• 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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  • Senior Analyst , Client Analytics - 2+…

    Evolent (Springfield, IL)
    …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
    Evolent (12/05/24)
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  • Sr Analyst , HEDIS Quality Performance

    Molina Healthcare (IL)
    **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
    Molina Healthcare (12/29/24)
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  • IT Business Systems Analyst Sr

    Prime Therapeutics (Springfield, IL)
    …work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + Strong ... It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems … more
    Prime Therapeutics (12/19/24)
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  • Business Systems Analyst

    Intermountain Health (Springfield, IL)
    …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...enhancements to major projects. Requirements may be specific to healthcare insurance products, claims , sales activities or… more
    Intermountain Health (01/02/25)
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  • Senior Analyst , Strategic…

    Evolent (Springfield, IL)
    …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
    Evolent (11/27/24)
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  • Business Intelligence Analyst III

    Help at Home (Chicago, IL)
    …team, Help at Home may be a good fit for you._ **Job Summary:** The Senior Analyst , Business Intelligence III is an integral part of the Business ... field. + Seven (7)+ years of experience in a business intelligence, or data analyst role. +...and Excel. + Experience working with clinical data and claims data. + Advanced SQL experience. + CRM Analytics/Tableau… more
    Help at Home (12/03/24)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Springfield, IL)
    …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
    Sumitomo Pharma (11/07/24)
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  • Senior Pricing Analyst

    Prime Therapeutics (Springfield, IL)
    …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
    Prime Therapeutics (12/19/24)
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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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  • Payer Analytics Analyst

    Surgery Care Affiliates (Chicago, IL)
    …that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care ... opportunities for YOU. Responsibilities SCA Health is currently seeking a Payer Analytics Analyst to join the Payer Analytics Team . We are seeking a candidate… more
    Surgery Care Affiliates (12/18/24)
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  • Senior Analyst , Medical Economics

    CVS Health (Downers Grove, IL)
    …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
    CVS Health (11/22/24)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Springfield, IL)
    …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
    Prime Therapeutics (12/24/24)
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  • Insurance Consulting Analyst

    EPAM Systems (Chicago, IL)
    business (P&C, Life and Variable Benefits, Annuities) and insurance business processes (underwriting, claims , distribution, other) + Demonstrated business ... Join our Consulting practice as an **Insurance Consulting Analyst ** in metro areas including Chicago, Houston, New...create a plan that efficiently uses them to achieve business goals + Assess business needs by… more
    EPAM Systems (11/30/24)
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  • Renewal and Reporting Analyst

    CVS Health (Springfield, IL)
    …setup essential for online viewing and processing related to Customer Service, Claims , Enrollment, Billing and Reporting in support of internal and external ... documents prepared internally or externally by clients. + Uses business knowledge and experience to make plan design and...align with industry coding (ICD 10, Place of service, Healthcare Reform, etc.), this is similar to entry level… more
    CVS Health (01/01/25)
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