- AAOS (Rosemont, IL)
- …lead the data extraction, quality assessment and analysis of the Registry Program data . The Senior Registry Analyst will develop formal policy and ... procedures for data retrieval and analysis. The Senior Registry Analyst will create verification metrics...conclusion including defining project objectives and deliverables. Experience with claims data (eg, Centers for Medicare and… more
- The MITRE Corporation (Mclean, VA)
- …make a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality ... working comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses,… more
- Molina Healthcare (Nicholasville, KY)
- …identify root cause, validate root cause and extrapolate potential impact of issue. Validates data received on claims to identify billing issues that will impact ... for accurate and timely production review of issues reported within our claims intake and processing ecosystem (QNXT, Edifecs, etc.). Gains understanding of solution… more
- Amazon (Arlington, VA)
- Description Amazon's Global Risk Management and Claims team is seeking a Sr . Risk Analyst to assist with the development and management of Amazon's global ... techniques for new and existing business initiatives. Additionally, the Sr . Risk Analyst will manage the insurance...System (RMIS) to manage exposures and policies * Establish data , metrics and benchmarking through multiple sources to evaluate… more
- Commonwealth Care Alliance (Boston, MA)
- …the Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... measure, manage, and report outcome results on edits implemented. + Utilize data to examine large claims data sets to provide analysis and reports on… more
- Prime Therapeutics (Columbus, OH)
- …drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst is ... for department level applications. **Responsibilities** + Serve as lead Analyst for complex and/or escalated analysis requests; coordinate requests... analysis, including 2 years of experience working with claims data or systems + Must be… more
- HCA Healthcare (Nashville, TN)
- …with fellow Risk & Insurance team members, clinical subject matter experts and fellow data scientists. The Senior BI Analyst will ensure a standardized ... make a difference. We are looking for a dedicated Sr Business Intelligence Analyst like you to...team) is responsible for the interpretation and understanding of claims data information. This individual will develop… more
- Samsung SDS America (Santa Ana, CA)
- …("SEA") and its Loss Control Group, as well as the Samsung SDS's Management/Finance Group. Sr . Claims Analyst will work on tracking and analyzing claim ... now grown into a global top-level third-party logistics company. Senior Logistics Claim Analyst (" Sr ....progress. The position tracks and reports progress on complex claims with customers, shippers, consignees, and carriers relating to… more
- ADM (Decatur, IL)
- **88365BR** **Job Title:** Sr Risk Analyst Property - Decatur, IL **Department/Function:** Risk Management **Job Description:** ** Sr Risk Analyst ... Property - Decatur, IL** Global Property Program Duties: + Data collection to compose, annually, the SOV (Summary of Values) as part of the Global Property Program… more
- Prime Therapeutics (Columbus, OH)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr **Job Description** The Senior Pricing Analyst ... revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP),...focus **Reporting Structure** + Reports to Manager, Director, or Senior Director in the Network Management or Pricing Planning… more
- Point32Health (Canton, MA)
- …and analysis of risk adjustment strategy across Point32Health business lines. The Data Analyst will assist in managing vendor relationships, monitoring risk ... and SQL knowledge to support risk adjustment initiatives + Work with internal claims , provider, member data and external analytics vendors to independently… more
- General Dynamics Information Technology (Fairfax, VA)
- …completion of technical tasks independently and as part of a team. + Analyzes claims data and conducts statistical analysis. + Develops data -driven solutions ... successfully solve our clients' biggest challenges. Our work is looking for a Sr . Data Scientist to help us support the Centers for Medicare and Medicaid… more
- Warner Music Group (TN)
- …music company that retains the creative spirit of a nimble independent. **Job Title: Sr . Analyst , Financial** **A little bit about our team:** Warner Music ... We're excited to share this new opportunity for a Sr . Analyst , Participations with strong analytical &...your manager + Handling large volumes of complex, financial data , you take pride producing accurate, quality work that… more
- CGI Technologies and Solutions, Inc. (Boston, MA)
- …etc. with key client stakeholders * Perform integration testing to test the flow of claims data * Create test scripts and coordinate testing for various critical ... **Guidewire Sr . Business Analyst (ClaimCenter)** **Category:** Business...(Scrum/SAFe) and multiple stakeholder environments * Exposure to Insurance claims Data Conversion, new functionalities such as… more
- Health First (Rockledge, FL)
- …pricing of new products and product enhancements. Collaborate with Decision Support, Underwriters, Claims , and Senior Management to develop plans for new lines ... and service. **Job:** **Underwriting* **Organization:** **HF Administrative Plan Inc* **Title:** * Sr Actuarial Analyst - Actuarial and Underwriting (must reside… more
- PSEG (Bethpage, NY)
- …with respect to their progress as reported by the field and assigned Sr . Construction Supervisor. Works with Construction Supervisors and Sr . Construction ... * Provide specification and contract interpretation to contractors. * Work with Sr . Construction Supervisors and Contract Management to review and approve contractor… more
- Elevance Health (Columbus, OH)
- **Proposal Develop Analyst Sr - Commercial Proposals** **Team** **Location:** This position will work a hybrid model (remote and office). The ideal candidate ... Elevance Health PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative… more
- Elevance Health (Tampa, FL)
- **Provider Contract/Cost of Care Analyst Sr .** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... 50 miles of one of Elevance's Pulse Point locations. **The Provider Contract/Cost of Care Analyst Sr .** is responsible for analytical support to the Cost of Care… more
- Molina Healthcare (Bowling Green, KY)
- …claims and provider databases. Contributing to critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... is a project management role focused on supporting provider data solution and processes. Contributing to accurate and timely...business rules as they apply to each database. Validate data to be housed on provider databases and ensure… more
- Catholic Health Initiatives (Houston, TX)
- …proficient; + Ability to use relational data sets/ tools such as Sg2 and claims data sets; and Cost Accounting systems + Demonstrated ability to : + ... offering adult and pediatric care for the Greater Houston area. **Responsibilities** Sr . Planning Analyst is responsible for coordination of planning analytics… more
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