- Microsoft Corporation (Phoenix, AZ)
- The **Senior Construction Claims Analyst ** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and ... Claims and works seamlessly with the Regional Claims Lead to align with GSC execution,...We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who… more
- Prime Therapeutics (Phoenix, AZ)
- …Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is responsible for serving as a key role ... to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (Mesa, AZ)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Molina Healthcare (Scottsdale, AZ)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Molina Healthcare (Mesa, AZ)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... programs that align with Prime's strategic imperatives and will lead high-complexity analysis and special projects as required. **Responsibilities** +… more
- Prime Therapeutics (Phoenix, AZ)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs...in the implementation of Prime's compliance programs and may lead some initiatives within their designated areas and partners… more
- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk Adjustment - Predicitve Analytics role supports Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Sr. Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …reoccurrence * Collecting evidence, including documents and interviews to support their claims and record their findings * Working with attorneys, and other USPTO ... resources provided by GPS, the USPTO, and/or otherwise publicly available. + Teamwork: Lead by example. Exemplify the positive attributes necessary to create and… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …reoccurrence * Collecting evidence, including documents and interviews to support their claims and record their findings * Working with attorneys, and other USPTO ... are met to the full satisfaction of our customer (the USPTO). + Teamwork: Lead by example. Exemplify the positive attributes necessary to create and maintain a… more
- Molina Healthcare (Mesa, AZ)
- **Job Description** **Job Summary** Supports ongoing Claims and Enrollment operations in the management of smaller scale, less complex vendor activities. Provides ... manages email correspondence between vendors, functional counterparts, and stakeholders ( Claims , Enrollments, IT, Health Plan, Core Operations) + Performs… more
- Prime Therapeutics (Phoenix, AZ)
- …tools, such as self-service capabilities and standard report packages. May lead efforts to create curriculum to improve user adoption. + Ensures ... years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics… more
- American Express (Phoenix, AZ)
- …external listening posts to ensure voice of the customer and competitor + Lead , coach and develop a Senior Analyst **Minimum Qualifications** + Deeply ... **Description** **You Lead the Way. We've Got Your Back.** With...the customer experience, deliver on business goals and enhance claims and servicing + For external partners, responsible for… more