64 Healthcare Professionals jobs in Bernardsville

• FHIR Standards & API Integration:
  • Proven experience working with HL7 FHIR specifications, including resource modeling, API design, and implementation for clinical data exchange.
  • Lead requirements gathering and gap analysis for FHIR-based APIs to support patient data exchange across systems.
  • Collaborated with development teams to define resource mappings and ensure compliance with HL7 standards.
  • Participated in testing and validating FHIR endpoints for clinical and administrative data.
• EMR Systems:
  • Hands-on experience with leading EMR platforms like Epic, Cerner, or Allscripts. Ability to analyze workflows, extract structured/unstructured data, and support integration efforts.
  • Worked with multiple EMR platforms (e.g., Epic, Cerner, Allscripts) to extract and normalize patient data for downstream processing.
  • Defined workflows for integrating EMR data into analytics platforms and care coordination tools.
  • Partnered with clinical stakeholders to ensure EMR configurations aligned with operational needs and regulatory requirements.
• Healthcare Interoperability:
  • Deep understanding of interoperability frameworks, including CMS and ONC mandates, 21st Century Cures Act compliance, and payer-provider data exchange. Experience facilitating seamless data flow across systems using secure protocols and standardized formats.
  • Supported initiatives aligned with CMS and ONC interoperability mandates, including 21st Century Cures Act compliance.
  • Facilitated data exchange between payers, providers, and third-party applications using APIs and secure transport protocols.
  • Conducted impact assessments and documentation for interoperability enhancements, including patient access and provider directory services.
• Business Analysis Skills:
  • Strong capabilities in requirements gathering, stakeholder engagement, process mapping, and documentation. Experience working in Agile environments and collaborating with cross-functional teams including developers, QA, and product owners.

• Strong verbal and written communication skills
• Familiarity with utilization management processes, preferably prior authorization within all lines of business
• Experience working with health plans, PBM, and specialty pharmacies is a plus.
• Problem-solving and business analysis skills with strong attention to detail
• Strong execution skills
• Highly organized and flexible
• Team Player

• Four plus years working as a Business Analyst
• Bachelor's Degree required.
• Experience working with MS Office products.
• Authorized to work in the USA without Sponsorship or Restrictions.

Role Snapshot

The Healthcare Informatics Analyst is responsible for collecting, processing and analyzing data to provide actionable insights that support strategic decision-making. The role serves the division through statistical data analysis, identification of existing issues, and supporting divisional strategies of process and technology innovation and profitable growth to ensure continued quality improvement and prevent fraud, waste, and abuse. This includes analyzing, interpreting, and visualizing claims, clinical, and/or operational data from various sources and recommending best approaches for intervention.

Salary Range

$60,000 - $85,000

The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.

Work Location
Our first consideration will be to have this new employee live in the state of Wisconsin to take advantage of Hybrid work and collaboration. Employees within 45 miles of WPS Headquarters (1717 W. Broadway in Madison, WI) will be expected to be able to be able to work Hybrid 2 days a week on a regular basis.

*As a secondary consideration, we do offer remote work in the following approved states:
Arizona, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, North Dakota, Ohio, South Carolina, South Dakota, Texas, Virginia, Wisconsin

In this role you will:

• Create, test, and deploy models, reports, and analyses.
• Develop and maintain dashboards and reports using tools such as Excel, Tableau, Power BI, or similar.
• Work with cross-functional teams to understand data needs and recommend analytical approaches.
• Analyze data trends to identify patterns, outliers, and opportunities for improvement.
• Participate in and/or lead projects to ensure requests are completed efficiently and accurately in accordance with contract requirements.
• Assist in ad hoc data requests for operational areas and their Medicare contract requirements, as necessary.
• Identify, recommend, and implement process improvement changes to existing processes.
• Research, recommend, and master new industry analytical techniques and business intelligence tools.
• Ensure data integrity, security, and compliance with company and industry standards.
• Other job-related responsibilities may be assigned as required.

