- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Molina Healthcare (Mesa, AZ)
- …with customer to develop test requirements for major projects of considerable complexity. Lead/mentor Business Analysts and Sr Business Analysts on the team ... and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge Complex SQL and Excel expert knowledge SQL query and coding… more
- Prime Therapeutics (Phoenix, AZ)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a ... stakeholders, development team and broader project team. The BSA Sr IT is also responsible for partnering with the...to educate and advance the business systems analyst practice within the Claims IT team… more
- Prime Therapeutics (Phoenix, AZ)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Evolent (Phoenix, AZ)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… 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 cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… 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 and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Chandler, AZ)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- CVS Health (Scottsdale, AZ)
- …CVS Health is currently looking for a dynamic individual to join our team in an Sr . Analyst role. This is a client facing project management / auditor position ... initiated by CMS / States. In this position, the Sr . Analyst will work closely with multiple...requested audits with consistency and minimal disruption to the business . This position needs to be able to manage… more
- CVS Health (Scottsdale, AZ)
- …solutions to make health care more personal, convenient and affordable. CVS Health is seeking a Sr . Analyst , Medical Economics to join our team! The Sr . ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Phoenix, AZ)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Phoenix, AZ)
- …mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… 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; ... the coordination of the production of product performance reports and updates for senior management **Skills:** Business Analytics Business Intelligence Data… more
- HealthEdge Software Inc (Phoenix, AZ)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business … more
- Evolent (Phoenix, AZ)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Analytics team offers candidates the opportunity to work with key business , analytics, product, and operational leaders to deliver client-specific analytical… 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, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- Bank of America (Phoenix, AZ)
- …predictions + Coordinates the production of product performance reports and updates for senior management **Skills:** + Business Intelligence + Data and Trend ... Account Takeover and Device Policy Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond,...capitalize on your Fraud knowledge strategic thinking to solve business challenges and seek opportunities for improvement. The Account… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …position will provide oversight, mentoring, and guidance for less senior Investigative Analysts. Specific accountabilities include: * Reviewing incident reports, ... reoccurrence * Collecting evidence, including documents and interviews to support their claims and record their findings * Working with attorneys, and other USPTO… more