- CVS Health (Scottsdale, AZ)
- …Experience Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ... it all with heart, each and every day. **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- Amazon (Tempe, AZ)
- …recommendations and influencing stakeholders - 3+ years experience in data reporting and analytics for auto insurance claims Preferred Qualifications - ... and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk...- Ability to influence stakeholders - Deep experience with data reporting and data visualization… more
- Molina Healthcare (Mesa, AZ)
- …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… more
- CVS Health (Scottsdale, AZ)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... will continuously improve quality controls and accuracy of reported data , looking for ways to further automate reporting...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
- CVS Health (Scottsdale, AZ)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... Health has an exciting opportunity to join our PBM Reporting group as a Data Engineer within...AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry,… more
- The Hartford (Scottsdale, AZ)
- …the investigation, valuation, disposition and settlement of commercial/business lines property claims in a manner consistent with corporate claim settlement policies ... properly assess the indemnity and expense exposure of assigned claims . They will report to a Property Major Case...metrics, like key performance indicators (KPIs) and other relevant data , to identify trends, measure efficiency, and determine areas… more
- Molina Healthcare (Mesa, AZ)
- …Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality ... such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting . + Develop Medical Record Review project reporting to… more
- Molina Healthcare (Mesa, AZ)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure...provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.… more
- Molina Healthcare (Mesa, AZ)
- …management or team leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of Excel, SQL, ... **JOB DESCRIPTION** **Job Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing,… more
- CVS Health (Scottsdale, AZ)
- …potential while promoting industry best practices in Quality Engineering and Reporting Executive Reporting : Deliver comprehensive quality reports on ... **Required Qualifications** + 7+ years of experience leading and managing quality engineering, data analytics projects. + 7+ years of experience in plan management, … more
- The Hartford (Scottsdale, AZ)
- …schemes, ensuring cases are conducted following laws pertaining to insurance claims , mandated reporting and good-faith investigative practices. * Proactively ... national implications. This role collaborates with the SIU Field Operations, Forensic Data Analytics, Corporate Legal, and other business units to support the… more
- Bank of America (Chandler, AZ)
- …expand our capabilities, reduce customer friction, and make strategic investment decisions. Data related to customer profiles and online banking login events hold an ... performing complex analyses of online logins, device characteristics, and other non-monetary data to minimize fraud loss exposure and negative impacts to the… more
- CVS Health (Scottsdale, AZ)
- …effective decisions, is crucial. Competency in MS Excel is essential for ad-hoc data analysis and reporting . Intermediate to advanced technical skills are key ... role covers all delivery systems and adjudication platforms related to pharmacy claims adjudication. You will inspect the correct application of business rules,… more
- Molina Healthcare (Mesa, AZ)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... communicates technology models and foundations used to run applications, data , and infrastructure in support of one or more...reporting , Risk Adjustment (RA), and Health Plan Reporting… more
- Nammo Defense Systems, Inc (Mesa, AZ)
- …with the Nammo Sales Process and Total Quality Management System. * Identifies data collection and report writing requirements to implement flexible reporting to ... demands. * Maintains current company registrations in US Government and Customer data bases / portals including System for Award Management (SAM), Commercial and… more
- Amazon (Tempe, AZ)
- …Language) and/or other data management systems) and to perform ad hoc reporting and analysis as needed * Prioritize and drive key quality-oriented short and ... to provide a holistic resolution across common themes encompassing onboarding, pickup issues, claims and tracking amongst others. You will be a single point of… more
- The Hartford (Scottsdale, AZ)
- …conclusions and recommendations with leadership. Responsibilities: + Crafting and analyzing data in preparation for Monthly Business Reviews. + Ad-hoc analyses on ... and impacts to top and bottom line. + Forecasting, CBA creation and analyzing data in the auto line of business for initiatives and projects/test and learns. +… more
- Molina Healthcare (Mesa, AZ)
- …(SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting , and when appropriate, recovery of money related to health care ... investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program… more
- Walmart (Gilbert, AZ)
- …appropriately merchandising and completing required documentation Tracks and processes claims by returning damaged goods handling liquidation merchandise maintaining ... and cleaning the clearance area and utilizing technology to capture required reporting and documentation Maintains safety of facility by following all safety… more
- DoorDash (Tempe, AZ)
- …of DoorDash operations through adjudication of background checks and insurance claims , investigation of safety incidents, and implementation of quality measures for ... have the best experience possible on the DoorDash platform. Reporting into the Trust and Safety Supervisor, the Trust...years of work experience in high demand environment + Data competency, including the ability to answer inquiries from… more