- Robert Half Technology (Wilkes Barre, PA)
- Description We are in search of a Senior Claims Business Analyst to become a part of our team. As a Senior Claims Business Analyst , you ... features. Your responsibilities will include engaging with internal stakeholders, analyzing business requirements, and ensuring the delivery of capabilities as per… more
- Healthfirst (PA)
- …systems enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up ... + Lead and deliver projects related to the development and configuration of new business , member benefits and products, claims editing, reference data and their… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job ... Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some… more
- Evolent (Harrisburg, PA)
- …mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
- Guardian Life (Bethlehem, PA)
- **Position Summary** The Senior Regulatory Filing Analyst is responsible for drafting, filing and securing regulatory approval of new group and retail insurance ... pricing, claims and, ultimately, financial performance. + BS in Business Administration or other relevant field, or equivalent work experience. + 5+… more
- HealthEdge Software Inc (Harrisburg, PA)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business … more
- IQVIA (Wayne, PA)
- …for and lead the analysis and evaluation of new and existing Medical Claims and other healthcare datasets to ensure data quality and completeness. The candidate ... findings, and remediate as needed. + Capable of analyzing and addressing business & technical requirements and mapping them into data acquisition processes and… more
- Prime Therapeutics (Harrisburg, PA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... fuels our passion and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems … more
- Evolent (Harrisburg, PA)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... Analytics team offers candidates the opportunity to work with key business , analytics, product, and operational leaders to deliver client-specific analytical… more
- CVS Health (Harrisburg, PA)
- …- Work collaboratively with leadership and management to adapt and strengthen business and operational processes - Other duties as required This position does ... or patient-facing experience -1-2 years Enhanced knowledge of pharmacy and claims processing - Excellent organizational and analytical skills - Superior… more
- Prime Therapeutics (Harrisburg, PA)
- …Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value generated by Prime's ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Harrisburg, PA)
- … Analyst - Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for acting...experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Robert Half Technology (Philadelphia, PA)
- Description We are offering a permanent employment opportunity for a Senior Data Analyst - specializing in Data Governance in Philadelphia, Pennsylvania. This ... teams to comprehend case-specific claim requirements and constraints * Evaluate claims for validity according to project guidelines, identifying any inconsistencies,… more
- CHS Inc. (Harrisburg, PA)
- …and process transformation efforts on top of the core compliance and business support accountabilities of the team, a resource with technical indirect tax ... process, including monthly tax return filings, notices/assessments, audits, refund claims , license applications/renewals, establishing internal control measures, and related… more
- FM (Malvern, PA)
- …in developing and delivering engineering training services. The role would be considered a Senior Engineering Exposure Analyst at FM Boiler Re. This position is ... insurance solutions. FM helps clients maintain continuity in their business operations by drawing upon state-of-the-art loss-prevention engineering and research;… more
- CSL Behring (King Of Prussia, PA)
- …to CSL governance boards and (iii) efficient transition to post-deal deliver + Senior cross-functional business leadership of alliances with external partners to ... business portfolio reporting (eg, internal product/project briefings, R&D Analyst Day, annual results communications) + Transparent risk, opportunity, and issue… more
- UPMC (Pittsburgh, PA)
- …set of skills and experience, including data and analytics expertise, broad-based business and health economics acumen, a strategic mindset, and an ability to ... and actionable insights and deliver results to leadership. + Incorporate healthcare claims cost and utilization trends into the development of projections used to… more
- Prime Therapeutics (Harrisburg, PA)
- …of individuals with 4+ years of work experience. + Prior experience as a Business Intelligence Developer or Data Analyst supporting business intelligence, ... considering the business needs and direction. Experience serving as the senior member on business intelligence or analytics/data warehousing projects with… more
- Baylor Scott & White Health (Harrisburg, PA)
- …capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to support our organization. We seek a stakeholder-facing ... statistical analyst that will be responsible for the extraction, analysis...a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations… more