- Wolters Kluwer (Riverwoods, IL)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional… more
- Capgemini (Chicago, IL)
- … Claims Insurance **Key Qualifications:** + **Experience:** 7-10 years as a Business Analyst , particularly in claims insurance. + **Industry Knowledge:** ... Guidewire CC Business Analyst Choosing Capgemini means choosing...Strong background in Property and Casualty claims , with a focus on technology-based projects. + **Education:**… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… 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 research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- The Cigna Group (Chicago, IL)
- … business scenarios for vendor rebates, customer rebates, Chargebacks, Claims & Transaction, Pricing/Pricing Catalogs, Pharma Billing and Agreements to meet ... **Position Title:** SAP Vistex Analyst /Configurator: Pricing, Chargebacks, Rebates, Pharma Billing **Position Overview:** CuraScript SD a wholesale pharmaceutical… more
- Elevance Health (Chicago, IL)
- ** Business Information Analyst Sr. - Cost of Care** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates ... miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr. - Cost of...outcomes such as return-on-investment (ROI) and payback periods using claims and authorization data. * Lead and/or actively participate… 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
- Molina Healthcare (Kenosha, WI)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- Elevance Health (Chicago, IL)
- ** Business Information Analyst II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of ... one of our Elevance Health PulsePoint locations. The ** Business Information Analyst II** will be responsible...performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data,… more
- Help at Home (Chicago, IL)
- …team, Help at Home may be a good fit for you._ **Job Summary:** The Senior Analyst , Business Intelligence III is an integral part of the Business ... field. + Seven (7)+ years of experience in a business intelligence, or data analyst role. +...and Excel. + Experience working with clinical data and claims data. + Advanced SQL experience. + CRM Analytics/Tableau… 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 ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Analyst **PRIMARY PURPOSE** **:** To review referrals from claim scoring and/or… more
- Rising Medical Solutions (Chicago, IL)
- As a Business Application Analyst , you are responsible for the administration, solution design and delivery, and support for the applications under the ... Business Applications umbrella. You'll make sure that the processes...providers, and case managers nationwide, RISING provides comprehensive medical claims solutions to our valued clients: insurance carriers, Fortune… more
- Robert Half Technology (Chicago, IL)
- Description We are offering a short term contract employment opportunity for a Business Analyst /Product Owner in the non-profit industry, based in Chicago, ... Illinois. This role involves managing and documenting business requirements, specifications, and business process changes with a focus on user-centric solutions.… more
- AIG (Chicago, IL)
- …management develop and quantify the impact of underwriting actions + Work closely with claims business partners to review claim trends, examine changes in the ... Senior Actuarial Analyst - Financial Lines At AIG, we are...& monitoring tools. The individual will be a trusted business partner, working closely with underwriting and claims… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify… more
- AIG (Chicago, IL)
- Actuarial Analyst , Foreign Casualty Chicago, IL; Atlanta, GA At AIG, we are reimagining the way we help customers to manage risk. Join us as the Actuarial Analyst ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more
- Cushman & Wakefield (Chicago, IL)
- **Job Title** Facility Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects...and vendors comply with insurance requirements and coordinate all claims as required * Periodically inspect the facility, systems,… more
- Walgreens (Deerfield, IL)
- …_Primarily responsible for reporting financial information related to Casuality Insurance claims , premiums and allocations to the Accounting and Finance stakeholders ... responsible for managing, tracking and facilitating payments to outside suppliers for claims , insurance and related items. This role is responsible for eliminating… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- AIG (Chicago, IL)
- Senior Actuarial Analyst - Lexington At AIG, we are reimagining the way we help customers to manage risk. Join us as a Senior Actuarial Analyst , Lexington to ... for AIG's major insurance operating companies, globally. We collaborate with Finance, Claims , Operations, Marketing and Risk Management, among other functions. As an… more