- Molina Healthcare (Scottsdale, AZ)
- …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
- Molina Healthcare (Phoenix, AZ)
- …root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health ... Required Education** Associate's Degree or equivalent combination of education and experience ** Required Experience** + 3-5 Years of business analysis + 4+… 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
- 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)
- …economics) or healthcare focus (health administration, epidemiology, public health, biology)- Required .** **1-3 years of professional experience in claims -based ... with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs- Required .** **Exceptionally strong analytical… more
- Prime Therapeutics (Phoenix, AZ)
- …flexible schedule which may include weekends, holidays, or shifts outside of Prime's core business hours of 9:00am-3:00pm + Constantly required to sit, use hands ... every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… 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 ... reports with complex regulatory/clinical requirements for healthcare lines of business - ** Required ** + 2+ years of...SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - ** Required ** +… 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...standards when new system enhancements or engineering changes are required . Maintain standard templates and support ongoing maintenance +… 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
- 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, ... and will lead high-complexity analysis and special projects as required . **Responsibilities** + Act as a champion of the...the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor… more
- CVS Health (Scottsdale, AZ)
- …multiple projects concurrently. **Education** + Bachelor's Degree or equivalent work experience required ** Business Overview** At CVS Health, we are joined in ... convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr....identification and completion of key deliverables to ensure all business objectives are met + Responsible for the development… 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 ... Experience working in a managed care environment and commercial line of business is preferred. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree or… 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
- 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
- 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...Microsoft Excel. Duties and Responsibilities - Determine the reserves required on a Statutory, GAAP, and Tax basis to… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …reoccurrence * Collecting evidence, including documents and interviews to support their claims and record their findings * Working with attorneys, and other USPTO ... and executive leadership * Acting as an investigative liaison to other USPTO business units to facilitate the exchange of information and participating as a member… more