• Healthcare Claims - Business

    Wolters Kluwer (Riverwoods, IL)
    …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
    Wolters Kluwer (12/17/24)
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  • Business Analyst ( Claims

    Molina Healthcare (Kenosha, WI)
    **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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  • Sr Analyst , Medical Economics (NY Medicaid…

    Molina Healthcare (Kenosha, WI)
    healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **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… more
    Molina Healthcare (12/29/24)
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  • Sr Analyst , Business (Remote)

    Molina Healthcare (Kenosha, WI)
    **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 (12/19/24)
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  • Analyst , Config Info Mgmt - Benefits…

    Molina Healthcare (Kenosha, WI)
    …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 knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
    Molina Healthcare (12/20/24)
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  • Senior Analyst , Reporting and Analytics,…

    Walgreens (Deerfield, IL)
    …**Job Summary** _Primarily responsible for reporting financial information related to claims , premiums and allocations to the Accounting and Finance stakeholders ... responsible for managing, tracking and facilitating payments to outside suppliers for claims , insurance and related items. This role is responsible for eliminating… more
    Walgreens (12/14/24)
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  • Manager, Medical Economics - REMOTE

    Molina Healthcare (Kenosha, WI)
    …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of ... meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching,… more
    Molina Healthcare (12/14/24)
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