• Medical Claim Analyst

    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 (05/17/25)
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  • Senior Stop Loss Claims Analyst

    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
    Highmark Health (04/26/25)
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  • Claims Business Analyst - Remote

    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
    Cognizant (03/25/25)
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  • Epic Billing and Claims Sr. Analyst

    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
    Deloitte (04/29/25)
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  • Lead Data Analyst

    WelbeHealth (St. Paul, MN)
    The Lead Data Analyst is an analytically heavy hands-on role, utilizing processed business information points as the basis to further define and build out metrics, ... provider and/or payer operations. + Minimum three years' of experience working with claims data and provider network data. + Preferred experience in Health Plan… more
    WelbeHealth (05/15/25)
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  • Senior Business Analyst

    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
    Robert Half Technology (05/01/25)
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  • Analytics Data Analyst

    Fairview Health Services (Minneapolis, MN)
    …design analytic reports for quality reporting and population health management using electronic medical record data, claims and other data sources. + Builds ... **Job Overview** The Population Health Analytics Data Analyst is responsible for data analysis and reporting...our Epic users with Epic registries, Cogito tools, and claims ingestion. **Job Expectations:** + Collaborates with patient teams… more
    Fairview Health Services (05/15/25)
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  • Legal Analyst

    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
    State of Minnesota (05/15/25)
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  • Sr Analyst , Performance Suite Analytics

    Evolent (St. Paul, 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
    Evolent (04/03/25)
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  • Senior Analyst , Client Analytics

    Evolent (St. Paul, MN)
    …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
    Evolent (03/13/25)
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  • Analyst , Actuarial Services

    Evolent (St. Paul, MN)
    …internship + Experience with financial forecasting + Familiarity or experience with medical /pharmacy claims + Familiarity with PowerQuery/BI/VBA + Ability to ... more connected care journey. We are hiring an Actuarial Analyst to join our Actuarial Services Team. **What You'll...Actuarial Services Team. **What You'll Be Doing:** The Actuarial Analyst will inform decision making across the company and… more
    Evolent (05/16/25)
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  • Sr Analyst , Product Performance Analytics

    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
    Evolent (04/01/25)
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  • Principal Reimbursement Analyst - PVH

    Medtronic (Minneapolis, MN)
    …**A Day in the Life** The role of Reimbursement Principal Reimbursement Analyst offers the opportunity to establish reimbursement for innovative new products and ... deep venous disease, and superficial venous disease. The **Reimbursement Principal Reimbursement Analyst ** will serve in a highly visible and impactful role as a… more
    Medtronic (05/15/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (St. Paul, MN)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (05/10/25)
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  • Order Management Analyst

    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
    CH Robinson (05/17/25)
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  • Senior Investment Operations Analyst

    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
    Thrivent Financial (05/13/25)
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  • Senior Customer Implementation Analyst

    Highmark Health (St. Paul, MN)
    …and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal ... strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem identification and resolution activities,… more
    Highmark Health (04/03/25)
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  • Negotiation Analyst (Level I)

    CVS Health (Plymouth, MN)
    …understand production metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for ... medical services, supplies, and drugs + Medical provider/business office phone call handling history + Strengths in mathematical, written, and verbal skills +… more
    CVS Health (05/15/25)
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  • Senior Analyst , Client Accounting

    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
    CVS Health (05/16/25)
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  • Benefits Analyst

    Jack Link's (Minneapolis, MN)
    …+ Reconciliations + Vendor relations + Leave of absence and disability claim administration + Analyze employment and benefits data for accuracy; prepare reports ... 3+ years of current Human Resources benefits experience including 401k and medical insurance experience + Demonstrated current working knowledge of ERISA laws, ACA,… more
    Jack Link's (05/08/25)
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