- Molina Healthcare (Cleveland, OH)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... research findings and results to leadership and respective operations teams. Manages and leads major claims ...respective operations teams. Manages and leads major claims projects of considerable complexity and volume that may… more
- TEKsystems (Moorestown, NJ)
- …are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on digging ... mainly with Excel (Power BI, Tableau) is a plus Familiarity with TPA operations or claims systems is a plus Experience Level Intermediate Level Job Type &… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- Overview Senior Acquisition Program Cost Analyst /Estimator(SIOP-2025-23096): Bowhead seeks an experienced Senior Cost Analyst /Estimator to join our Shipyard ... of the program is the design, development, implementation, and management of the SIOP Operations Center (SOC). The SOC will serve as both a working and briefing… more
- Sedgwick (Houston, TX)
- …preferred. Experience Six (6) years of related experience in legal billing, insurance claims , or law firm operations , or equivalent combination of education and ... Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote PRIMARY PURPOSE :...plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and… more
- Molina Healthcare (Madison, WI)
- …and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... other team members as requested on all things data related. Supports Operations and Implementations of special projects Responsible for analytics and reporting,… more
- CVS Health (Chicago, IL)
- …and every day. This is a hybrid position. Position Summary As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... Formulary and/or Rebate knowledge beneficial. Experience with Caremark business systems, claims adjudication, formulary, drug, and client systems with an emphasis on… more
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for an Analyst , Operations & Client Analytics to create impact among Somatus' clients ... and leadership by analyzing Somatus' healthcare claims and care management data. This position will work...management data. This position will work collaboratively with the Operations , Customer Success, and Analytics teams to support our… more
- Tutor Perini (Sylmar, CA)
- …or in the future. Tutor Perini Corporation is seeking a **Risk Management Analyst ** to join our office in **Sylmar, CA** **About Tutor Perini Corporation:** ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** The Risk Management Analyst is responsible for identifying, assessing, and mitigating operational,… more
- BJC HealthCare (St. Louis, MO)
- …Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing appeals for denials for Medicaid and Medicaid risk ... schools in the country. Preferred Qualifications Role Purpose The Patient Accounts Analyst ensures that all insurance, accounts receivable and billing processes are… more
- Humana (Boise, ID)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... and help us put health first The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Sedgwick (Alexandria, VA)
- …in Financial Services & Insurance Workforce Analytics & Productivity Monitoring Analyst PRIMARY PURPOSE OF THE ROLE: To manage Sedgwick's Workforce Analytics ... work with various stakeholders to integrate the product into daily operations . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Engineers, implements, monitors and champions… more
- Highmark Health (Madison, WI)
- …process improvement meetings and/or discussions. Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in ... 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) Preferred 0 - 1… more
- Huntington Ingalls Industries (Newport News, VA)
- CORPORATE SENIOR R&D TAX CREDIT ANALYST 4 Location: Newport News, Virginia, United States Date: Nov 17, 2025 Req ID: 44203 Team: N365 CONTROLLER Entity: HII ... and business disciplines, including accounting, finance, human resources, sales, operations , business development, legal, sustainability, communications, information technology, security,… more
- Humana (Richmond, VA)
- …CFOs, clinical teams, and provider engagement teams, focusing on Medicaid claims and premium analytics across multiple states, including established and expansion ... data connecting financial outcomes with operational results, particularly in Medicaid claims and premiums. Deliver project-based and ad-hoc reporting for Medicaid… more
- Deloitte (Kansas City, MO)
- …wants to work in a collaborative environment? As an experienced Epic Professional Billing Analyst you will have the ability to share new ideas and collaborate on ... solutions are powered by engineering for business advantage, transforming mission-critical operations . We enable clients to stay ahead with the latest advancements… more
- Molina Healthcare (Racine, WI)
- …providing business process redesign, communication and change management for operations . Backend operationalization of policies, standardization of system set-up and ... maintain and/or create business process documentation and workflows related to Core Operations functions. Serve as liaison between Core Operations and internal… more
- Warner Music Group (New York, NY)
- …Department work closely with employees in the Business Affairs, Finance, Production, Operations , New Media, and Marketing departments of each label client to fulfill ... including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to… more
- Highmark Health (Annapolis, MD)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... identification and resolution activities, maintains program/system documentation and prepares/maintains operations documentation for assigned applications. Utilize or lead the… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …audit programs such as the Blue Cross Blue Shield Association (BCBSA) Local Operations Scorecard (LOS) and Licensee Desk Level Audit (LDLA), the Federal Employee ... related to quality assurance. + Assist the Data Reporting Analyst in collecting data and providing analyses for various...will bring:** + Four (4) years of customer service, claims or membership and billing experience in a call… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …support health economic claims . **Job Duties** + Serve as a primary analyst for clinical studies and RWE research using multiple clinical trial data and ... + Interpret statistical results; collaborate with cross-functional teams (clinical operations , regulatory affairs, medical writing, data management) to translate… more
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