- Molina Healthcare (Kenosha, WI)
- …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
- 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
- Elevance Health (Chicago, IL)
- ** Business Analyst ll** **Location** : Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Business Analyst ll** is responsible for translating basic business… more
- Elevance Health (Chicago, IL)
- …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
- Rising Medical Solutions (Chicago, IL)
- The Data Analyst II will design, implement, and support data solutions used to measure the success of ongoing company initiatives. In addition, the Data Analyst ... help drive insights. Core Responsibilities Include: + Provide data and SQL expertise to business teams and analysts. + Understand how to apply data to bring clarity… 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
- Elevance Health (Chicago, IL)
- …of one of our Elevance Health PulsePoint location. The **P** **BM Formulary Analyst ll** is responsible for translating basic business needs into application ... **PBM Formulary Analyst ll** **Location** : This position will work...requirements. **How you will make an impact:** + Analyzes business needs to determine optimal means of meeting those… more
- BD (Becton, Dickinson and Company) (Vernon Hills, IL)
- …and OEM) of BD's Commercial Consumable Sales Contracts for all US business segments, BD Medical [Medication Delivery Solutions (MDS) & Medication Management ... all customer segments (excluding Pharmaceutical Systems, BioSciences, and IDS Capital). Analyst will be responsible to ensure members are aligned appropriately to… 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...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… 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...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Zurich NA (Schaumburg, IL)
- Senior Actuarial Analyst 120310 Zurich North America is currently looking for a Senior Actuarial Analyst to join our Direct Markets and Crop Reserving team. Our ... including IFRS 17 elements. + Collaborate regularly with Underwriting, Claims , Finance, and Pricing to develop insights on trends...500(R). Our growth strategy is not limited to our business . As an employer, we strive to provide ongoing… more
- Molina Healthcare (Kenosha, WI)
- **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 (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 contracts and benefits configuration. + Strong background in claims is required. + Experience working on Networx, QNXT… more
- HUB International (Itasca, IL)
- …niches in which we have demonstrated expertise and expertise. We earn our business by providing value to broker partners and policyholders with management liability ... you will play a critical role in growing our business by supporting our leading thought leadership and advocacy...support our underwriting team; and (3) handle management liability claims as instructed by the Chief Claims … more
- Sedgwick (Chicago, IL)
- …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
- United Airlines (Chicago, IL)
- …aimed at keeping you happy, healthy and well-traveled. From employee-run " Business Resource Group" communities to world-class benefits like parental leave, 401k ... in tip-top shape. **Key Responsibilities:** + This position will manage warranty claims for the capture of all available contractual warranty remedies and… 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 ... 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 (Kenosha, WI)
- …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
- CVS Health (Chicago, IL)
- …and Aetna's Government Services Medicare Advantage and Prescription Drug Plan business . This position will provide analytical and reporting support for certain ... financial components impacting the net cost of pharmacy claims . The colleague will: + Apply quantitative skills and...quantitative skills and analytical methods to support Part D business needs. + Foster strong technical skills by manipulating… more
- Molina Healthcare (Kenosha, WI)
- **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