- Cognizant (Madison, WI)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Prime Therapeutics (Madison, WI)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Madison, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Elevance Health (Waukesha, WI)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Rating/ Claims System Advisor** **Location:** This role requires associates...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more
- Humana (Madison, WI)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Elevance Health (Waukesha, WI)
- **Actuarial Analyst II** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that ... Alternate locations may be considered. This position will work in a hybrid model ( remote and office). The ideal candidate will live within 50 miles of one of… more
- Elevance Health (Waukesha, WI)
- **Actuarial Analyst II** **Location:** This position will work a hybrid model ( remote and office). The Ideal candidate will live within 50 miles of one of our ... Elevance Health PulsePoint locations. The **Actuarial Analyst II** will be responsible for completing projects and performing complex actuarial studies. **How you… more
- Cognizant (Madison, WI)
- …+ **Min 10** **yrs of exp as a Product Owner** , Product Manager, Business Systems Analyst and with a strong background in application development and ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
- Molina Healthcare (Madison, WI)
- …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan… more
- NTT America, Inc. (Madison, WI)
- …you can grow, belong and thrive. **Your day at NTT DATA** The Production Control Analyst will contribute to the support of the NJ MMIS Project and upcoming new ... actions following documented procedures. + Work closely with Programmers and Business Analysts to solve issues, complete projects, and deploy new functionality.… more
- Lumen (Madison, WI)
- **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. ... team of lawyers providing advice and counsel to human resources and business leaders related to employees, employment policies, and compliance with local, state… more