- Ford Motor Company (Harrisburg, PA)
- ** Claims Lead Analyst ** We are the movers of the world and the makers of the future. We get up every day, roll up our sleeves and build a better world -- ... and is a hybrid role.** **What you'll do ** Lead development efforts for claims /returns modernization, ensuring current and future business requirements are met… more
- Insight Global (Philadelphia, PA)
- Job Description A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia. The role is hybrid - Monday and Friday WFH, ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Epic Hospital billing and claims billing experience in support and implementations Resolute Hospital… more
- AIG (Croydon, PA)
- …reimagining the way we help customers to manage risk. Join us as a Senior Claims Operations Lead to play your part in that transformation. It's an opportunity ... projects in the UK leading projects independently and work closely with Claims Operations Analyst in delivering project plans. + Work in close collaboration with… more
- The Cigna Group (Philadelphia, PA)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas, including, but… more
- The Cigna Group (Philadelphia, PA)
- **Category Management Lead Analyst : Aviation/ Overpayment Recovery Operations** **Reports To** _Category Director, Pharmacy & Enterprise Operations_ **Role ... with dynamic requirements that are tied to strategic level business and claims operations services In order to effectively engage suppliers, this resource must… more
- HomeSafe Alliance (King Of Prussia, PA)
- **Title:** Lead IT Business Process Analyst ( Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer Feedback and Continuous Improvement:** + Gather… more
- University of Pennsylvania (Philadelphia, PA)
- …and wellness programs and resources, and much more. Posted Job Title Statistical Analyst A/B (Department of Dermatology) Job Profile Title Statistical Analyst A ... Job Description Summary The primary responsibility of the Statistical Analyst position is to conduct statistical programming for dermatology-related research… more
- CGI Technologies and Solutions, Inc. (Plymouth Meeting, PA)
- **Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, New York, New York **Alternate Location(s):** ... Time **Position Description:** Join our team as an Experienced Life/Annuity Business Analyst and work on impactful projects across diverse insurance value streams,… more
- Healthfirst (PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr **Job Description** The Senior Pricing Analyst participates in the ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- CGI Technologies and Solutions, Inc. (Plymouth Meeting, PA)
- **Senior Business Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, New York, New York **Alternate ... Type:** Full Time **Position Description:** CGI is seeking a Senior Life/Annuity Business Analyst with at least 10 years of experience to drive impactful change… more
- Geisinger (Danville, PA)
- …required. Experience using data from an electronic health record or health care claims in the area of health research or healthcare analytics (preference for Epic's ... meet the required minimum qualifications for the Healthcare Data Analyst III may be considered at a lower level...range of solutions to support Research activities. + Takes lead role in the design, testing, validation, analysis and… more
- Prime Therapeutics (Harrisburg, PA)
- …drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out ... quality. This position has the responsibility to participate and/or lead in defining the issues to be studied as...Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and… more
- Guardian Life (Bethlehem, PA)
- …regulatory compliance support and monitoring of the Guardian Group Benefits Product, Claims and State Filing areas, with significant and specialized focus on support ... Leave (PFML), State Mandated Disability, Group Disability, Supplemental Health products and claims + State Filing for these products/services + Marketing + Client… more
- Deloitte (Mechanicsburg, PA)
- Deloitte Government & Public Services Risk & Financial Advisory Solution Analyst - US Delivery Center - Data Management Solutions Ready for an exciting, fast-paced ... a passion for technology, digging into data, and solving problems? As a Solution Analyst in our Discovery practice, you'll have the opportunity to assist clients and… more
- Prime Therapeutics (Harrisburg, PA)
- …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
- Centene Corporation (Harrisburg, PA)
- …needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations in ... all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile… more
- CVS Health (Blue Bell, PA)
- …willing to work EST hours at least one week a month. \#AetnaActuary + Lead the process of setting large claim accruals for each monthly financial close establishing ... for case reserves as well as provider discounts to apply to billed large claims . **Required Qualifications** + The ideal candidate is an actuarial student with the… more
- Prime Therapeutics (Harrisburg, PA)
- …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