- Microsoft Corporation (Phoenix, AZ)
- The **Senior Construction Claims Analyst ** shall work seamlessly with the Global and Regional Claims Lead to play a pivotal role in monitoring and reporting ... EPC, Closed End Lease Agreement (CELA), Quality, Commissioning, and Business Intelligence teams. Regular updates and reports will be...We are currently looking to hire a Senior Construction Claims Analyst for the AMER region, who… 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 ... remediation plans and fixes, overall progress, and status of impacted claims **JOB QUALIFICATIONS** ** Required Education** Associate's Degree or equivalent… more
- Bank of America (Phoenix, AZ)
- Sr Claims Analyst (Debit Fraud Claims ) Phoenix, Arizona **Job Description:** **Class Start Date: 04/07/2025** **Work Schedule: Monday - Friday (8:00 AM to ... **Job Description:** This job is responsible for resolving the day-to-day complex claims and escalations including in-depth analysis for fraud and non-fraud … more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Public Consulting Group (Phoenix, AZ)
- …operation of help desk lines. + Trains others on the function of analyzing claims . ** Required Skills** + Ability to evaluate, coordinate and perform a complex ... Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff,… more
- Public Consulting Group (Phoenix, AZ)
- …Education + Recovery Services **Duties and Responsibilities** + Analyzes the development of claims assigned at each level of the adjudication process. + Outlines the ... case summaries to be sent with applications. + Monitors and gives direction to Claims Developer regarding specific tasks on claims . + Provides monthly reporting… more
- Molina Healthcare (Phoenix, 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...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Molina Healthcare (Phoenix, AZ)
- …**Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the ... organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive proper courses… more
- USAA (Phoenix, AZ)
- …truly makes us special and impactful. **The Opportunity** We are seeking a dedicated Business Applications Analyst - Mid Level to join our PICASSO and Document ... of modernizing P&C by helping create and maintain systematic business requirements and rules in support of P&C's policy...of Microsoft Office tools. + Successful completion of an analyst assessment may be required . **What sets… 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 ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… 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
- 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** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
- Prime Therapeutics (Phoenix, AZ)
- …Reporting 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...education and/or relevant work experience; HS diploma or GED required + 5 years of work experience in data… more
- Molina Healthcare (Phoenix, AZ)
- **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
- 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
- USAA (Phoenix, AZ)
- …us special and impactful. **The Opportunity** As a dedicated **Workforce Management Analyst III** , you will be responsible for scheduling support activities for ... do:** + Perform work assignments and problem resolution to optimize contact or claims center staffing and ensures successful implementation of contact or claims … 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
- Molina Healthcare (Phoenix, AZ)
- …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
- 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
- Molina Healthcare (Phoenix, 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...Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and… more