- Public Consulting Group (Madison, WI)
- …Project and Grants Management + Assessments and Feasibility Studies Analyzes claims for accuracy, provides client support, documents inquiries, supervises staff, ... process improvements. **Duties and Responsibilities** + Analyzes and reviews claims for accuracy, completeness and eligibility. + Provides leadership, supervision… more
- HomeSafe Alliance (Madison, WI)
- **Title:** Lead IT Business Process Analyst ( Lead Product Owner) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... + Coordinate release planning with operations, customer care, supply chain, claims , and other departments. **Customer** **Feedback and Continuous Improvement:** +… more
- Molina Healthcare (Kenosha, WI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... completion dates with Health Plans. + Must have experience with Benefits configuration, claims + The team is responsible for implementation and configuration of all… more
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develops, implements, and uses software and systems to… more
- Elevance Health (Waukesha, WI)
- **Subrogation Analyst ** _Location: Virtual with the ideal candidate will live within 50 miles of our Indianapolis, IN, Waukesha, WI, or Louisville, KY Elevance ... care cost containment company offering subrogation recovery services. The **Subrogation Analyst ** is responsible for handling complex Third Party Liability, Workers… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The Senior Pricing Analyst ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... and manage information from large data sources. + Analyze claims and other data sources (eg authorization) to identify...Python, R, etc.) to answer a given problem + Lead monthly trend presentations to plan leadership and other… more
- Molina Healthcare (Kenosha, WI)
- …and claims functionality. Requires assistance with schema from Tech resource or Lead Analyst . + Writes Requirements for BRDs/FRDs and Reports. + Complex ... and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to derive...and existing health plans. + Completes analysis on retroactive claims reports + Pre and post validation of complex… more
- Elevance Health (Waukesha, WI)
- **Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within 50 ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- American Family Insurance - Corporate (Madison, WI)
- …is offered for eligible candidates._ **Responsibilities:** + May serve as project lead for implementation of products and services. + Analyze the performance of ... enhanced products and services. + Work with partners in pricing/actuarial or claims to ensure product compliance and financial viability. + Prepare contract… more
- Lumen (Madison, WI)
- …connect the world and shape the future. **The Role** We are seeking a Lead Product Marketing Manager to drive the creation and delivery of unique market positioning ... to identify and develop valuable messaging that will drive engaging content. The Lead Product Marketing Manager is expected to be a content marketing expert across… more