- Molina Healthcare (Racine, WI)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business ...experience ** Required Experience** + 3-5 Years of business analysis + 4+ years managed care experience +… more
- IQVIA (Milwaukee, WI)
- …o Assists with training projects. **Minimum Education, Experience, & Specialized Knowledge Required :** o Bachelor Degree in finance, business , statistics, math ... build and enhance your interpersonal skills that are necessary to build effective business relationships with your clients. Those skills are pertinent because as an … more
- Elevance Health (Waukesha, WI)
- Job Description **Subrogation Analyst ** _Location: Virtual with the ideal candidate living 50 miles from the Louisville, KY, Waukesha, WI, or Indianapolis, IN ... care cost containment company offering subrogation recovery services. The **Subrogation Analyst ** is responsible for handling complex Third Party Liability and other… more
- Molina Healthcare (Racine, 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
- Elevance Health (Waukesha, WI)
- …within 50 miles of an Elevance Health PulsePoint.** The **Provider Payment Appeal Analyst I** is responsible for supporting the Payment Dispute process across all ... lines of business and is specifically responsible for the resolution of...root cause and appropriate resolution. + Must work with Claims Operations to remediate impacted claims . **Minimum… more
- Molina Healthcare (Milwaukee, WI)
- …data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with ... Education** Bachelor's Degree or equivalent combination of education and experience ** Required Experience** + 5-7 years of business or experience system… more
- Molina Healthcare (Racine, 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...+ Must have experience in system configuration. + Monitor claims , create , generate and analyze reports using Excel… more
- Molina Healthcare (Racine, 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...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more
- Molina Healthcare (Racine, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... Experience working in a managed care environment and commercial line of business is preferred. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree or… more
- Molina Healthcare (Milwaukee, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Racine, WI)
- …systems to support the departments goals. + SQL, Databricks, Python + Claims knowledge/QNXT **JOB QUALIFICATIONS** ** Required Education** Associate's Degree or ... 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 (Kenosha, WI)
- …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan… more