- Bank of America (Phoenix, AZ)
- Sr Claim Analyst Phoenix, Arizona **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a friend **To proceed with ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/ Sr - Claim - Analyst \_25045299) **Job Description:** At Bank… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders and subject matter… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The ** Senior Revenue Cycle Analyst ** is the lead in providing financial business development, analytical services, and ... delivery of business objectives and guide long term revenue cycle strategies. The Sr . Analyst would be responsible for implementing, designing, and providing… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...under the Provider Process and Network Organization (PPNO). **The Sr . Provider Hospital Reimbursement Analyst will be… more
- Baylor Scott & White Health (Phoenix, AZ)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Norstella (Phoenix, AZ)
- Sr . Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Oct 27, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Evolent (Phoenix, AZ)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… more
- Prime Therapeutics (Phoenix, AZ)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Treasury Claims Analyst Senior - Remote **Job Description** The Senior ... Treasury Claim Analyst is responsible for supporting the claim payment process, completing regulatory requirements for pharmacy and member payments. This… more
- Molina Healthcare (Phoenix, AZ)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Phoenix, AZ)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… 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
- Zurich NA (Phoenix, AZ)
- Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! ... The ideal candidate can work in one of our claims offices Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park,...assigned projects the individual will develop key relationships with senior leadership and become a trusted partner. In this… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and… more
- Bank of America (Phoenix, AZ)
- Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Device-and-Non-Monetary-Fraud-Analytics-and-Innovation- Senior - Analyst \_25042172-2) **Job Description:** At Bank of America,… more
- Arizona Public Service (Phoenix, AZ)
- Business Operations Analyst Senior Apply now " Date: Nov 8, 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** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- CVS Health (Phoenix, AZ)
- …identifying issues in order drive towards margin enhancing solutions -Work with pharmacy claim data to understand root causes of specific client issues -Access and ... manipulate large datasets using Excel, SQL(SAS/Teradata) and similar tools -Support complex projects related to a wide variety of financial, utilization, and operational business needs. -Assist in coordinate efforts across company teams that can include… more