- Cognizant (Harrisburg, PA)
- …liaison between the business community and the IT organization in order to provide technical solutions to meet user needs. Duties include: Work as a liaison among ... IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …3+ years' experience as a Business Analyst + 3+ years' experience supporting claims functionality in the Insurance industry's P&C sector + Experience with ... technical requirements and help implement solutions to enhance claims management. The candidate will also need an understanding...latest trends and best practices in business analysis and claims management within the P&C insurance sector… more
- Evolent (Harrisburg, PA)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... data and unstructured - Required + Ability to communicate clearly with less technical stakeholders to solve problems; ability to translate between business needs and… more
- AmeriHealth Caritas (Philadelphia, PA)
- …www.amerihealthcaritas.com We seek an experienced, passionate, and highly motivated WFM Business Analyst (BA) to join our Workforce Management Team. This consists of ... Analytics, Forecasting and critical Workforce Management procedures of our Claims and other Back Office teams.; This person will...Productivity, Time Usage, and Plan Service Levels.; The Business Analyst will also work with the Verint WFM suite… more
- Robert Half Finance & Accounting (Philadelphia, PA)
- Description The Intermediate Financial Analyst will play a central role in supporting the company's financial and strategic goals by delivering in-depth financial ... advanced analysis across various metrics, including sales, margins, and vendor claims . Key responsibilities include: + Conducting monthly revenue analysis to… more
- Evolent (Harrisburg, PA)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- The Cigna Group (Pittsburgh, PA)
- **Job Summary:** The Operations Lead Analyst is an organized, analytical thinker who is responsible for the focus of supporting medical specialty pharmacy ... monitoring, and trend tracking. We are seeking a talented Medical Savings Lead Analyst who has the profile of a collaborative professional who excels in dynamic,… more
- Lincoln Financial (Radnor, PA)
- …hidden in data? We're looking for an enthusiastic and detail-oriented Business Intelligence Analyst to join our growing team supporting Claims and Operations ... experience in lieu of Bachelor's) - Minimum Required _Nice-to-haves:_ * Experience in Insurance ( Claims , Operations) or Finance data concepts * Experience with… more
- Evolent (Harrisburg, PA)
- …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 ... dashboards in Business Intelligence tools such as Power BI or Tableau-Preferred ** Technical Requirements:** We require that all employees have the following … more
- UPMC (Pittsburgh, PA)
- UPMC Community Care Behavioral Health is hiring a full-time Business Analyst II. This role will predominantly work remotely, however, there may be occasional times ... statistical analyses, and then explain this analysis to a non- technical audience of both internal and external customers and,...Experience with PowerBI or Tableau is a bonus. + Claims experience is a bonus. + Experience in health… more
- Evolent (Harrisburg, PA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data * Using analytical tools to integrate various data sources to ... lines of business and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM), or other… more
- Evolent (Harrisburg, PA)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Working on a strategic analytics team using data to identify ... more years of experience within a healthcare analytics role, working with Claims , Membership, or Authorization Data, and consulting both internal and external… more
- Highmark Health (Harrisburg, PA)
- …initiatives. The incumbent serves as a consultative subject matter and technical expert for internal and external customers, leveraging advanced analytical expertise ... with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with… more
- Highmark Health (Harrisburg, PA)
- …delivery. The incumbent serves as a consultative subject matter and technical expert for clinical and population health analytics, leveraging advanced analytical ... with internal and external clinical, administrative, operational, financial and technical stakeholders to ensure analytics are actionable and aligned with… more
- Highmark Health (Harrisburg, PA)
- **Company :** HM Insurance Group **Job Description :** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims ... risk factors for new enrollment, annual renewals, and amendments of group insurance contracts or of self-funded plans in conformance with established underwriting… more
- CVS Health (Harrisburg, PA)
- …day. **Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health ... insurance organization. This role is ideal for a data...investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate… more