- Valvoline Global (Lexington, KY)
- …Founded in 1866, we introduced the world's first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an ... but willing to visit HQs weekly. **How You Make an Impact** The **Senior Analyst , Corporate Development** will play a critical role in all phases of Valvoline Global… more
- CVS Health (Frankfort, KY)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Molina Healthcare (Lexington, KY)
- …provider-submitted claims issues. This role requires a keen understanding of medical claims processing, strong analytical skills, and the ability to ... **Job Description** **Job Summary** Provides entry level analyst support for claims research activities....of relevant education and experience + Basic knowledge of medical billing and basic claims processes. +… more
- Cognizant (Frankfort, KY)
- 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 Engineering team and… more
- Baylor Scott & White Health (Frankfort, KY)
- …2 Years of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Eliassen Group (Frankfort, KY)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... **Shortcut:** http://careers.eliassen.com/fMinuT + Description + Recommended Jobs **Description:** Business Analyst will support Guidewire integrations,conducting requirements gathering sessions, writing… more
- Norstella (Frankfort, KY)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...sciences companies. * Understanding of RWD, including lab, EMR, claims , and SDoH data assets * Ability to work… more
- Evolent (Frankfort, KY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more
- Evolent (Frankfort, KY)
- …Stay for the culture. **What You'll Be Doing:** Job Description The Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Product Development efforts. **What You'll… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Economics, Math, or Computer Science **Preferred Experience** Preferred experience in Medical Economics and Strong Knowledge of Performance Indicators: + Proactively… more
- CVS Health (Frankfort, KY)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Vontier (Frankfort, KY)
- …preferred locations for this opportunity. **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root Quality organization by conducting ... analysis efforts by providing data-driven insights into failure trends and warranty claims . * Assist in documenting quality data processes, ensuring consistency, and… more
- Molina Healthcare (Lexington, KY)
- **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 (Lexington, KY)
- …and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will...rate tracking and supplemental data impact reporting. + Develop Medical Record Review project reporting to track progress and… more
- Molina Healthcare (Lexington, KY)
- …Medicare/MMP * Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates * Assists and collaborates ... **Job Summary** The Lead Analyst , Quality Analytics and Performance Improvement role will...of experience in Analysis related to HEDIS rate tracking, Medical Record Review tracking, Interventions tracking for at least… more
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Position Summary** The Senior Analyst , Plan Sponsor will be responsible for functioning as an Account Management and Plan ... cases (1,000 life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business. + Consults with… more
- Molina Healthcare (Lexington, KY)
- …pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional ... role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial… more
- Evolent (Frankfort, KY)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase… more
- Molina Healthcare (Lexington, KY)
- …**Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects initiated… more
- Evolent (Frankfort, KY)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
