- Molina Healthcare (AZ)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Healthfirst (AZ)
- …contract terms, prepare fee schedules and accurately document file changes into the claims processing system + Research and identify published updates to payment ... fee schedules and accurately document file changes into the claims processing system + Research and identify...changes into the claims processing system + Research and identify published updates to payment methodologies, fee… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims data through… more
- Molina Healthcare (Phoenix, AZ)
- …cross functionally across multiple business areas. **KNOWLEDGE/SKILLS/ABILITIES** + Provides research and analytics associated with medical claims processing ... requirements (1500 and UB04), provider and benefit configuration, and other claim reimbursement drivers + Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. +… more
- Sumitomo Pharma (Phoenix, AZ)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... assets, and in-house advanced technology capabilities, we aim to accelerate discovery, research , and development to bring novel therapies to patients sooner. For… more
- Evolent (Phoenix, AZ)
- …models and approaches aimed at quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology ... presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at… more
- Bank of America (Phoenix, AZ)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... for senior management LOB Job Description: As a Client Protection Fraud Strategy Analyst , you will capitalize on your technical abilities and strategic thinking to… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology ... presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at… more
- Lincoln Financial Group (Phoenix, AZ)
- …73933 **Role at a Glance** Lincoln National Corporation seeks an Analyst , Application Development in Radnor, PA to consult/analyze and deliver assignments/projects ... for Group Protection IT Claims of application development responsibility. Act as a resource and develop complex innovative business solutions by creating new… more
- Randstad US (Phoenix, AZ)
- …appropriately resolving and reducing escalations from the Contact Center and Claims Services departments. Escalations [claimant inquiries] require research and ... escalation analyst . + phoenix , arizona + posted december...of service regardless of the project work assigned. + Research & Communication - Research complex claim… more
- Prime Therapeutics (Phoenix, AZ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... **Additional Qualifications** + Advanced troubleshooting skills, including in-depth client data research , which may involve research and drivers of utilization;… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Molina Healthcare (AZ)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Bank of America (Phoenix, AZ)
- Account Takeover and Device Policy Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... fraud risk and create mitigation strategies. As a Client Protection Fraud Policy Analyst , you will capitalize on your Fraud knowledge strategic thinking to solve… more
- Molina Healthcare (AZ)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) ... and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims ...to meet deadlines and needs of user community. + Research and analyze the benefits, fee schedules + Creates… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- USAA (Phoenix, AZ)
- …**The candidate selected for this position will work on the Auto Injury/Litigation Claims Analytics team. They will support the Claim organization as well as working ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions,… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... Analytical Thinking Critical Thinking Data and Trend Analysis Innovative Thinking Research **_This position is not eligible for sponsorship._** **_It is unlawful… more
- U-Haul (Phoenix, AZ)
- …in the life insurance industry. Oxford Life is seeking a talented Actuarial Analyst for the Actuarial Department of Oxford. This position reports to the Valuation ... to ensure the company's financial position to meet client claims . - Determine the financial soundness of each line...scheme. - Keep a close eye to the new research and developments that have arisen in the actuarial… more