• Analyst , Business -( Claims

    Molina Healthcare (Lincoln, NE)
    …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
    Molina Healthcare (12/20/24)
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  • Business Analyst ( Claims

    Molina Healthcare (Lincoln, NE)
    **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 (12/21/24)
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  • IT Business Systems Analyst Sr

    Prime Therapeutics (Lincoln, NE)
    …work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + Strong ... It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems … more
    Prime Therapeutics (12/19/24)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Lincoln, NE)
    …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
    Sumitomo Pharma (11/07/24)
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  • Senior Pricing Analyst

    Prime Therapeutics (Lincoln, NE)
    …passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst participates in the ... 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
    Prime Therapeutics (12/19/24)
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  • Senior Analyst , Client Analytics - 2+…

    Evolent (Lincoln, NE)
    …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
    Evolent (12/05/24)
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  • Safety Analyst

    TelCom Construction (Columbus, NE)
    …telecommunications industry. We are currently hiring an individual to fill our Safety Analyst role reporting to our Omaha, NE location. **Connecting you to great ... gym memberships, pet insurance, and much more! **The Safety Analyst is responsible for the following areas of safety...Assists with investigating and administering property and utility damage claims in a timely and professional manner + Conducts… more
    TelCom Construction (12/21/24)
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  • QA Analyst - ETL / Agile

    Molina Healthcare (Lincoln, NE)
    …Description** Who you are : + You have proven experience as a QA Analyst within an Agile environment. + Experienced testing on-premise and cloud based ETL/BI ... You can prioritize. + You have experience with QNXT, claims processing , healthcare insurance and SQL + You...QA role within our Agile team is a Senior Analyst position dedicated to ensuring the highest quality standards… more
    Molina Healthcare (12/28/24)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Lincoln, NE)
    …decision 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
    Prime Therapeutics (12/24/24)
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  • Sr Analyst , Quality Analytics…

    Molina Healthcare (Lincoln, NE)
    **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
    Molina Healthcare (12/25/24)
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  • Senior Analyst , Strategic Healthcare…

    Evolent (Lincoln, NE)
    …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
    Evolent (11/27/24)
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  • Appeals Analyst

    Highmark Health (Lincoln, NE)
    …+ Knowledge of multiple processing systems and workflows + Knowledge of claims processing methodologies + Ability to interpret all government regulations + Knowledge ... behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of...employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to… more
    Highmark Health (12/31/24)
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