- Carrington (Madison, WI)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults with ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...functions in Loan Servicing preferred + Experience with Cloud Claims and Tempo preferred + Ability to create pivot… more
- Norstella (Madison, WI)
- Data Analyst , Healthcare & Life Sciences Company: Citeline Location: Remote, United States Date Posted: Sep 17, 2024 Employment Type: Full Time Job ID: R-406 ... this time. **Job Description** We are seeking a Data Analyst with strong SQL experience to join our team....analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Eligibility Analyst **Job Description** The Eligibility Analyst is responsible for representing ... eligibility files, verification of letters of authority and some claims analysis. + Other duties as assigned **Minimum Qualifications**...2 years of experience in healthcare, PBM, Eligibility or claims processing + Must be eligible to work in… more
- Baylor Scott & White Health (Madison, WI)
- **JOB SUMMARY** The Risk Adjustment Analyst Sr (Texas Medicaid Encounter Analyst ) is responsible for monitoring and oversight of the end-to-end encounter ... OF THE ROLE** + Monitors and oversees the end-to-end claims encounter management workflow. + Analyzes claims ...end-to-end claims encounter management workflow. + Analyzes claims and supplemental data to identify reporting gaps, risk… more
- Norstella (Madison, WI)
- Senior Analyst - Health Informatics Company: Norstella Location: Remote, United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 ... and India. **Job Description** We are seeking a Senior Analyst to join our team and support our data-driven...industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and… more
- Prime Therapeutics (Madison, WI)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst **Job Description Summary** Design, document, develop and roll out financial, ... Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and rolls out… more
- Highmark Health (Madison, WI)
- …Degree **EXPERIENCE** **Required** + 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 3 - 5 years in the Health Insurance Industry **LICENSES AND CERTIFICATIONS** **Required** + None… more
- Prime Therapeutics (Madison, WI)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... specifications and analyze log files. + Experience working with industry standard claims , billing or EHR systems. **Work Experience** Work Experience - Required: IT… 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 ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Prime Therapeutics (Madison, WI)
- …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + 3 years of experience using… more
- HealthEdge Software Inc (Madison, WI)
- …solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration capabilities, a ... scripts/script execution + 1+ years of SQL experience + 1+ years of Business Analyst experience + Strong knowledge and capability of utilizing MS Excel, Pivot tables… more
- Evolent Health (Madison, WI)
- …as we solve complex business problems. **Collaboration Opportunities** The Director, Client Analyst role will be serving as a strategic advisor to key internal ... datasets and Evolent Data Warehouse tables, including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM), or other… more