- Providence (OR)
- …Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims leaders in ... care organizations. The Senior Quality Analyst is also responsible for maintaining a claims...claims environment, and respond positively to change.** **The Senior Quality Analyst performs all… more
- WelbeHealth (Salem, OR)
- ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most ... ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role...Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and… more
- Evolent (Salem, OR)
- …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
- Highmark Health (Salem, OR)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Otsuka America Pharmaceutical Inc. (Salem, OR)
- …Lead and Technical Lead to deliver the program within the constraints of scope, quality , time and budget. The BA/PrM shall be responsible for strategic planning and ... Project health (risks, issues, decisions ) + Communicate with senior leaders on program execution as needed + Demonstrate...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Prime Therapeutics (Salem, OR)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Salem, OR)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst ... revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Evolent (Salem, OR)
- …the 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...analytic work; be comfortable breaking new ground + Execute high- quality analyses with accuracy and attention to detail; anticipate… more
- Humana (Salem, OR)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more