- Public Consulting Group (St. Paul, MN)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... in IT workflow definition and monitoring of processes including 1 ) Incident and Problem Management, 2) IT Service Request...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- Prime Therapeutics (St. Paul, MN)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (St. Paul, MN)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **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
- CVS Health (St. Paul, MN)
- …to GPS to rework claims after validating as overpaid **Required Qualifications** * 1 years experience working with GPS and ECHS * Knowledge of ACAS claims ... This position will be responsible for utilizing previous ACAS claims experience along with provided guidance to review and...experience along with provided guidance to review and validate claims for overpayment. The ideal candidate will be able… more
- Prime Therapeutics (St. Paul, MN)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Elevance Health (Mendota Heights, MN)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Prime Therapeutics (St. Paul, MN)
- …and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description** + Performs exploratory data analysis and data ... mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of… more
- Prime Therapeutics (St. Paul, MN)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… more
- Baylor Scott & White Health (St. Paul, MN)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Fairview Health Services (Minneapolis, MN)
- …development, and execution of data transformation into actionable information. The Analyst will create and maintain state-of-the-art information assets using but not ... to design analytic solutions using electronic medical record data, claims , and other data sources. . Mentors Analysts in...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Fairview Health Services (Minneapolis, MN)
- …teams and leadership to design analytic reports using electronic medical record data, claims , and other data sources. + Coach other analytic engineers in the ... data submissions. + Work directly and independently with the Analyst , Data Modelers and/or ETL Developers to create meaningful...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Army National Guard Units (St. Paul, MN)
- …Major Duties: This is not an all-inclusive list A IT SPECIALIST (PLCYPLN), GS-2210-11, 1 . Develops and manages the state IT Plan. Provides support in the planning ... and compliance with C4 priorities and objectives. (30%) 3. Serves as a key analyst in the IT capital planning process. Completes and reviews the state's IT budget… more
- Prime Therapeutics (St. Paul, MN)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more