- Molina Healthcare (Phoenix, AZ)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Molina Healthcare (Scottsdale, AZ)
- **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
- Prime Therapeutics (Phoenix, AZ)
- …work efforts + Desire and ability to educate and advance the business systems analyst practice within the Claims IT team and across the organization + Strong ... It fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems … more
- Intermountain Health (Phoenix, AZ)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in… more
- Sumitomo Pharma (Phoenix, AZ)
- …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
- Evolent (Phoenix, AZ)
- …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:** ... 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:**… more
- Prime Therapeutics (Phoenix, AZ)
- …passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst participates in the ... 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
- CVS Health (Scottsdale, AZ)
- …is currently looking for a dynamic individual to join our team in an Sr. Analyst role. This is a client facing project management / auditor position that is ... by CMS / States. In this position, the Sr. Analyst will work closely with multiple clients and various...requested audits with consistency and minimal disruption to the business . This position needs to be able to manage… more
- Bank of America (Phoenix, AZ)
- Consumer Product Strategy Analyst III - Digital Fraud Strategies Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; New York, ... and create mitigation strategies. **Responsibilities:** + Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- Lincoln Financial Group (Phoenix, AZ)
- …73933 **Role at a Glance** Lincoln National Corporation seeks an Analyst , Application Development in Radnor, PA to consult/analyze and deliver assignments/projects ... for Group Protection IT Claims of application development responsibility. Act as a resource...responsibility. Act as a resource and develop complex innovative business solutions by creating new applications, modifying existing applications… more
- Evolent (Phoenix, AZ)
- …creativity, accountability, and a growth mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
- Bank of America (Phoenix, AZ)
- Account Takeover and Device Policy Analyst Charlotte, North Carolina;Belfast, Maine; Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, ... fraud risk and create mitigation strategies. As a Client Protection Fraud Policy Analyst , you will capitalize on your Fraud knowledge strategic thinking to solve … more
- Evolent (Phoenix, AZ)
- …for any given domain function with minimal assistance + 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...Opportunities** : You'll collaborate with IT, product, engineering and business stakeholders and external partners on one of our… more
- CVS Health (Scottsdale, AZ)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... including initiation, identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development of provider fee… more
- Prime Therapeutics (Phoenix, AZ)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... 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
- USAA (Phoenix, AZ)
- …**The candidate selected for this position will work on the Auto Injury/Litigation Claims Analytics team. They will support the Claim organization as well as working ... of tools including Snowflake, Python, Tableau and Excel.** Provide decision support for business areas across the enterprise. Staff in this area will be responsible… more
- Molina Healthcare (Chandler, AZ)
- …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...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Fort Worth, Texas; New York, New York; Boston, Massachusetts; ... and recommendations for improvement. **Responsibilities:** * Recommends ways to help the business achieve desired outcomes and make informed business decisions… more
- HealthEdge Software Inc (Phoenix, AZ)
- …root-cause issues are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The ... implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior… more
- U-Haul (Phoenix, AZ)
- …of America Job Profile and Description Armed with statistical, financial, business computational, and modeling tools, actuaries determine, assess, and quantify the ... insurance industry. Oxford Life is seeking a talented Actuarial Analyst for the Actuarial Department of Oxford. This position...to ensure the company's financial position to meet client claims . - Determine the financial soundness of each line… more