- Cognizant (Raleigh, NC)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- TEKsystems (Raleigh, NC)
- TEKsystems is hiring for a fully remote Medical Claims Analyst for a PBM to help analyze and correct medical claims !! Start Date: July 14th MUST HAVES: ... 2+ years of claims experience with emphasis on researching / auditing not...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Prime Therapeutics (Raleigh, NC)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Prime Therapeutics (Raleigh, NC)
- …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
- Evolent (Raleigh, NC)
- …mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote ** Evolent is seeking a Senior ... Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving growth,… more
- Humana (Raleigh, NC)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Humana (Raleigh, NC)
- …within all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an impact** **Required Qualifications** + ... and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Senior Data Analyst , Population Health will be an analytically driven team player, responsible for understanding business needs and ... Health Management, Utilization Management and Complex Case Management. As Senior Data Analyst , Population Health, you will be challenged to think creatively while… more
- Cognizant (Raleigh, NC)
- …world. Together, we're improving everyday life. **Job Title** **: Facets/QA System Analyst ** **Location** **:** ** Remote ** **Job ID** **: SO# 63757471** **Role ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
- Cognizant (Raleigh, NC)
- …Together, we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst ** **Location** **:** ** Remote ** **Job ID** **: SO# ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
- Intermountain Health (Raleigh, NC)
- …centralized office function. and other projects as assigned. **This is a 100% remote position** **however, currently we are unable to consider candidates for ... remote opportunities in the following states: California, Hawaii, Illinois,...and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital… more