- The MITRE Corporation (New Windsor, MD)
- …to make, then choose MITRE-and make a difference with us. MITRE is seeking experienced healthcare claims data analysts with the ability to develop expertise ... working comfortably in team settings. This position requires significant experience with CMS claims data and the ability to design studies and analyses,… more
- Carrington (Owings Mills, MD)
- **Come join our amazing team and work remote from home!** The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all ... all avoidable losses, work under general direction analyzing multiple data elements in order to apply the proper decision...to completion that falls within the scope of the Claims Recovery & Analysis Department. + Prepare Claims… more
- Prime Therapeutics (Harrisburg, PA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Data & Reporting Business Analyst - Louisiana Medicaid **Job Description Summary** ... Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and… more
- Highmark Health (Harrisburg, PA)
- …how design of these programs creates financial value for the enterprise. + Interprets raw claims , provider, quality, and member data to build data sets for ... help guide and design programs and initiatives. Performs innovative data modeling and routinely partners with data ...work experience **Preferred** + 3 years of Insurance or healthcare work experience **SKILLS** + Analytic Judgement +… more
- Prime Therapeutics (Harrisburg, PA)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Harrisburg, PA)
- …Title** Forecast Analyst - Remote **Job Description** The Forecast Analyst is responsible for providing financial/ data modeling, forecasting, revenue ... + 2 years of experience in financial, insurance, and/or healthcare industries + Must be eligible to work in...Previous work experience with data analysis, large data sets and/or pharmacy claims ; creating moderately… more
- Intermountain Health (Harrisburg, PA)
- …Requirements** + Two years of experience working with business systems or in healthcare , with a thorough understanding of claims processing and billing + ... **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is responsible to analyze, design, configure, test, implement and support Facets… more
- Highmark Health (Harrisburg, PA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... policies, practices, and standards. Analyzes associated policies, guidelines, market data to continuously improve risk management and gain appropriate enrollment… more
- Highmark Health (Harrisburg, PA)
- …new plans/providers. Translates configuration rules, fee schedules, contract terms, provider data code sets, and benefits into systems parameters to ensure accurate ... managed care operations (ie enrollment & billing, claims processing, etc.). This job supports one or more analytical aspects of the application product life cycle,… more