- Prime Therapeutics (Washington, DC)
- …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
- Elevance Health (Hanover, MD)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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
- Somatus (Mclean, VA)
- …Somatus, the leader in value-based kidney care, has an immediate opening for a Senior Analyst , Operations Analytics to create impact among Somatus' clients and ... leadership by analyzing Somatus' healthcare claims and care management data. This position will work...our data engineering partners to create the data and technical infrastructure to support ongoing operational reporting + Maintain… more
- Amazon (Arlington, VA)
- 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
- The MITRE Corporation (New Windsor, MD)
- …a difference with us. Department Summary: MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise in quality improvement, ... comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses, interpret and… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... upgrade needs; and overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep...thorough understanding of hospital operations in assigned area. The Sr . Epic Hospital Billing Analyst works with… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** SENIOR PROGRAM MANAGMENT ANALYST /SAFe SCRUM MASTER(PMW220) Bowhead is seeking a Senior Program Management Analyst /SAFe Scrum Master to ... provide consultative support to our senior PEO MLB leadership at the Washington Navy Yard...Essential duties include: + Lead daily scrum calls with Solutions/ Technical Team. + Assist product owner in ensuring tasks… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** This Senior Regulatory Compliance Analyst position will conduct independent data mining, analysis and reporting. ... develop solutions and strategies to remediate issues. Write business and technical requirements and document procedures to support efficiency, accuracy and… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of key risk ... methodology, risk score calculation, ACA enrollment, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex… more
- Evolent Health (Washington, DC)
- …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 (Washington, DC)
- …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 (Washington, DC)
- …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
- American Institutes for Research (Rockville, MD)
- **Overview** AIR is seeking a full-time **Python Programmer (Data Analyst II)** with data management skills and strong statistical software package programming ... ourHealth (https://www.air.org/our-work/health) team.The selected candidate will collaborate in research, technical assistance, and operations projects funded by Federal Agencies… more
- V2X (Washington, DC)
- …respect, responsibility, and professionalism. We are hiring for a Junior Financial Analyst - Top Secret clearance to support our government customer based in ... and maintain a Counterintelligence (CI) Polygraph. Responsibilities The Junior Financial Analyst compiles information to support a critical Program and prepare… more
- Highmark Health (Washington, DC)
- …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
- WTW (Arlington, VA)
- …with a minimum overall GPA of 3.0 + Work experience that demonstrates strong technical and/or client service skills ( analyst type of internship preferred) + ... management program design, pharmacy solutions, disability/absence management strategies and claims audit services. Product based solutions such as our pharmacy… more