- American Family Insurance - Corporate (Madison, WI)
- …complex enhanced products and services. + Work with partners in pricing/actuarial or claims to ensure product compliance and financial viability. + Prepare ... accountabilities depending upon business need. You will report to a Senior Manager, Product. Position Compensation Range: $86,000.00 - $142,000.00 Pay Rate… more
- Molina Healthcare (Madison, WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- UMB Bank (Madison, WI)
- …the creation of reports to be consumed by LOB (lines of business) senior executives and analysis for managing fraud prevention strategies across all payment ... channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging...the Director of Enterprise Fraud Operations and the bank's senior executives. Communicates regularly with peer banks and industry… more
- Highmark Health (Madison, WI)
- …and population health analyses, metrics and reports using clinical, member, financial and administrative data to identify, develop and/or monitor actionable ... and communication with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and… more
- Highmark Health (Madison, WI)
- …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 ... appropriate enrollment or manage existing membership. Analyzes data such as financial conditions of the organization, participation percentage, type of industry,… more