- Molina Healthcare (NE)
- …+ 7+ years of business analysis or systems experience, + 6+ years managed care experience. + Demonstrates expertise in a variety of concepts, practices, and ... processes including but not limited to Enrollment, UM, Claims & Care Management. **Preferred License, Certification, Association** Certified Business Analysis… more
- Molina Healthcare (NE)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (NE)
- …with Provider reimbursement data. + Working on Provider analytics in a healthcare or managed care environment is required. + Experience working on SQL, Excel , ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- HomeSafe Alliance (Lincoln, NE)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 ... the last. **_About the Role:_** As the Lead IT Business process analyst , you will work with...scripts to troubleshoot issues and work with Deltek customer care to resolve + Execute system upgrades, monthly releases… more
- Prime Therapeutics (Lincoln, NE)
- …and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description Summary** Serves as liaison between ... departmental team business owners, end users, IT, Claims and Clinical departments....experience in analysis. + Related professional experience in the managed care , healthcare, or insurance industries. +… more
- Evolent Health (Lincoln, NE)
- … business experience in an HMO / PPO Claims, Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable Care Act, HMO ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the… more
- Molina Healthcare (NE)
- …in billing, claims, encounters, and data analysis + 5 or more years of managed care experience + Expert knowledge of healthcare encounters + Advanced data ... **Job Summary** The Lead Analyst , Encounters is responsible for leading large projects...multiple organizations + Leading analysis and/or operational teams in managed care CMS Risk Adjustment program submission… more
- Humana (Lincoln, NE)
- …of our caring community and help us put health first** The Actuarial Analyst 1, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to… more
- Molina Healthcare (NE)
- …Experience** + 5-7 years of business analysis experience, + 6+ years managed care experience. + Demonstrates proficiency in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (NE)
- …Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS ... **Job Description** **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...cleaning of data. + 6+ Years of experience in Managed Care Organization executing similar techno functional… more
- Molina Healthcare (NE)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to… more
- Molina Healthcare (NE)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... utilized in medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles such as risk… more
- Molina Healthcare (NE)
- …**Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience + Demonstrates familiarity in a variety of concepts, practices, ... **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues within Payment Integrity Pre-Pay using data from internal and external sources to… more
- Windstream Communications (Lincoln, NE)
- …them Internet better (TM) . + Windstream Enterprise is a leading managed services provider providing strategic communications and security products to mid-size ... software and network solutions to connect people and empower business in a world of infinite possibilities! ** **...We are looking for a highly analytical and detail-oriented Analyst to join our Sales Compensation Administration team. This… more
- Prime Therapeutics (Lincoln, NE)
- …2+ years of experience in pharmacy or pharmacy benefit management (PBM). + Managed care experience preferred. + Database management strongly preferred. + ... drives every decision we make. **Job Posting Title** Senior Data and Reporting Analyst **Job Description Summary** Collects data and provides analyses for a broad… more
- Humana (Lincoln, NE)
- …a part of our caring community and help us put health first** The WFM Analyst - Scheduling will manage all scheduling processes in support of call center operations ... experience preferred + Develop and maintain interdepartmental relationships leveraging business knowledge to improve resource utilization and overall process… more
- Prime Therapeutics (Lincoln, NE)
- …practices, including pre-invoicing quality reviews and adjustments for fee for service, managed care , diabetic supply and supplemental rebate programs. + ... and drives every decision we make. **Job Posting Title** Pharmacy Rebate Analyst - Remote **Job Description Summary** This position is responsible for managing… more
- Molina Healthcare (NE)
- …scrubbing, scrapping, and cleaning of data. + 5+ Years of experience in Managed Care Organization executing similar techno functional role that involves writing ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- Molina Healthcare (NE)
- …+ Healthcare experience is required, + Experience working in a managed care environment and commercial line of business is preferred. **JOB QUALIFICATIONS** ... data among operational and claims systems and application of business rules as they apply to each database. Validate...to be housed on databases and ensure adherence to business and system requirements of customers as it pertains… more
- Conagra (Omaha, NE)
- …the Workday system. You will ensure that user access controls are properly managed , compliance requirements are met, and sensitive employee data is protected. You ... different user groups. + Update security roles based on changes in business requirements, regulatory standards, and Workday updates. + Manage and configure domain… more