Health Insurance Jobs in Princeton-Trenton

Positions 4,139 Updated daily

Looking for Health Insurance jobs in Princeton-Trenton? Browse our curated listings with transparent salary information to find the perfect Health Insurance position in the Princeton-Trenton area.

Manager, Implementations

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is seeking an Implementation Manager to support key client accounts in implementing and de-implementing the Health Data & Management Solutions (HDMS) program portfolio. The role involves being the point person for clients throughout the implementation process, hosting meetings, tracking project implementation, and ensuring client needs are met. The ideal candidate should have 4+ years of project management experience, client facing experience, and experience in health care product implementation. The position offers a competitive pay range, comprehensive benefits, and opportunities for professional growth.

Manager, Global Trade- Empowered Official (Onsite)

Company: RTX

Location: Princeton, NJ

Posted Dec 03, 2024

Raytheon is seeking a Manager, Global Trade to oversee export/import licensing activities within the Advanced Products & Solutions (APS), Space, Imaging and Microelectronics (SIM) business. The role involves providing guidance on export/import requirements, acting as the Empowered Official, and managing export/import licensing strategies. The successful candidate will support Raytheon's subsidiaries, including Blue Canyon Technologies, SEAKR Engineering, Sensors Unlimited Inc., and Raytheon Vision Systems. The position requires a university degree, minimum 8 years of relevant experience, and U.S. citizenship due to security clearance requirements. The role offers a competitive salary range of $105,000 - $221,000 and a comprehensive benefits package.

Senior Coordinator Revenue Cycle

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is seeking a MinuteClinic Accounts Receivable Associate with at least 2 years of medical billing experience. The role involves managing high volumes of medical claims, refuting denials, and identifying trends/issues. The associate will also prioritize outstanding refund requests, implement process efficiencies, and ensure compliance with CMS regulations. Familiarity with CPT, ICD-9/10, CMS 1500 claim formatting, EDI transmission, and EHR is required. The position offers a competitive pay range, comprehensive benefits, and opportunities for career growth.

Nurse Practitioner - Senior Community Care - Atlantic County, NJ - Optum

Company: UnitedHealth Group

Location: Trenton, NJ

Posted Dec 03, 2024

Optum Home & Community Care, part of the UnitedHealth Group, is offering a $20,000 sign-on bonus for external candidates. They are creating a new integrated care model addressing physical, mental, and social needs. The Senior Community Care (SCC) product provides care to patients at home, nursing homes, assisted living, and senior housing. This role involves conducting comprehensive assessments, managing acute medical situations, and collaborating with an interdisciplinary care team. The company is the nation's largest employer of Nurse Practitioners, offering superior professional environment and growth opportunities. Flexible scheduling is provided with no on-call, weekends, or holidays. Required qualifications include a Master's or Doctorate in Nursing, active APC license in New Jersey, and active Nurse Practitioner certification. Preferred qualifications include clinical experience, understanding of geriatrics, and proficient computer skills.

Manufacturer Intelligence Manager

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is seeking a Manufacturer Intelligence Manager to support strategic interactions with pharmaceutical manufacturers. The role involves developing and managing data and insights about manufacturer partners, leveraging internal and external sources, and collaborating with leaders across Trade. The manager will be responsible for creating actionable strategies, utilizing CRM systems, and providing strategic intelligence for new ventures. Required qualifications include 5+ years of total work experience, 2+ years in Pharmaceutical or Consulting, and a strategic mindset. Preferred qualifications include an MBA, experience in competitive intelligence, and proficiency in SQL, Tableau, and CRM systems.

Clinical Pharmacist - Prior Authorization (Arizona Licensed)

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is seeking a clinical pharmacist for a remote, full-time role. The pharmacist will review Prior Authorizations, verify medically necessary indications, and provide internal support to the PA team and member services department. The role involves performing foreign drug reviews, medical record reviews, case analysis, and clinical projects. The ideal candidate should have 1+ year of pharmacist experience in Pharmacy Benefit Management, active licensure in Arizona and their state of residence, and excellent communication skills. The pay range is $72,306.00 - $207,648.00, with additional benefits including medical, dental, vision, 401(k), life insurance, disability benefits, well-being programs, education assistance, and PTO.

