- Molina Healthcare (Chandler, AZ)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... functions to support systems solutions development and maintenance for Medical Claim Audit. This role includes coordination with stakeholders and subject matter… more
- CommonSpirit Health (Phoenix, AZ)
- **Job Summary and Responsibilities** The ** Senior Revenue Cycle Analyst ** is the lead in providing financial business development, analytical services, and ... delivery of business objectives and guide long term revenue cycle strategies. The Sr . Analyst would be responsible for implementing, designing, and providing… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...under the Provider Process and Network Organization (PPNO). **The Sr . Provider Hospital Reimbursement Analyst will be… more
- Baylor Scott & White Health (Phoenix, AZ)
- + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight of the end-to-end encounter management workflow. This position ... and outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter data, submission… more
- Prime Therapeutics (Phoenix, AZ)
- …build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Norstella (Phoenix, AZ)
- Sr . Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Oct 27, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Bank of America (Phoenix, AZ)
- Senior Claims Analyst Phoenix, Arizona **To proceed with your application, you must be at least 18 years of age.** Acknowledge Refer a friend **To proceed ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Phoenix/ Senior - Claims - Analyst \_25045747-1) **Job Description:** At Bank… more
- Evolent (Phoenix, AZ)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor,… more
- Banner Health (Phoenix, AZ)
- …today, this could be the perfect opportunity for you. Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk ... identification, mitigation, transfer, and claims management to protect one of the nation's largest...systems. In this role you will be revieing new claims , such as property or auto, that may require… more
- Deloitte (Gilbert, AZ)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team… more
- Molina Healthcare (Chandler, AZ)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… more
- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** Sr . Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Chandler, AZ)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data ... SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required Education** Associate degree or… more
- The Hartford (Scottsdale, AZ)
- …Disability and Absence Management Disability Team. The Short-Term Absence Management Disability Analyst quickly investigates claims to determine if the insured ... an unexpected event or illness happens while following corporate claim standards, policies and procedures, and statutory, regulatory and...skillset this can be considered as a T10 (Ability Analyst ) or a T9 ( Sr . Ability … more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Zurich NA (Phoenix, AZ)
- Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! ... The ideal candidate can work in one of our claims offices Addison, Atlanta, Dallas, Maitland, Omaha, Overland Park,...assigned projects the individual will develop key relationships with senior leadership and become a trusted partner. In this… more
- Molina Healthcare (Chandler, AZ)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution… more
- Molina Healthcare (Chandler, AZ)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... Evaluate root cause for the disputes and recommend improvements to reduce claim errors and prevent improper payments. + Provide actionable insights and… more
- DriveTime (Tempe, AZ)
- …in the future are not eligible for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on existing products ... which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative… more
- Bank of America (Chandler, AZ)
- Device and Non-Monetary Fraud Analytics and Innovation Senior Analyst Newark, Delaware;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, ... must be at least 18 years of age.** Acknowledge (https://ghr.wd1.myworkdayjobs.com/Lateral-US/job/Newark/Device-and-Non-Monetary-Fraud-Analytics-and-Innovation- Senior - Analyst \_25042172-2) **Job Description:** At Bank of America,… more