- CareFirst (Baltimore, MD)
- …strategy and delivery of two key analytic tools that will be built using provider and claims data. The Analyst will sit on the Value and Sales Enablement team ... reporting on all network, provider, and contractual performance. This senior level individual contributor will bring coding and dashboard...and sales enablement. The purpose of a Sr. Data Analyst is to find meaning in data as a… more
- General Motors (Warren, MI)
- …for and calculations of base (bumper to bumper coverage) passenger vehicle warranty claims in GM North America (US, Canada, and Mexico) and GM International Product ... GM monthly accruals for global warranty expenses and liabilities for vehicles including warranty claims spend by GM NA and IPC dealerships for base warranty and all… more
- CVS Health (Carson City, NV)
- …assigned, high profile providers or groups (ie local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by ... regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.Optimizes interactions with… more
- Trinity Health (Conshohocken, PA)
- …ability to contribute to and provide primary accountability for managing/leading small projects or portions of projects is expected. Responsibilities include, but ... initiatives which support business needs and enhance the performance of payer claims analysis, product development and the managed care contracting process. Gathers… more
- CVS Health (Albany, NY)
- …on a diversified book of business including Mid-Market, Select/Key Accounts, Small Group, and our Captive/Alternate channels. Required Qualifications + 1-2 Years ... Marketing and placement of stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts + Works with… more
- Capgemini (El Paso, TX)
- …client. Performs tasks in line with the written procedures or assigned by senior staff under supervision. Deepening knowledge in one process or more. General ... * Processes used: * B2C4.1.3 Collect From Tier 3 Customer (Low Risk, Small ) * B2C4.1.4 Retained Collection * B2C4.1.5 Escalate unpaid amounts * B2C4.1.6 Perform… more
- Chevron Phillips Chemical (Plano, TX)
- …industrial products. Even as a global company with 5,000 employees, we maintain a " small company feel" and uphold a culture of respect, diversity, and inclusion. Ask ... is seeking to fill the position of Commercial Credit Analyst . The position is responsible for enforcing the credit...as engage and support in-house or external legal for claims against delinquent accounts, and follow these claims… more
- CareOregon (Portland, OR)
- …or Wisconsin. Position Title: Cotiviti Applications System Administrator / HEDIS Analyst Exemption Status: Exempt Department: Information Systems Manager Title: IS ... Data integration strategy best practices, such as ETL + Claims processing technologies, such as QNXT and Facets +...risks, and propose solutions to information technology management and senior leadership + Possess a high degree of initiative… more
- Hartford HealthCare (Newington, CT)
- …or recommendations to workflows; breaks down identified problems into small components, understands underlying issues, simplifies and processes complex issues; ... of high financial risk and make resolution recommendations to senior management. . Lead projects as assigned to successful,...policies and standard work that will speed processing of claims payments and reduce the amount of follow up… more
- New York State Civil Service (Albany, NY)
- …and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments ... Agency DASNY - Dormitory Authority of the State of New York Title Senior Cost Control (3 positions) - Statewide Occupational Category Other Professional Careers… more
- UIC Government Services and the Bowhead Family of Companies (King George, VA)
- …contract administration. + Working closely with the Program Manager and Financial Analyst to monitor performance, reduce risk and reduce days sales outstanding ... on more complex proposals and contracts. + Providing regular reporting to senior management on contract issues. + Interfacing with the Government Contracting… more
- Geisinger (Wilkes-Barre, PA)
- …exome sequencing study (MyCode), and access to Geisinger's health plan administrative claims data. The candidate will also tap into Geisinger's highly advanced, ... syndrome, pharmacoepidemiology, genetics of CKD. Resources include research data analyst support, project manager, project coordinators, and a research assistant.… more