- Molina Healthcare (NE)
- **Job Summary** The Lead Analyst , Encounters is responsible for leading large projects and initiatives across multiple markets and states to improve overall ... takes the lead on training and mentoring new team members. The Lead Analyst , Encounters drives process improvements and system enhancements and uses advanced… 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 ... better than the last. **_About the Role:_** As the Lead IT Business process analyst , you will...Create Custom tables and views for non-native functionality (ie, Claims ) and develop custom logic in Costpoint + Integrate… more
- Molina Healthcare (NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...Eg, Medicare Exclusion POC + Acts as a team lead , assigning and prioritizing work for other team members… more
- Molina Healthcare (NE)
- **Job Description** **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs ... reporting to track progress and team productivity reporting. + Lead Design and Development of ad-hoc as well as...and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality… more
- Molina Healthcare (NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... working on QNXT/Medicare/NetworX + Must have experience working on SQL. + Medicare claims experience is a huge plus + Medicare Fee Schedule knowledge is desired.… more
- Windstream Communications (Lincoln, NE)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...Casualty claims handling as an adjuster or claims Team Lead or Supervisor experience. +… more
- Molina Healthcare (NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- Molina Healthcare (NE)
- …and operational processes including but not limited to Enrollment, UM, Claims & Care Management. **Preferred License, Certification, Association** Certified Business ... Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare… more
- Evolent Health (Lincoln, NE)
- …+ 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable ... Care Act, HMO and managed care principles including Medicaid and Medicare regulation + Extensive experience with the System Design Life Cycle (SDLC) + Experience with EDI X12 structure and syntax rules; chiefly with 834 files + Superior root cause analysis… more
- Healthfirst (NE)
- …is Remote** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible claims editing is ... product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity...discrepancy to the provider + Able to participate and lead meetings with providers to explain coding issues and… more
- Molina Healthcare (NE)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify early signs of trends or other… more
- Evolent Health (Lincoln, NE)
- …culture. **What You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst , you will have the opportunity to shape the technical aspects and design of ... Doing:** Evolent Health is looking for a Senior Product Analyst to be a key member of the Product...teams, product, and engineer through forums (bringing all POs, Lead engineers, and stakeholder into a consistent forum to… more
- Prime Therapeutics (Lincoln, NE)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Compliants & 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
- Prime Therapeutics (Lincoln, NE)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... and update appropriate stakeholders of changes or new requirements + Take the lead on any new business issues and opportunities generated by Government and/or… more
- Prime Therapeutics (Lincoln, NE)
- …and drives every decision we make. **Job Posting Title** Sr IT Analyst **Job Description Summary** This position will analyze, evaluate and redesign business, ... to execute on strategies to solve complex and open-ended business problems. + Lead prototyping of potential solutions. + Perform implementation reviews. + Lead … more
- Conagra (Omaha, NE)
- …+ Create metrics used to inform leadership of current trends and costs for claims and insurance, extracting insights to lead to improved results + Collect ... Manage the reporting and daily activities related to managing our insurance claims and risk management activities. Improve and modernize the financial analysis of… more
- Prime Therapeutics (Lincoln, NE)
- …Title** Network Economic Financial Consultant **Job Description** The Principal Pricing Analyst leads complex analyses, financial modeling, and reporting to create ... management, profit drivers and the organization's financial value statement + Lead the development of financial analytic pricing methodologies, models, reports and… more