- TEKsystems (Milwaukee, WI)
- Claims Analyst II - Remote/Hybrid (Wisconsin Residents Only) Pay: $19.25/hour Schedule: Full-time, Monday-Friday, 8:00 AM-5:00 PM About the Role We're looking ... for a detail-oriented Claims Analyst II to join our team!...claims processing required. + Knowledge: CPT, ICD-9/ICD-10 coding, medical terminology, COB processing. + Preferred: Familiarity with QNXT… more
- TEKsystems (Brookfield, WI)
- …at Brookfield or Menasha location. Must be local to WI. Description We are seeking a Claims Analyst II to examine and process paper and electronic claims . In ... this role, you will determine whether to return, pend, deny, or pay claims in accordance with established policies and procedures. Key responsibilities of this… more
- Molina Healthcare (Milwaukee, WI)
- … function efficiency. **Required Qualifications** * At least 3 years of medical claims processing experience, or equivalent combination of relevant education ... JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities...and experience. * Medical claims processing experience across multiple states,… more
- Molina Healthcare (Milwaukee, WI)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing ... of provider reimbursement changes * Provides data driven analytics to finance, claims , medical management, network, and other departments to enable critical… more
- Elevance Health (Waukesha, WI)
- …make an impact:** + Reviews and evaluates accident or incident reports, individual claims , medical , legal or other documents relating to subrogation. + Responds ... **Subrogation Analyst ** **Locations:** Wisconsin, Indiana, Kentucky **Virtual:** This role...correspondence, legal documents and other information related to subrogation claims . + Coordinates actions involving accounting for payments received.… more
- Ascension Health (Glendale, WI)
- …the offer._ **Responsibilities** **We Are Hiring** We are hiring a full-time Senior Analyst to join the Ascension Data Sciences Institute Center of Excellence. The ... **What You Will Do** This position seeks an Ascension Wisconsin Senior Data Analyst to furnish strategic insights regarding network rates, market share and internal… more
- Elevance Health (Waukesha, WI)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- Elevance Health (Waukesha, WI)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Molina Healthcare (Milwaukee, WI)
- …and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and… more
- Molina Healthcare (Milwaukee, WI)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (Milwaukee, WI)
- …more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data ( medical , pharmacy and ancillary) to deliver practical, ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- Molina Healthcare (Milwaukee, WI)
- …recoveries in a managed care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. ... for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). + Medical Coding certification. To all current Molina employees: If you are interested in… more
- Syms Strategic Group, LLC (SSG) (Milwaukee, WI)
- …in software testing and quality assurance Desired experience Electronic Data Interchange X.12 (EDI) Medical Claims + X.12 medical claims (837, 834, ... Board (ISTQB), Certified Software Testing Engineer (CSTE), Certified Software Quality Analyst (CSQA)) Years of Professional Experience 10 or more years of… more