- CVS Health (St. Paul, MN)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- CVS Health (St. Paul, MN)
- …(underwriting, sales, product development, network management). + Experience working with medical and pharmacy claims . **Education** + High school diploma ... Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact… more
- Highmark Health (St. Paul, MN)
- …:** GENERAL OVERVIEW: Applicants Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing ... data relevant to the handling of all types of complex adjusted claims ; conducting reviews of all organizational or functional activities related to fraud/abuse… more
- Highmark Health (St. Paul, MN)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Cognizant (St. Paul, MN)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... + 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Deloitte (Minneapolis, MN)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- Cognizant (St. Paul, MN)
- …we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 00064116431** **Role ... code editing in the Facets environments. . Test inpatient claims with the Optum grouper to ensure accuracy and...in Facets. . Maintain a thorough understanding of standard claim payment rules for Commercial, Medicare, Medicaid, and ACA… more
- Robert Half Technology (Golden Valley, MN)
- Description Job Overview: We are searching for an experienced Sr. Business Analyst /Project Manager (BA / PM) for our Corporate & Operations Applications team. This ... and 5+ years of experience working as a Business Analyst in ERP with Finance or a similar role,...Finance, and 5 years of experience in a regulated medical device company. A comprehensive understanding of Finance and… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Legal Analyst ** **Job Class: Legal Analyst ** **Agency: Administration Dept** + **Job ID** : 86137 + **Location** : St. Paul + **Telework ... consulting services to state agencies. We are seeking a Legal Analyst to provide advanced administrative, investigative, and legal professional assistance to… more
- Evolent (Workman, MN)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in… more
- Medtronic (Minneapolis, MN)
- …compassionate world. **A Day in the Life** The **Senior Advanced Analytics Analyst ** supports the design, execution and validation of real-world data analyses ... essential for determining the safety, efficacy, and marketability of medical devices. As a subject matter expert of the...of the platform and data, the Sr Advanced Analytics Analyst conducts statistical analysis on data and information to… more
- Evolent (Workman, MN)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Evolent (St. Paul, MN)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior 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
- Prime Therapeutics (St. Paul, MN)
- …or STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Intermediate SAS or SQL coding ... decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides… more
- Fairview Health Services (Minneapolis, MN)
- …Health Plan Payers. As a member of the pharmacy team, the Contract Analyst manages and coordinates all financial information with third party plans to ensure ... as pertains to Medicare benefits, and primary, secondary and tertiary insurance claims . Assist in resolving any billing issues, verifying eligibility and escalating… more
- Robert Half Accountemps (Minneapolis, MN)
- Description We are looking for a skilled Quality Audit Analyst to join our team in Minneapolis, Minnesota. In this long-term contract role, you will play a critical ... auditing, or a related field, preferably within the healthcare industry. * Rx claims experience * Strong analytical skills with the ability to identify trends and… more
- CH Robinson (Eden Prairie, MN)
- CH Robinson is looking for an **Order Management Analyst ** . In this role you will be responsible for ensuring flawless execution of the order process from point of ... replenishing stock, handling invoicing, and ensuring the reconciliation of claims , credits, and pricing + Resolve problems with service...benefits that matter to you most, including: + Two medical plans (including a High Deductible Health Plan) +… more
- CHS Inc. (Inver Grove Heights, MN)
- …has an exciting opportunity within our Lubricants group for a **Lubricants Operations Analyst ** to lead operational aspects for and optimize CHS systems. We are ... and internal stakeholders on TPP warranty statuses. + Facilitate the warranty claims process with Technical Services. + Administer a dedicated inbox, answering… more
- Thrivent Financial (Minneapolis, MN)
- …they want today-and tomorrow. Job Summary The Senior Investment Operations Analyst performs 'middle office' functions (trade and corporate action processing, ... cash reporting and forecasting, multi-managed fund transaction support, class action claims , derivatives support, securities lending support, etc.) that support the… more
- CVS Health (Plymouth, MN)
- …tasks and assignments of operational/financial activities in support of revenue or claim information. + Performs general data gathering and analysis in support of ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more