How do I know this opportunity is right for me? If you:

• You communicate with confidence, clarity, and sound reasoning when discussing concerns, ideas, and suggestions with all levels of staff and management.
• Enjoy working with BIG DATA!
• Are creative, innovative, and get excited about using data differently.
• Seek opportunities to utilize your personal responsibility to interpret and analyze data from various sources and recommend best approaches.
• Are good at presenting technical information to non-technical audiences.
• Have the drive to manage your own projects from start to completion.
• Keep current with industry quality analytic approaches and proficiency with business intelligence tools.

What will I gain from this role?

• Get to perform fun and exploratory data analysis that will have real world business implications!
• Working with a forward thinking and highly collaborative team.
• Learning about the Medicare Program.
• Serving Medicare beneficiaries and actively protecting the Medicare Trust Fund.
• Working in a continuous performance feedback environment.
• Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries.

Minimum Qualifications

• Bachelor's Degree in Data Analytics, Mathematics, Statistics, Computer Science or related field or equivalent combination of education and experience.
• 1 or more years of experience querying, reshaping, and visualizing data and systems.
• Proficient with business intelligence/analytical tools and programming languages.
• Ability to interpret analytic results and create summarizations for presentations.
• Proficient with Microsoft Office applications.
• Strong written and verbal communication skills.
• Strong problem-solving, analytical, and critical thinking skills.
• Basic understanding of health insurance systems and the claims processing workflow.

Preferred Qualifications

• Experience with Medicare, Medicaid, TRICARE, VA, or healthcare claims.
• Experience in a clinical or business data analytics role.
• Master's Degree in Data Analytics, Mathematics, Statistics, Computer Science or related field.

Remote Work Requirements

• Wired (ethernet cable) internet connection from your router to your computer.
• High speed cable or fiber
• Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at
• Please review Remote Worker FAQs for additional information.

Benefits

• Remote and hybrid work options available.
• Performance bonus and/or merit increase opportunities.
• 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately ).
• Competitive paid time off.
• Health insurance, dental insurance, and telehealth services start DAY 1.
• Professional and Leadership Development Programs.
• Review additional benefits: (

Who We Are

WPS Health Solutions is a leading not-for-profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS Health Solutions has been making health care easier for the people we serve for more than 75 years. Proud to be military and veteran ready.

Culture Drives Our Success

WPS' Culture is where the great work and innovations of our people are seen, fueled, and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities.

We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition.

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*This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.

Job Description

Purpose of Role:

We are hiring a detail-oriented and proactive Legal Assistant to provide comprehensive support to attorneys in our client-driven Healthcare Department. This role demands strong attention to detail, excellent organizational skills, and a dedication to delivering outstanding client service in a high-volume environment.

Responsibilities:

• Coordinate multi-layered scheduling needs, including appointments with clients and third parties, while maintaining detailed attorney calendars.
• Prepare and process retainer agreements, client correspondence, pleadings, orders, and other documents related to healthcare legal matters.
• Efficiently manage incoming mail, faxes, and contract forwarding.
• Oversee client documents, email databases, and conduct conflict searches.
• Open new matters, including litigation cases, with precision while upholding ethical standards.
• Manage calls, meetings, and reminders for the team, clients, and opposing parties; prepare attorneys with necessary materials and ensure deadlines are tracked.
• Provide exceptional client support and draft professional correspondence.
• Manage emergent matters and organize client conferences, ensuring adherence to department protocols.
• Assist with billing processes, time entry, and collections follow-up.
• Maintain strict confidentiality and ensure compliance with healthcare privacy laws and firm policies.

Qualifications:

• Minimum of 3+ years’ legal assistant experience at a law firm; experience in healthcare law a plus.
• Proficient in Microsoft Office Suite (Word, Excel), Kofax (Adobe), DocuSign, Zoom, and NetDocuments, SurePoint, or similar case management software.
• Expertise in calendar and inbox management.
• Highly organized with exceptional multitasking and prioritization skills.
• Initiative-taking team player with proficiency in both collaborative and independent work.
• Strong critical thinking skills in fast-paced environments.
• Skilled in composing, editing, and proofreading legal documents.
• Capable of coordinating routine administrative tasks.
• Polished, professional demeanor with clear communication skills.

