- CVS Health (Scottsdale, AZ)
- …Transmission (CET Files) on behalf of our Clients and their vendors. The Senior Analyst will have primary responsibility and ownership of the administration ... CT., or Woonsocket, RI **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing...the creation of ongoing and ad hoc files. The Senior Analyst position will also be responsible… more
- Molina Healthcare (Phoenix, AZ)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... tools to monitor trend drivers and provide recommendations to senior leaders on UM and CM improvements. Responsible for...executive decision-making + Mine and manage information from large data sources + Analyze claims and other… more
- Evolent (Phoenix, AZ)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... manner that fosters expertise and cooperation.** **Process and validate raw unadjudicated claims data .** **Use programming skills to explore, examine and… more
- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to… more
- Evolent (Phoenix, AZ)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… 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 ... actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools To all current… more
- Molina Healthcare (Phoenix, AZ)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Evolent (Phoenix, AZ)
- …interactions fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications ... of new innovative patient solutions through modeling and insights empowered by data . Collaboration Opportunities: This individual will serve as a key member of… more
- Molina Healthcare (Phoenix, AZ)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more
- Molina Healthcare (Phoenix, AZ)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Highmark Health (Phoenix, AZ)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- USAA (Phoenix, AZ)
- …. Relocation assistance is not available for this position. **Several new positions within the Claims Data and Analytics team to support the build out of omni ... and adjuster interactions across multiple channels. This work will be critical to the Claims 2030 strategy and our ability to identify deeper and rich insights to… more
- 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 ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims… more
- DriveTime (Tempe, AZ)
- …in the future are not eligible for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on existing products ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- Bank of America (Phoenix, AZ)
- Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Tampa, Florida; Jacksonville, Florida; Charlotte, North Carolina; Phoenix, Arizona **Job ... a variety of systems, such as Excel, SAS, SQL, Tableau, and other relational data bases, to provide analytical support on strategies, ensure goals are met, and… more
- CVS Health (Phoenix, AZ)
- … claims , eligibility, network operations, customer service, audit, and Aetna. The Senior Business Analyst is a strong individual contributor with the ... unit workflows, systems, key processes, fiduciary responsibility and assemble all data used in making determinations for resolution. + Ensure end-to-end traceability… more
- CVS Health (Phoenix, AZ)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and ... to financial questions in real-time + Supporting Underwriting Managers and Sr . Managers with ad-hoc financial analyses and client implementation projects. Your… more
- Highmark Health (Phoenix, AZ)
- …network structures (eg non standard tiering) and pricing methods in a senior operational role. Translates complex group and client information into system ... configuration, including but not limited to client, group, rates, and commissions data resulting in the design and maintenance of complex groups and products.… more
- Evolent (Phoenix, AZ)
- …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using ... or more years of experience within a healthcare analytics role, working with Claims , Membership, or Authorization Data , and consulting both internal and external… more