- NorthMark Strategies (New York, NY)
- …offers a dynamic environment where individuals have the freedom to lead companies toward bold achievements by embracing innovation, leveraging technology, and ... Position: We are seeking a highly analytical and detail-oriented Senior Risk Analyst to join our Insurance Management & Advisory department, operating within a… more
- Molina Healthcare (Grand Island, NE)
- …accurate and timely implementation and maintenance 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 customers as it pertains to contracting,… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …this opportunity is made for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy ... File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL...+ Ensure technical solutions align with business goals and regulatory requirements. + Collaborate with compliance teams to audit… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will ... 011250 CCA- Claims **_This position is available to remote employees...Produce provider scorecards related to Payment Integrity initiatives and lead internal and external provider meetings to review results… more
- Zelis (Plano, TX)
- …the personal interests that shape who you are. Position Overview The Sr. Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer ... an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver programs and bulletins… more
- Molina Healthcare (Layton, UT)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Medical Mutual of Ohio (OH)
- …and other business needs. + Performs other duties as assigned. **Sr. Financials Systems Analyst ** **Job Summary:** **Performs a lead role in the preparation of ... required by state, the NAIC, and HHS. + Performs other duties as assigned. ** Lead Financials Systems Analyst ** **Job Summary:** **Performs a lead role… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... based anywhere in the US. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC...for maintaining and enhancing the DXC SICS (Swiss Insurance Claims System) application to support business processes in reinsurance… more
- The Cigna Group (Bloomfield, CT)
- …the Role** We are seeking a detail-oriented and strategic Data Governance & Validation Analyst to join our team. In this critical role, you'll help ensure the ... standards, and procedures. + Query and analyze large-scale healthcare datasets (eg, claims , pharmacy, patient data) using SQL and other tools. + Collaborate with… more
- Molina Healthcare (Louisville, KY)
- …and other sources of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Medical Mutual of Ohio (OH)
- …collection. + Participates in required training and performs other duties as assigned. ** Lead HEDIS Analyst ** + Schedules, assigns, and monitors projects and ... knowledge of NCQA and CMS measurement requirements and quality rating systems. ** Lead HEDIS Analyst ** **Education and Experience:** + Bachelor's degree in… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- Molina Healthcare (MI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- Highmark Health (Albany, NY)
- …MUST 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… more
- Prime Therapeutics (Santa Fe, NM)
- …passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... and partners with key internal stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement.… more
- Coca-Cola Bottling Company High Country (Billings, MT)
- Beverage Quality & Safety Program Analyst Billings, MT (http://maps.google.com/maps?q=1830+Harnish+Blvd+Billings+MT+USA+59101) Job Type Full-time Description ... + Salary for the Beverage Quality & Safety Program Analyst role is approximately $55,000 to $65,000 a year...ensure measures have been implemented. + Monitor management of claims to ensure claim expenses are mitigated. + Organize… more
- Prime Therapeutics (Denver, CO)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Mount Sinai Health System (New York, NY)
- …onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
- Elevance Health (Grand Prairie, TX)
- **Business Information Analyst Senior - Medicaid Encounters Data** The **Business Information Analyst Senior** is responsible for analyzing and validating ... data, identifying trends, and providing insights to support decision-making and regulatory compliance. **Location:** Norfolk, VA; Grand Prairie, TX; Tampa, FL;… more
