- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. *...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Banner Health (Phoenix, AZ)
- …Name:** Risk Financing & Ins Programs **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers are built at Banner Health. There's more to ... you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...transactions. Document errors and perform research. + Conduct initial quality check on summary data on all claim submissions… more
- AIG (Jersey City, NJ)
- …and efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") ... Claims Complex Director - Healthcare Professional...analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures… more
- HCA Healthcare (Nashville, TN)
- …the Service Center and other internal partners + Manage performance metrics of claims administrators to ensure quality delivery of outsourced services; analyze ... Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have...have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: ... ready to make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs… more
- Molina Healthcare (Columbus, OH)
- …Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Data Analyst Lead? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...a difference. We are looking for a dedicated Data Analyst Lead like you to be a part of… more
- HCA Healthcare (Richmond, VA)
- … colleagues invested over 156,000 hours volunteering in our communities. As a(an) Financial Analyst with Virginia Quality Care Partners you can be a part of ... organization that is devoted to giving back! **Benefits** Virginia Quality Care Partners offers a total rewards package that...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- HTC Global Services Inc (Berlin, NH)
- …and process improvements. Key Responsibilities: + Min 7+ years of experience in healthcare business analyst role, especially in data profiling and data ... Description: Client organizations hire healthcare business analysts to bridge business needs with...processes. A typical description emphasizes collaboration with Enrollment teams, Claims and provider domains , and IT teams to… more
- Elevance Health (Indianapolis, IN)
- **Senior Healthcare Economics Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- COOLSOFT (Columbia, SC)
- BachelorS Degree In A Technical Or Business Field Healthcare Operations Analyst Requirement id 156351 Job title Analyst Job location in Columbia, SC Skills ... DOE Status requirement Job interview type Email Recruiter:coolsoft Job Description Analyst : Business Processes, Azure DevOps, Atlassian JIRA, BachelorS Degree In A… more
- Genesis Healthcare (Roosevelt, NY)
- …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... a related field. 2. Must hold and maintain BCBA certification from the Behavior Analyst Certification Board (BACB). 3. Must hold a Licensed Behavior Analyst … more
- Robert Half Technology (Florham Park, NJ)
- Description A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves ... products, and tailored services to optimize patient outcomes and improve healthcare delivery. ** Qualified candidates should have experience with pharmacy insurance,… more
- Integra Partners (Troy, MI)
- The Quality Assurance Analyst is responsible for... will fairly and consistently review the calls, emails, claims , etc. of our team for accuracy and provide ... in support of the departmental goals and initiatives. The Quality Assurance Analyst evaluates both verbal and...remain focused and motivated during the auditing process + Healthcare experience preferred + Fluent in Spanish and English… more
- Molina Healthcare (Rochester, NY)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Molina Healthcare (NM)
- …network partners through contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary)… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... portfolios- Claims , Provider, and Enrollment. In this role, you will...processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test… more
- Molina Healthcare (Madison, WI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... improvement processes to ensure systems are working more efficiently and improve quality . + Assists in planning and coordination of application upgrades and… more
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