- Prime Therapeutics (Nashville, TN)
- …Posting Title** Claims Technical Analyst , Sr . **Job Description** The Senior Claims Technical Analyst is responsible for serving as the ... analysis. This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process… more
- HCA Healthcare (Nashville, TN)
- …lives and you have the opportunity to make a difference. We are looking for a dedicated Sr Business Intelligence Analyst like you to be a part of our team. **Job ... Summary and Qualifications** The Senior BI Analyst is a part of...Our Talent Acquisition team is reviewing applications for our Sr Business Intelligence Analyst opening. Qualified candidates… more
- Elevance Health (Nashville, TN)
- …PulsePoint locations listed on the requisition. The **Proposal Develop Analyst Sr ** is responsible for providing technical and consultative support relative ... **Proposal Develop Analyst Sr - Commercial Proposals** **Team**...activities and responses with other operating areas such as Claims , Underwriting, Sales, and Specialty companies assuring their actions… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and ... quality bar. Collaborate with Software Engineers to understand features and technical implementation and ensure highest quality product delivery. Develop deep… more
- Amazon (Nashville, TN)
- Description Amazon's Global Risk Management and Claims team is seeking a Risk Analyst to assist with the development and management of Amazon's global insurance ... Reporting to a Risk Manager within Treasury, this Risk Analyst will join a technical risk team...developing business proposals and case studies for presentation to senior leaders. * Manage insurance policies and forms, reinsurance… more
- Evolent Health (Nashville, TN)
- …a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience using Microsoft… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Highmark Health (Nashville, TN)
- …test plans and execute them. + Act as subject matter expert/ technical liaison. Recommend process efficiencies, strategies for improvement, and/or solutions to ... 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- Vanderbilt University Medical Center (Nashville, TN)
- …determines appropriate resolution, independently. Corrects errors to quickly process delayed claims . . KEY RESPONSIBILITIES * Tracks, monitors, and updates billing ... general overview of the position and additional duties may be assigned. TECHNICAL CAPABILITIES * System Knowledge (Intermediate): Knowledge of the operation and… more
- The Cigna Group (Nashville, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... STARS, and Risk Adjustment Analytics team. Reporting to the Senior Manager of Clinical & Customer Data Science, the data scientist will analyze healthcare claims… more
- Highmark Health (Nashville, TN)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Analysis** : Organize and review financial and utilization data, including insurer claims , hospital and physician billing data, and payer fee schedules. **Support** ... agreements. **Data Security:** Ensures integrity and security of institutional data ** TECHNICAL CAPABILITIES** + Demonstrates skilled use of SQL, Python, Databricks… more
- HCA Healthcare (Brentwood, TN)
- …and for assigned projects. + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming ... data transfer methods, and electronic health record and health care claims standards and/or analytical techniques used in research programs. + Developing… more