- Prime Therapeutics (Frankfort, KY)
- …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
- Prime Therapeutics (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Molina Healthcare (Georgetown, KY)
- …to market-specific business rules, facilitating the accurate and timely payment of claims . Analyzes complex business problems and issues using data from internal and ... formal training in Project Management + Experience working with complex, often highly technical teams + 3+ years experience working with Provider Data changes within… more
- Evolent Health (Frankfort, KY)
- …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 (Frankfort, KY)
- …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 (Frankfort, KY)
- …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
- Molina Healthcare (Georgetown, KY)
- …to our state regulator on Encounters as well as lead various other technical programs under the OH Operations Department. These currently include support of provider ... Ohio Dept of Medicaid data interfaces, and be a technical resource that can liaison between OH Operations Dept...and love work collaboratively with other teams and with senior leadership. This role involves research, root cause analysis,… more
- Highmark Health (Frankfort, KY)
- …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