- 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 ... assess business impacts, and make recommendations through use of healthcare analytics, predictive modleing, etc. + Interact with various departments including;… more
- Molina Healthcare (Grand Island, NE)
- …combination of education and experience **Required Experience** + 5-7 years of business analysis experience with an emphasis in claims payment accuracy ... the Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business … more
- Cognizant (St. Louis, MO)
- **QA Analyst in Healthcare Domain with Payer & Claims Testing experience (Remote)** This is a remote position open to any qualified applicant in the United ... highly skilled and motivated **QA Analyst in Healthcare Domain with Payer & Claims Testing...defects, enhancing overall product quality. . Conduct manual end-to-end business process assurance testing, focusing on the Claims… more
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a ... highly skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims Testing**...activities ensuring efficient workflow and communication. Conduct manual end-to-end business process assurance testing focusing on the Claims… more
- Molina Healthcare (Bellevue, WA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex claims business problems and issues using data from internal and external sources to provide insight to ... analysis, task and workflow analysis. + Interpret customer business needs in the claims space and...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (ID)
- …self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, and external data to ... **Job Summary** A successful candidate will have a balance of business insight, critical thinking, strong communication and analytical skills. Possess the… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Global NavigationEmployee Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL ... need to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite... will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and… more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... make a meaningful impact on the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in the insurance claims lifecycle… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Kuehne+Nagel (Jersey City, NJ)
- …At Kuehne+Nagel, our work contributes to more than we imagine. **** As a Liability Claims Analyst , you will be an integral team member of the North America ... to over 30 countries worldwide since 1972. As Claim Analyst you will handle Marine Liability claims ...skills, job location, internal pay equity, and other relevant business considerations. Kuehne+Nagel reviews pay ranges regularly to ensure… more
- CVS Health (Woonsocket, RI)
- …unit, as needed. * Development of billing/vendor solutions that enable business growth/new healthcare services, working cross-functionally to prioritize, ... Identify and create custom solutions to support and meet on going business needs. Provide comprehensive reporting and key performance metrics for reconciliation,… more
- AmeriHealth Caritas (Newtown Square, PA)
- Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay ... well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions… more
- Molina Healthcare (Roswell, NM)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Molina Healthcare (Rio Rancho, NM)
- …a critical role in supporting clinical and operational initiatives by translating healthcare business needs into technical solutions. This role works closely ... technical solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and… more
- Molina Healthcare (Provo, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed up ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...difference. We are looking for a dedicated Senior Financial Analyst like you to be a part of our… more
- Cognizant (Cincinnati, OH)
- …and Digital Business Assurance in Gartner Magic Quadrant! **Senior QA Analyst - Healthcare Facets Testing** **Location: Cincinnati, OH (Hybrid)** **Required ... Cognizant Technology Solutions is looking for a **"Senior QA Analyst - Healthcare Facets Testing"** to join...of its functionalities. . Have a strong background in healthcare domains particularly in Enrollment and Claims … more
- Evolent (Harrisburg, PA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Beth Israel Lahey Health (Wakefield, MA)
- …including but not limited to:** + Understands the medical and pharmacy claims adjudication circle terminology, healthcare quality and EHR terminology and ... the reporting documentation repository. + Collaborates with the Medical Director(s) and business associates (eg, healthcare plan, PBM, consultants) to define the… more
- Prime Therapeutics (Eagan, MN)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... It fuels our passion and drives every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business Systems … more
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