The Perks:

• Competitive Salary & Comprehensive Benefits Package.
• Ongoing Opportunities for Professional Growth and Development.
• Immerse Yourself in a Collaborative and Supportive Work Environment, Recognizing and Celebrating Individual Contributions.
• Contribute to Our Firm’s Philanthropic Initiatives and Make a Positive Impact Beyond the Legal Realm.
• Make a Substantial Impact Within Our Esteemed Law Firm.

Application Details:

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. For more information on our firm and our culture, visit us at

Why Mandelbaum Barrett PC?

Unlock Your Potential with Mandelbaum Barrett PC! Dive into a world of legal brilliance, teamwork, and rewards that’ll make your career soar! Together, we’ll make a meaningful impact in the legal field. #LegalExcellenceUnleashed #SkyrocketYourCareer

Links to Best Places to Work 2023 | Glassdoor Reviews | You Tube – Why Us? | US News 2024 - Best Companies To Work For

** Apply Now! ** ***ADP Job Postings

Mandelbaum Barrett PC is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Looking for a Business Analyst with Healthcare experience.

Location: Parsippany, NJ
5 Days Onsite
Contract to Hire

Requirement - BA with Healthcare (SME)

Experience:
• Data collection and reporting, Strategic planning, Project leadership, and mentoring roles.
• Experience with EHR.

Preferred Certifications:
Certified Business Analysis Professional (CBAP)
Certified Professional in Health Information Management (CHIM).

Tekfortune is a fast-growing consulting firm specialized in permanent, contract & project-based staffing services for world's leading organizations in a broad range of industries. In this quickly changing economic landscape, virtual recruiting and remote work are critical for the future of work. To support the active project demands and skills gaps, our staffing experts can help you find the best job for you.

Role: Dotnet Developer -- Healthcare
Location: Remote
Duration: 6+ Months
Required Skills: Dotnet, JavaScript, SQL, Agile, Healthcare, C# / VB.NET, XML
Job Description: Provide production support for enrollment files processing troubleshooting, review logs, review/update configuration, respond to business queries, make minor modifications to handle different situations, as necessary.
Develop in .NET applications to support new business requirements and partners be able to work on multiple requirements at the same time; make sound technical design and implementation decisions, based on scenarios and prior experience.
Handle non-.NET code like T-SQL, JavaScript, AJAX, XSLT, jQuery, work with various teams to support testing and troubleshooting of the operations.
Be a self-learner and lead complicated applications with spread out deployments and different technologies.
Work with the Business Analyst to review and implement new changes in the software, clarify questions, incorporate many changes required to support interactions with the business.
Work with the technical team members to perform design/code reviews, follow change control processes to take quality code to production.
Be disciplined about maintaining source code control and versioning; adhere to strict process to check-in/checkout, regardless of the dynamic nature of the environment.
Work as Agile development teams, also with Offshore teams to provide/clarify requirements, support code development offshore, participate in and contribute to best practices, appropriately support the implementation of developed software. Required Expertise & Experience in .NET (C# or VB.NET)
Required Expertise & Experience in MS SQL
Required Writing & Maintaining complicated SQL queries, Stored Proc, Triggers etc.

Preferred Experience in Healthcare Enrollment side of business.
Preferred Expertise & Experience in ReactJS
Strong Experience working with XML, XSD, XSLT, XPath SOAP, WSDL

Nice to have Java Stack experience: Core Java & J2EE, Java application servers, Java Messaging Services (JMS) etc. SOAP based Web Services creation and maintenance.
Team player, work with different teams in the organization in a seamless manner.
Multi-tasking, capable of handling multiple projects and priorities at the same time.

For more information and other jobs available please contact our recruitment team at To view all the jobs available in the USA and Asia please visit our website at