- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... relevant WMG internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and WMG's internal… more
- Molina Healthcare (Madison, WI)
- …Effectively uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr . Analyst , Data is responsible for data ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- IQVIA (Durham, NC)
- …(RWE) FSP team, working fully within the environment of a prominent Pharma company. This senior data analyst role sits within our Real World Solutions team ... individual to have prior experience in observational research utilizing EMR and claims data , a strong statistical programming skillset, and experience managing… more
- Prime Therapeutics (Hartford, CT)
- …organization Serves as the lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and ... of pharmacy with us. Job Posting Title Clinical Research Analyst , Senior - Remote Job Description The...of relevant Healthcare experience including: analyzing and using healthcare claims data , clinical research study design, and/or… more
- Molina Healthcare (Green Bay, WI)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, ... Job Description Job Summary Sr . Analyst , Network Strategy, Pricing &...required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) Coordinates… more
- Humana (Richmond, VA)
- …analysis. Design, code, and execute advanced SQL queries; independently pull and manipulate claims data from established databases. Develop and present Power BI ... provider experiences. Preferred Qualifications Experience with healthcare insurance, Medicaid, or claims data analytics Prior exposure to financial analysis or… more
- CVS Health (Richmond, VA)
- …we do it all with heart, each and every day. Overview The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... collaboration with cross-functional teams to understand business needs and deliver data -driven solutions that are both technically sound and strategically aligned.… 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 ... to meeting you. **The Role** HII seeks an experienced Senior Research & Development (R&D) Tax Credit Analyst...data , project records, and technical documents to substantiate claims . + Prepare and / or review externally prepared… more
- Molina Healthcare (Augusta, GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (Tampa, FL)
- …for Medicaid, Marketplace and Medicare/MMP. Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. Assist ... Job Description Job Summary The Analyst , Quality Analytics and Performance Improvement role will...educate users on how to use reports. Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along… more
- WTW (Denver, CO)
- …as the development of the Willis View of Risk by using third party data and models to develop adjustments where necessary. You will also undertake wider research ... Risk, including adjustments for model limitations, near-term climate conditions, and claims experience. Working with clients, jointly with other Willis commercial… more
- DESC (Seattle, WA)
- …of data analytics, presentation, and problem solving. The FCS Data Analyst will work closely with the Senior Manager of Policy and Program Analytics ... Data Analyst - Foundational Community Supports...requirements. + Research, audit, and investigate proper payment of claims . + Assist in various quality assurance activities, including… 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:** ... coast, notable projects include The Purple Line (D Line) Extensions in Los Angeles, SR 99 Viaduct replacement tunnel in Seattle, East Side Access projects and the… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …role in our Office of Enterprise Data (OED). The Data Science Analyst III is a senior -level analyst who independently collaborates with stakeholders ... rewarding. **It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst III, under the direction and supervision… more
- Humana (Boise, ID)
- …community and help us put health first The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... team as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for implementation,… more
- Highmark Health (Annapolis, MD)
- …of bachelor's degree 10-15 years experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility for ... sources across Highmark's business units, coupled with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and… more
- Lyric (Newtown Square, PA)
- …coding guidelines with strong leadership skills to guide their team in delivering superior claims edits. The Senior Manager will meet regularly with clients to ... claims editing solution, as a payment, reimbursement or medical policy analyst , medical claims processor, chart auditor/reviewer, or claims edit/denial… more
- The Cigna Group (Bloomfield, CT)
- The job profile for this position is Agile Product Owner Senior Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. ... engineers, and scrum masters to ensure digital features related to claims and accounts (HRA/FSA/HSA), coverage/benefits, prior authorizations, and ID cards are… more
- Johns Hopkins University (Baltimore, MD)
- …for developing, implementing, and managing a plan to translate data into insights. The Sr . Data Analyst will provide expertise in data analysis and ... large healthcare datasets, including Medicaid, Medicare, commercial, and all-payer claims . We are seeking a **_Sr. Data ...and monitor programs, projects, and general business success. The Sr . Data Analyst will serve… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- **_SUMMARY_** We are currently seeking a *PFS Contract Variance Analyst Senior ** *to join our Denials Analysis team. This full-time role will work remotly (Days, ... M- F). *Purpose of this position:*The Contract Variance Analyst Senior is responsible for leading the end-to-end appeals process related to contract variances… more
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