyst will be responsible for analyzing hospital claims for adherence to proper billing guidelines and will work closely with Expert Claims Review staff to efficiently adhere to policies and procedures for claims processing.

Zelis Healthcare, Inc.

IBR Senior Analyst

As an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.

Deloitte

Accounts Receivable Analyst

As a subject matter expert, the role collects business requirements as per State, CMS, and NCQA specifications, translates business requirements into analytics design, define data & analytics specifications, manipulates and analyze large healthcare data from various data sources, and interpret the findings to inform opportunities and solutions that improve clinical quality and increase cost efficiency and health care affordability. Acts as the analytic liaison for complex clinical analytics projects involving multiple data resources and teams to inform business decisions in clinical, network, and value-based performance models.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

HEDIS Data Quality Integrity Analyst

The Medicare Pricing Procedures Analyst also researches and responds to interdepartmental requests, reviews Medicare pricing guidance, supports system testing and validation, maintains internal documentation, and assists the Technical Claims team with projects that improve the accuracy and efficiency of Medicare pricing operations. This role supports the implementation and validation of CMS pricing updates, maintains pricing information within Medicare systems, and collaborates with CMS, Shared System Maintainers, and other Medicare Administrative Contractors (MACs) to ensure accurate and timely claims payment.

Wisconsin Physicians Service Insurance Corp

Medicare Pricing Analyst

Deloitte Touche Tohmatsu Ltd

ADAPTED_NOW

Requirements Gathering & Analysis: Act as a primary liaison between business stakeholders (e.g., billing, coding, finance, clinical operations) and the IT team to capture and define detailed business requirements for RCM systems and processes. Collaborate with stakeholders to document new or updated workflows, ensuring that the requirements for system integration, data exchange, and user interfaces are well-defined.

Georgia Tek Systems

Business Analyst - Hackensack, NJ

As a subject matter expert, the role collects business requirements as per State, CMS, and NCQA specifications, translates business requirements into analytics design, define data & analytics specifications, manipulates and analyze large healthcare data from various data sources, and interpret the findings to inform opportunities and solutions that improve clinical quality and increase cost efficiency and health care affordability. $109,600 - $149,625 ​This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.

Horizon Healthcare Services

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Net Developer Analyst in Whippany, NJ (multiple positions available): Perform end-to-end system engineering across the SDLC, covering requirements, design, development, testing, deployment, and maintenance for integrated applications. Cross-functional collaboration with product managers, designers, and other engineers to define software requirements, devise solution strategies, and ensure seamless integration and alignment with business objectives.

Finance is the oxygen of the economy. Acting transparently and with expertise, we deploy finance responsibly to support people and businesses, acting with empathy and integrity, championing innovation and sustainability, for the common good and the long term. We have the capability and capital, the operational resilience and the commitment, to make a real and lasting difference to the economic lives of customers and communities. This is as true today as it was when our bank was founded over 330 years ago.
 
Our five Values – Respect, Integrity, Service, Excellence and Stewardship – are our moral compass; the fundamentals of who we are and what we believe is right

Barclays Plc

.Net Developer Analyst

By combining deep subject matter expertise with the experience of senior research practitioners, we help organizations accelerate study activation, optimize operations, improve financial performance, and build scalable workforce solutions that reduce costs, increase efficiency, and advance clinical breakthroughs for patients. The Analyst collaborates with Clinical Trial Finance, Revenue Cycle, Research Operations, study teams, investigators, IRB, and other stakeholders to resolve billing issues, improve processes, and ensure accurate, compliant research revenue cycle operations.

Clinical Research Billing Analyst

The Applications Development Senior Programmer Analyst is an intermediate level position responsible for participation in the establishment and implementation of new or revised application systems and programs in coordination with the Technology team. We use automated processing, including artificial intelligence, for our legitimate business interests (or our reasonable and appropriate business purposes) to identify and align the candidate's skills and abilities with a specific job opening.

Citigroup Inc

Applications Development Programmer Analyst - C12

This incoming Analyst will begin the program aligned to our Structured Products / Asset-Based Finance (ABF) team, where they will work closely with Portfolio Managers and other investment partners to analyze portfolio positioning and performance, monitor risk and client objectives, and deliver actionable insights that support day-to-day portfolio management. The Portfolio Analysis Group (PAG) partners closely with investment teams to provide the analytics and insights that support portfolio construction, risk monitoring, performance analysis, and investment decision-making.

Prudential Financial Inc

PGIM - Investment Analyst, Portfolio Analysis Group

PGIM Global High Yield Fund

No matter your team placement, as a member in our program, you can expect: Global Exposure: Work in globally scoped projects with cross-functional teams and gain insights into how technology drives the financial sector worldwide. Continuous Learning: Benefit from structured learning, networking, mentoring, and development programs that are designed to sharpen your technical prowess, enhance your business insight, and cultivate your leadership skills.

Technology, Application Development, Summer Analyst, New York Or New Jersey - USA, 2027

Maintains professional growth through the utilization of professional organizations, seminars, in-service programs and other self-directed learning activities, Demonstrates professionalism with physicians, co-workers and supervisors, Utilizes principles of continuous quality improvement in all work situations to assess, measure and improve organizational and department functions. RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team.

RWJ Barnabas Health Medical Inc

Data Analyst RN

As a PeopleSoft subject matter expert, the PeopleSoft Tech Analyst III works closely with functional analysts, business partners, infrastructure teams, vendors, and other technical resources to support PeopleSoft applications, upgrades, integrations, and ongoing system operations. RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team.

Peoplesoft Tech Analyst III

The Security Analyst leads day-to-day operations of the company's security tooling across on-premises, cloud, and SaaS environments, drives the identification, investigation, and resolution of security events, and partners with engineering and operations teams to embed security throughout the software development and deployment lifecycle. Assess and mitigate risks specific to AI/ML systems the organization builds or consumes, including prompt injection, jailbreaks, insecure output handling, training-data and model integrity, sensitive-data leakage, and model/identity supply-chain risks.

Fortegra Financial

IT Security Analyst

Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. Citi provides consumers, corporations, governments, and institutions with a broad range of financial products and services, including consumer banking and credit, corporate and investment banking, securities brokerage, transaction services, and wealth management.

Coding Analyst Jobs in New Jersey

Quality Analyst / Medical Auditor SourcePro Search

Clinical Trials Medicare Coverage Analyst Vitalief

Billing Optimization Analyst Med-Metrix, LLC

IBR Senior Analyst Zelis Healthcare, Inc.

Accounts Receivable Analyst Deloitte

HEDIS Data Quality Integrity Analyst Blue Cross and Blue Shield Association

Medicare Pricing Analyst Wisconsin Physicians Service Insurance Corp

Accounts Receivable Analyst Deloitte Touche Tohmatsu Ltd

Business Analyst - Hackensack, NJ Georgia Tek Systems

HEDIS Data Quality Integrity Analyst Horizon Healthcare Services

.Net Developer Analyst Barclays Plc

Clinical Research Billing Analyst Vitalief

Applications Development Programmer Analyst - C12 Citigroup Inc

PGIM - Investment Analyst, Portfolio Analysis Group Prudential Financial Inc

PGIM - Investment Analyst, Portfolio Analysis Group PGIM Global High Yield Fund

Technology, Application Development, Summer Analyst, New York Or New Jersey - USA, 2027 Citigroup Inc

Data Analyst RN RWJ Barnabas Health Medical Inc

Peoplesoft Tech Analyst III RWJ Barnabas Health Medical Inc

IT Security Analyst Fortegra Financial

Applications Development Technology Lead Analyst, Vice President Citigroup Inc

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