- Cognizant (Pierre, SD)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end ... test strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality … more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team ... and providing services to meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly ... within a client group. Serves as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy and first-pass resolution rates. + Gather ... File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL...years relevant IT experience overall. + Experience in the Healthcare industry domain, including and especially Claims … more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… more
- Molina Healthcare (MI)
- …and work PST hours. **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
- Molina Healthcare (IA)
- **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
- Molina Healthcare (Milwaukee, WI)
- …Microsoft Azure, AWS or Hadoop. * 3-5 Years of experience with predictive modeling in healthcare quality data. * 5+ Years of experience in Analysis related to ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and… more
- Molina Healthcare (Nampa, ID)
- …Microsoft Azure, AWS or Hadoop. + 1-3 Years of experience with predictive modeling in healthcare quality data. + 1-3 Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research,...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Evolent (Helena, MT)
- …**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
- Elevance Health (Atlanta, GA)
- **Senior Healthcare Economics Analyst ** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
- Molina Healthcare (NY)
- …Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- The Joint Commission (Washington, DC)
- …SQL. + Experience working with real-world healthcare data such as EHRs, claims , or quality reporting metrics. + Meticulous attention to detail and commitment ... evolving priorities. + Commitment to Joint Commission's mission to improve healthcare quality and safety. **Preferred Qualifications:** + Experience supporting… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Senior Healthcare Data Analyst ** **Job Class: Agency Policy Specialist** **Agency: Human Services Dept** + **Job ID** : 89227 + **Location** : ... + **Division/Unit** : Health Care Administration / Research and Quality + **Work Shift/Work Hours** : Day Shift /...work location to be eligible for telework.** The Senior Healthcare Data Analyst position is part of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... Intelligence The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for...include but are not limited to provider, health management, quality , product development and client/member analytics. Your Responsibilities *… more
- The Cigna Group (Bloomfield, CT)
- …In this critical role, you'll help ensure the integrity, consistency, and quality of healthcare data across the organization. You'll work cross-functionally ... data governance policies, standards, and procedures. + Query and analyze large-scale healthcare datasets (eg, claims , pharmacy, patient data) using SQL and… more
- Molina Healthcare (Phoenix, AZ)
- …proficiency in SQL for large dataset analysis and transformation, specifically in processing healthcare claims data and supporting managed care reporting needs + ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
- Staffing Solutions Organization (Albany, NY)
- …which is a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst in Albany, NY** **Division of Data Services & Analytics ... (DDSA)** **Data Quality Team** **50% Onsite 50% Remote** **Summary:** The Data Analyst will work within the Division of Data Services & Analytics (DDSA) Data … more