- Molina Healthcare (Kenosha, WI)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- 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...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- The Cigna Group (Chicago, IL)
- … business scenarios for vendor rebates, customer rebates, Chargebacks, Claims & Transaction, Pricing/Pricing Catalogs, Pharma Billing and Agreements to meet ... **Position Title:** SAP Vistex Analyst /Configurator: Pricing, Chargebacks, Rebates, Pharma Billing **Position Overview:** CuraScript SD a wholesale pharmaceutical… more
- Capgemini (Chicago, IL)
- Guidewire Business Analyst Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll be ... **Job Location : Chicago, IL** **Job Description** Capgemini is seeking a Guidewire Business Analyst with Claim Center experience. **Required Skills:** + Minimum… more
- Convey Health Solutions (Chicago, IL)
- As a Data Analyst , you will be responsible for analyzing, interpreting, and reporting data related to Pareto's various solutions, with a primary concentration on ... of data related to Star Ratings and Rewards & Incentive Programs, including claims data, member surveys, administrative data and clinical performance metrics. * Work… more
- Molina Healthcare (Kenosha, WI)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- The Hartford (Chicago, IL)
- …is looking to transform its data exchange capabilities and processes. The Sr Business Analyst will partner with product owners to achieve business ... degree preferred, and at least five experience in a Business Analyst role + Experience working in...holistically. + Experience and or exposure to Group Benefits, Claims and The THAA systems a plus. Compensation The… more
- 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
- Zurich NA (Schaumburg, IL)
- Business Systems Analyst III - Document Management Systems 119057 Zurich North America is currently hiring a Business Systems Analysis III who will work out ... with stakeholders to facilitate requirement sessions, elicit, elaborate, and document business requirements and user stories. * Analyze and translate business… more
- Rising Medical Solutions (Chicago, IL)
- As a Business Application Analyst , you are responsible for the administration, solution design and delivery, and support for the applications under the ... Business Applications umbrella. You'll make sure that the processes...providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune… more
- Robert Half Technology (Chicago, IL)
- Description We are offering a short term contract employment opportunity for a Business Analyst /Product Owner in the non-profit industry, based in Chicago, ... Illinois. This role involves managing and documenting business requirements, specifications, and business process changes with a focus on user-centric solutions.… more
- AIG (Chicago, IL)
- …management develop and quantify the impact of underwriting actions + Work closely with claims business partners to review claim trends, examine changes in the ... Senior Actuarial Analyst - Financial Lines At AIG, we are...& monitoring tools. The individual will be a trusted business partner, working closely with underwriting and claims… more
- Zurich NA (Schaumburg, IL)
- Reinsurance Financial Analyst -Team Lead 119641 Zurich is currently looking for a Reinsurance Financial Analyst III - Team Lead to join the Assumed Reinsurance ... reporting, and settlement of complex reinsurance transactions. + Handling reinsurance claims of medium to high complexity. + Perform oversight for complex… more
- Centene Corporation (Chicago, IL)
- …flexibility. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business ... processes + Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations + Identify ways to enhance… more
- Molina Healthcare (Kenosha, WI)
- **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...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- Bank of America (Chicago, IL)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- AIG (Chicago, IL)
- Actuarial Analyst , Foreign Casualty Chicago, IL; Atlanta, GA At AIG, we are reimagining the way we help customers to manage risk. Join us as the Actuarial Analyst ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
- Cushman & Wakefield (Chicago, IL)
- **Job Title** Facility Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...and vendors comply with insurance requirements and coordinate all claims as required * Periodically inspect the facility, systems,… more
- Zurich NA (Schaumburg, IL)
- Assistant Actuary or Senior Actuarial Analyst 119737 Zurich North America is looking for an Assistant Actuary to join our growing Finance & Actuarial Advanced ... be responsible for the following in the Senior Actuarial Analyst I role: + Work with large sets of...and employ a range of statistical techniques to analyze claims data and claim development + Assist with the… more