• Claims Business Analyst

    Cognizant (Raleigh, NC)
    …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
    Cognizant (03/25/25)
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  • IT Business Systems Analyst

    Prime Therapeutics (Raleigh, NC)
    …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
    Prime Therapeutics (04/29/25)
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  • Specialty & Home Delivery Program Analyst

    Prime Therapeutics (Raleigh, NC)
    …drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Analyst - Remote **Job Description** The Specialty & Home Delivery Program ... Analyst is responsible for serving as a subject matter...and Pharmacy Match product which may include implementations, projects, claims & performance guarantee monitoring, and testing. This position… more
    Prime Therapeutics (05/03/25)
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  • Business Analyst II Mbhp EDI…

    Elevance Health (Durham, NC)
    ** Business Analyst II MBHP EDI Encounters** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, ... GA, Durham, NC, Richmond, VA or Latham, NY. The ** Business Analyst II MBHP EDI** **Encounters** is...Capabilities and Experiences:** + Knowledge of systems capabilities and business operations highly preferred. + Strong claims more
    Elevance Health (05/01/25)
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  • Revenue Cycle Analyst

    Robert Half Accountemps (Raleigh, NC)
    Description We are in search of a remote Revenue Cycle Analyst to join our team. In this role, your main function will be to manage revenue cycle processes which ... also be involved in the financial closure of the business and product/supply analysis for billing. Responsibilities: * Execute...balances in a timely manner. * Conduct research on claims denials and complete adjustments accurately and promptly. *… more
    Robert Half Accountemps (04/09/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Raleigh, NC)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
    Humana (04/30/25)
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  • Electronic Data Interchange (EDI) Systems…

    Elevance Health (Durham, NC)
    **Electronic Data Interchange (EDI) Systems Analyst I** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... balance. This approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Ideal candidates will be… more
    Elevance Health (05/01/25)
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  • Senior Financial Reporting Analyst

    Humana (Raleigh, NC)
    …within all business areas such as: Finance, Network, Health Services, Claims and Actuarial **Use your skills to make an impact** **Required Qualifications** + ... and help us put health first** The Senior Financial Reporting Professional/ Analyst prepares and distributes periodic financial statements for users other than those… more
    Humana (04/29/25)
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  • Senior Data Analyst , Population Health

    Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
    About The Role The Senior Data Analyst , Population Health will be an analytically driven team player, responsible for understanding business needs and ... Health Management, Utilization Management and Complex Case Management. As Senior Data Analyst , Population Health, you will be challenged to think creatively while… more
    Brighton Health Plan Solutions, LLC (02/11/25)
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  • Healthcare Facets Product Owner - Remote

    Cognizant (Raleigh, NC)
    …+ **Min 10** **yrs of exp as a Product Owner** , Product Manager, Business Systems Analyst and with a strong background in application development and ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
    Cognizant (05/03/25)
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  • Assistant General Counsel, Employment

    Lumen (Raleigh, NC)
    **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. ... team of lawyers providing advice and counsel to human resources and business leaders related to employees, employment policies, and compliance with local, state… more
    Lumen (05/03/25)
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