• Claims and Quality Analyst

    Hussmann Corporation (Bridgeton, MO)
    **Overview** Provides judicious review and disposition on Hussmann labor claims and part orders. Provides data analysis for product and process continuous ... improvement efforts as related to quality . Provide customer service and support on systems, processes,...Provide customer service and support on systems, processes, and claims . Provides administrative support in TWMS system. **Responsibilities** +… more
    Hussmann Corporation (01/10/25)
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  • Epic Professional Billing Analyst (Systems…

    Elevance Health (St. Louis, MO)
    **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per ... Tampa, FL, or Houston, TX. The **Epic Professional Billing Analyst (Systems Analyst Senior Advisor)** is responsible...an impact:** + Works with Epic tools to support claims , billing, and finance. + Defines functional, usability, reliability,… more
    Elevance Health (03/13/25)
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  • Analyst

    Norstella (Jefferson City, MO)
    Analyst Company: Panalgo Location: Remote, United States Date Posted: Mar 4, 2025 Employment Type: Full Time Job ID: R-943 **Description** Analyst , Analytic ... (IHD), brings together researchers to generate insights into improving population health, quality of care, efficiency of medical research, and managing costs by… more
    Norstella (03/06/25)
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  • Senior Analyst , Client Analytics

    Evolent (Jefferson City, MO)
    …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
    Evolent (03/13/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Jefferson City, MO)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (03/04/25)
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  • Principal Benefit Analyst - REMOTE

    Prime Therapeutics (Jefferson City, MO)
    …passion and drives every decision we make. **Job Posting Title** Principal Benefit Analyst - REMOTE **Job Description** The Principal Benefit Analyst is ... + Manage annual renewal process, including analyze plan utilization, claims and health trends, model plan cost and design...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
    Prime Therapeutics (03/13/25)
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  • Sr. Data Analyst

    Sedgwick (Jefferson City, MO)
    …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 ... + Assists in efficient and effective program management; identifies poor work quality and cost effectiveness trends; and works with appropriate staff in analyzing… more
    Sedgwick (03/13/25)
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  • Lead Clinical & Population Health Analyst

    Highmark Health (Jefferson City, MO)
    …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
    Highmark Health (03/13/25)
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  • Clinical & Population Health Analyst

    Highmark Health (Jefferson City, MO)
    …of Healthcare: lower per capita health care costs, improved outcomes from and quality of care received, and optimal member/patient and provider experiences with care ... actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively managing projects to… more
    Highmark Health (03/08/25)
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  • HEDIS Business Information Consultant

    Elevance Health (St. Louis, MO)
    …guidance to other data analysts. The position is part of the **Enterprise HEDIS Analyst Team** . It will be responsible for working with management and peers on ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...to enable HEDIS to measure deep dives and data quality review to improve HEDIS Ratings. **Minimum Requirements:** +… more
    Elevance Health (03/05/25)
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  • Account Manager, Employee Benefits

    HUB International (Kansas City, MO)
    …Provides benchmarking reports to client (annually, quarterly, or monthly) + Manages claims and coverage issue resolution for clients' employees when elevated from HR ... when requested + Provide mentorship with Account Administrator/Assistant Plan Analyst were applicable + Coordinates client contact changes with Producer/Account… more
    HUB International (01/10/25)
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