Retail Sales Associate

Company: Staples

Location: Princeton, NJ

Posted Dec 03, 2024

Staples is hiring Sales Associates immediately, offering flexible part-time hours, generous paid time off, and career growth opportunities. The role involves providing exceptional customer service, helping customers find products, handling returns, and collaborating in a team-oriented retail culture. Essential skills include customer engagement, conflict management, and physical abilities to lift and move materials. Preferred but not required is customer service or cashier experience in a retail environment.

Manager, Pricing

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is seeking a Manager, Pricing with expertise in pharmacy claims appeal processes and state bill requirements. The role involves developing and implementing solutions, leading automation efforts, and creating reports for appeal compliance. The candidate must have a thorough understanding of claim adjudication and internal processes. They will also collaborate with various teams, interpret and draft responses to state DOI inquiries, and mentor pricing team members. Required qualifications include 5+ years of relevant experience, 1+ year in pharmacy and state DOI appeal processes, and strong communication skills. The pay range is $54,300.00 - $159,120.00.

Solar Sales Representative

Company: Sunrun

Location: Trenton, NJ

Posted Dec 03, 2024

Sunrun is seeking a Solar Sales Specialist to engage potential customers, educate them on solar benefits, and guide them through sales. The role offers uncapped commissions, comprehensive training, and career growth opportunities. Sunrun emphasizes a commitment to diversity, inclusion, and belonging, and is an equal opportunity employer.

Pharmacy Technician

Company: CVS Health

Location: Trenton, NJ

Posted Dec 03, 2024

CVS Health is inviting applications for Pharmacy Technicians, emphasizing their commitment to human-centric healthcare. The role involves delivering compassionate care, managing pharmacy workstations, and ensuring regulatory compliance. New hires must complete a training program and meet state licensing requirements. The position offers opportunities for career growth and a range of benefits, including medical, dental, vision, 401(k), life insurance, disability benefits, and well-being programs.

Content Quality Analyst

Company: Dow Jones

Location: Princeton, NJ

Posted Dec 03, 2024

Dow Jones is seeking a Quality Analyst for its Due Diligence team. The role involves creating high-quality reports on companies and individuals, reviewing and editing bespoke reports, and collaborating with various team members. Key responsibilities include ensuring reports meet client requirements, verifying complex information, and communicating effectively with clients. Preferred qualifications include excellent English writing skills, research skills, and knowledge of international affairs. Fluency in languages like Portuguese, French, German, etc., and specialist legal, business, or financial knowledge are also beneficial. Dow Jones offers comprehensive benefits, including healthcare, retirement plans, and paid time off.

Retail Sales Specialist

Company: Staples

Location: Princeton, NJ

Posted Dec 03, 2024

Staples is hiring Sales Specialists immediately, offering training and a fun, team-oriented retail culture. The role involves providing exceptional customer service, understanding customer needs, and collaborating to offer total solutions. Benefits include flexible part-time hours, generous paid time off, career growth opportunities, and various discounts. Essential skills include strong customer service experience, ability to work flexible schedules, and lift materials in the 10-50 pound range. Preferred but not required is experience selling products or services.

Frequently Asked Questions

What are typical salary ranges by seniority in health insurance?
Entry‑level analysts earn $50k–$70k annually. Mid‑level underwriters and actuaries range $70k–$100k. Senior directors and VP roles exceed $120k–$170k, with bonuses and profit sharing in top‑tier firms.
What skills and certifications are required?
Core skills: SQL, SAS, Python, Excel, risk modeling, and claims adjudication. Certifications: Certified Professional in Healthcare Quality (CPHQ), Certified Health Insurance Associate (CHIA), HIPAA Privacy & Security, SOA Actuarial Exams (CD, CE, FA), and Health Information Management (RHIA).
Is remote work available in health insurance roles?
Claims, analytics, underwriting, and compliance roles are largely remote‑ready, especially with secure VPNs and cloud platforms. Only field‑service or on‑site actuarial model validation may require office presence.
What are common career progression paths?
Start as Analyst → Senior Analyst → Manager → Director → Vice President of Risk or Chief Risk Officer. Lateral moves into product management or data science broaden skill sets and open higher‑level opportunities.
What are current industry trends in health insurance?
Current trends include AI‑enabled fraud detection, value‑based care contracts, telehealth integration, blockchain for claims transparency, and stricter data‑privacy regulations. Professionals who master these areas will command higher salaries and stronger job security.

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