- Evolent (Phoenix, AZ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- Evolent (Phoenix, AZ)
- …the culture. **What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management ... fosters expertise and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding health plan cost & use and… more
- CVS Health (Phoenix, AZ)
- …all with heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters ... department, you will work exclusively with Pharmacy generated Medicaid encounters. You will be responsible for researching, analyzing and correcting previously submitted, rejected, Medicaid encounters. A self-starter with a natural curiosity and a high… more
- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst , Plan Sponsor will be responsible for functioning as an Account ... cases (1,000 life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business. + Consults with… more
- Bank of America (Phoenix, AZ)
- Senior Claim Analyst Phoenix, Arizona...that were unable to be resolved by the initial claims analyst . Provides coaching and training to other ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/ Senior - Claim - Analyst \_25040197-2) **Job Description:** At Bank… more
- CVS Health (Phoenix, AZ)
- …has an exciting opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and...team is highly collaborative. You will report to the Senior Reporting Manager within the PBM Finance Data, Analytics,… more
- Arizona Public Service (Phoenix, AZ)
- Business Operations Analyst Senior Apply now " Date: Oct 10, 2025 Location: PHOENIX, AZ, US, 85021 Company: APS Our present and future success depends on the ... Succeed Together. Summary APS is seeking a Business Operations Analyst , Senior to act as System Subject...coordination with Customer Experience (CX) teams + Handle customer claims , complaints, and support access follow-ups + Assist maintenance… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities ... skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and vendor data.… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- CVS Health (Phoenix, AZ)
- …day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business management ... Qualifications** + Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and Pharmacy… more
- Molina Healthcare (Phoenix, AZ)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... and improve quality. + Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some… more
- Molina Healthcare (Phoenix, AZ)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution… more
- Prime Therapeutics (Phoenix, AZ)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
- Molina Healthcare (Phoenix, AZ)
- …pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional ... support executive decision-making. + Research and develop reports and analysis for senior management; effectively communicate results. + Assist in the preparation of… more
- Humana (Phoenix, AZ)
- …community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... the team as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for maintenance and… more
- Prime Therapeutics (Phoenix, AZ)
- …fuels our passion and drives every decision we make. **Job Posting Title** Senior Strategy Consultant - Remote **Job Description** The Senior Strategy Consultant ... information from research sources including the internet, trade publications, periodicals, analyst presentations, SEC filings, etc. + Support development of analytic… more
- Highmark Health (Phoenix, AZ)
- …**Substitutions** + 6 years of Dental Solutions Application Portfolio (eg, Concordia Claims Processing & RENO, Portal applications, UCD billing, etc.) experience may ... DB2, Cogno, PEGA, Enterprise Architect(SCEA), Project Management, Certified Quality Analyst (CQA), Scrum Master Certification, Lean/Six Sigma Certification **SKILLS**… more
- Prime Therapeutics (Phoenix, AZ)
- …Forecasting Principal - Finance - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... daily and strategic liquidity decisions and by a variety of stakeholders, including Senior Leadership. This role is responsible for providing leadership to the other… more