- Public Consulting Group (St. Paul, MN)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims ....to Claims Developer regarding specific tasks on claims . + Provides monthly reporting statistics. + Ensures adherence… more
- CAI (St. Paul, MN)
- …**Employment Type** Full time **Worksite Flexibility** Remote **Job Summary** As a Claims Processor Analyst , you will receive, investigate, and triage expedited ... case assignments. **Job Description** We are looking for a ** Claims Processor Analyst ** , you will receive,...claims **What You'll Need** Required: + At least 1 year of experience in health insurance claims… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... in IT workflow definition and monitoring of processes including 1 ) Incident and Problem Management, 2) IT Service Request...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Prime Therapeutics (St. Paul, MN)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- Prime Therapeutics (Eagan, MN)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Prime Therapeutics (St. Paul, MN)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Prime Therapeutics (St. Paul, MN)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (St. Paul, MN)
- …and drives every decision we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is ... experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience in the implementation… more
- Prime Therapeutics (St. Paul, MN)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Basic to intermediate SAS coding skills… more
- Prime Therapeutics (St. Paul, MN)
- …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 and may lead some initiatives within their designated… more
- CVS Health (St. Paul, MN)
- …managed care or population health - 2+ years of customer or patient-facing experience - 1 -2 years Enhanced knowledge of pharmacy and claims processing - Excellent ... organizational and analytical skills - Superior communication skills with patients and clinicians - Ability to prioritize daily to monthly deliverables - Computer Skills: Proficient in Microsoft Excel, Microsoft Teams, and Sharepoint **Preferred… more
- Prime Therapeutics (St. Paul, MN)
- …years of work experience. + Prior experience as a Business Intelligence Developer/ Analyst or Data Analyst supporting business intelligence, reporting, analytics ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.). + Consideration will be given… more
- Baylor Scott & White Health (St. Paul, MN)
- …while aligning with internal SMEs and current capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to ... support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation of data to… more
- Fairview Health Services (Minneapolis, MN)
- …development, and execution of data transformation into actionable information. The Analyst will create and maintain state-of-the-art information assets using but not ... to design analytic solutions using electronic medical record data, claims , and other data sources. . Mentors Analysts in...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Fairview Health Services (Minneapolis, MN)
- …teams and leadership to design analytic reports using electronic medical record data, claims , and other data sources. + Coach other analytic engineers in the ... data submissions. + Work directly and independently with the Analyst , Data Modelers and/or ETL Developers to create meaningful...The posted pay range is for a 40-hour workweek ( 1 .0 FTE). The actual rate of pay offered within… more
- Prime Therapeutics (St. Paul, MN)
- …+ Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, reporting, analytics or data warehouse projects. + ... that may be in use in a Pharmacy Benefit Management setting ( Claims Processing, Prior Authorization, Telephony, Membership, etc.) + Related industry experience. +… more
- Prime Therapeutics (St. Paul, MN)
- …Title** Treasury Reporting Principal - Remote **Job Description** The Treasury Analyst Principal is responsible for managing, analyzing, and delivering Treasury ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more