- Molina Healthcare (Bowling Green, KY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Elevance Health (Louisville, KY)
- **JR144681 Business Analyst III /Senior Tester** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of ... live within 50 miles of one of our Elevance Health PulsePoint locations. The ** Business Analyst III/Senior Tester** will be responsible for serving as the… more
- Elevance Health (Louisville, KY)
- ** Business Analyst ** A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a ... of one of our Elevance Health PulsePoint locations. The ** Business Analyst III** is responsible for serving...and/or healthcare operations is required. + Exposure to PBM Claims Adjudication is a significant advantage. Please be advised… more
- Elevance Health (Louisville, KY)
- ** Business Information Analyst Senior** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles ... of one of our Elevance Health PulsePoint locations. The ** Business Information Analyst Senior** will be responsible for analyzing, reporting and developing… more
- Elevance Health (Louisville, KY)
- **Subrogation Analyst ** **Location:** This is a virtual position, however the ideal candidate will live within 50 miles of an Elevance Health PulsePoint in ... Louisville, KY or Waukesha, WI. The **Subrogation Analyst ** is responsible for handling complex Third Party Liability, Workers Compensation and other healthcare… more
- CVS Health (Frankfort, KY)
- …is currently looking for a dynamic individual to join our team in an Sr. Analyst role. This is a client facing project management / auditor position that is ... by CMS / States. In this position, the Sr. Analyst will work closely with multiple clients and various...requested audits with consistency and minimal disruption to the business . This position needs to be able to manage… more
- Evolent (Frankfort, KY)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Norstella (Frankfort, KY)
- Analyst Company: Panalgo Location: Remote, United States Date Posted: Mar 4, 2025 Employment Type: Full Time Job ID: R-943 **Description** Analyst , Analytic ... to address their health care research needs.We are an analyst community and culture where group learning, support, and...analyze a variety of large, real-world data assets (eg, claims , EMR), and be able to articulate IHD data… more
- Elevance Health (Louisville, KY)
- …a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst ( Business Analyst III)** will be responsible for serving ... **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** Alternate...as the liaison between the business and IT in translating complex business … more
- Humana (Frankfort, KY)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid business… more
- Molina Healthcare (Bowling Green, KY)
- …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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Louisville, KY)
- …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 (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Owensboro, KY)
- …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...in contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- Brown-Forman (Louisville, KY)
- …Prepares the monthly compilation and filing of MNBP (Manufactured Non-Beverage Process) Tax Claims for BFB and JDB. These claims represent approximately $1.375 ... goods exported. Identify those eligible for TTB Export Drawback Claims for the FET previously paid. Prepare and submit...You Bring to the Table** + Bachelor's Degree in business and 5 or more years in regulated food/beverage… more
- Mass Markets (KY)
- …Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience ... POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in...We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role… more
- Sedgwick (Lexington, KY)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Molina Healthcare (KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Louisville, KY)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Highmark Health (Frankfort, KY)
- …patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. This position ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more