- EmblemHealth (New York, NY)
- …PowerPoint, Outlook, etc.), with an emphasis on Excel required Experience working with healthcare data including but not limited to claims , testing results and ... and analytic processes to review financial data to draw conclusions for senior leadership. Represent the department to internal and external partners with… more
- Molina Healthcare (Long Beach, CA)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts. Analyzes complex business problems and ... product meets the intended functional and operational requirements. Provide Level II claims support to internal teams and directly with providers as needed Monitor… more
- Berkley (Trenton, NJ)
- …company is an equal employment opportunity employer. Responsibilities As a Stop Loss Claims Analyst , you'll perform quality review and evaluation of all claim ... claims experience Prior experience handling first dollar payer insurance (medical healthcare claims ) Experience with medical billing practices, CPT codes,… more
- Magellan Health, Inc. (Frisco, TX)
- … healthcare , Medicaid or other health insurance industries. Experience in Healthcare claims operations and/or encounter submissions preferred. Expertise in ... 3+ years of experience working in Medicare Operations. General Job Information Title Senior Business Analyst - Encounter Operations Grade 26 Work Experience -… more
- Allianz (Chicago, IL)
- We are looking for a Senior Actuarial Analyst , based in New York, Alpharetta, or Chicago. Your Team The Global Property Pricing team is part of the Chief ... commercial business. To advance with this approach, Allianz Commercial is seeking a Senior Actuarial Analyst to actively shape and reposition the Group's pricing… more
- Elevance Health (Atlanta, GA)
- Anticipated End Date: 2025-08-25 Position Title: Business Information Analyst Senior - Provider Economics Job Description: Business Information Analyst ... an accommodation is granted as required by law. The Business Information Analyst Senior is responsible for analyzing, reporting and developing recommendations… more
- Welltower, Inc. (Dallas, TX)
- …ESTATE WITH US At Welltower, we're transforming how the world thinks about senior living and wellness-focused real estate. As a global leader in residential wellness ... and healthcare infrastructure, we...our best-in-class team. ABOUT THE ROLE The Risk Management Analyst provides key risk management services in the areas of… more
- DASNY (Dormitory Authority (Albany, NY)
- Position Title: Senior Cost Control Analyst (2 positions) Grade/Classification: 6 (D1) - Senior Professional Salary Range: $102,177 - $128,220 - Albany, ... DASNY office or Field location Last Revised: April 11, 2016 Primary Purpose Senior Cost Control Analyst reviews and recommends approval of construction change… more
- Lumen Solutions Group, Inc. (Reston, VA)
- Now Hiring: Senior Financial Analyst - PBM Financial Modeling & Analysis SME Location: Remote (USA) Contract-to-Hire | Opportunity to Transition to Permanent ... Analytics About the Role: We are looking for a Senior Financial Analyst - Pharmacy SME to...financial forecasts to evaluate overall contract value. Analyze pharmacy claims data, utilization trends , and pricing shifts to… more
- Ventas, Inc. (Chicago, IL)
- …Information System : Utilize RMIS for management of tasks and workflow. Collaborate with Risk Analyst and Senior Risk Analyst to ensure accuracy of data in ... and risk management for a high-profile, growing real estate portfolio centered around healthcare and the longevity economy. The Risk Manager will be an ambitious… more
- New York City Economic Development Corporation (New York, NY)
- …and execute on requests for insurance modifications and waivers Guide and manage Senior Analyst in all facets of assigned tasks Build strong cross-functional ... occasionally, discuss with external parties and/or their insurance brokers Manage firm-wide claims process, working closely with the Legal Department on all … more
- County of Los Angeles, CA (Los Angeles, CA)
- …technicians providing a full-range of orthopedic services in inpatient and outpatient healthcare settings and for ensuring these services are rendered. Essential Job ... One (1) year of experience at the level of Senior Orthopedic Technician** providing technical oversight to other Orthopedic...(7) calendar days of online application to the exam analyst , Christina Tadeo , at ###@dhs.lacounty.gov . The document… more
- Molina Healthcare (Covington, KY)
- **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… more
- AdventHealth (Altamonte Springs, FL)
- …being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain ... to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders,...interfaces such as Tableau, Business Objects + working with healthcare , insurance or claims data + Six… more
- CVS Health (Woonsocket, RI)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... and key performance metrics for reconciliation, revenue cycle, and adjudication/ claims processes analysis. Facilitate effective solutions related to adjudication and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Sr Healthcare Quality Improvement Analyst ** **Job Class: Agency Policy Specialist** **Agency: Human Services Dept** + **Job ID** : 87536 + ... less from the primary work location to be eligible for telework.** The Senior Health Care Quality Improvement Analyst serves as a strategic/operational planner… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Business Systems Analyst **Job Description** The Sr . Business Systems ... project team and various levels of management. With consistent Senior Leadership visibility, the Sr . BSA is...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Aveanna Healthcare (Atlanta, GA)
- Sr . Paralegal Analyst (Employment Litigation) ApplyRefer a FriendBack Job Details Requisition #: 205891 Location: Atlanta, GA 30339 Category: ... for attorneys. Employment Litigation + Responsible for investigating EEOC/Discrimination Claims and/or Attorney Demand Letters; DOL Audits/Investigation and other… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The User Experience Analyst Sr . plays a critical role in leveraging data to drive strategic decision-making. This individual will be responsible ... communicate findings to both technical and non-technical audiences. The User Experience Analyst Sr . will work independently on complex projects and mentor… more
- Norstella (Montpelier, VT)
- Sr . Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 29, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... and support patients in need. We are seeking a Senior Medical Analyst to join our team...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
