- Highmark Health (Denver, CO)
- …SUMMARY** This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a ... product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements.… more
- Rocket Software (Denver, CO)
- …people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both global and ... country programs in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration, and analysis of Americas' and… more
- Public Consulting Group (Denver, CO)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... through claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist… more
- Prime Therapeutics (Denver, CO)
- …build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst ... the synthesis of data findings in support of clinical claims and programs. **Responsibilities** + Synthesizes a wide variety...levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using… more
- Humana (Denver, CO)
- …first** Humana is seeking an individual for the Senior Business Intelligence Data Analyst to provide support for its pharmacy programs to achieve success on the ... seeking an individual for the Senior Business Intelligence Data Analyst to provide support for pharmacy programs, working heavily...data ie. Provider, Insurance, etc. + Experience with pharmacy claims data + Advanced knowledge of Excel (ex. Pivot… more
- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Cognizant (Denver, CO)
- **Job Summary:** We are seeking a strong Duck Creek Functional Analyst / Business Analyst to work closely with customer Product Owners. The ideal candidate will ... teams to handle queries and understand requirements. . Experience with Billing and Claims configuration knowledge and Data Insight producer policy holder is an added… more
- Prime Therapeutics (Denver, CO)
- …pricing or financial analysis to include 5 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field** **3 ... build the future of pharmacy with us. **Job Posting Title** Principal Pricing Analyst - REMOTE **Job Description** **The Principal Pricing Analyst leads complex… more
- Zayo (Denver, CO)
- …and other large enterprises. Zayo is seeking a detail-oriented Insurance Program Risk Analyst to join our Legal team where you'll get to support Zayo's risk ... audits and respond to requests for information. + Prepare regular reports on claims activity, insurance costs, and loss trends for management. + Support the… more
- Elevance Health (Denver, CO)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Humana (Denver, CO)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Norstella (Denver, CO)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 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
- Cognizant (Denver, CO)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client engagement, ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
- Highmark Health (Denver, CO)
- …Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits . HNAS is part of Highmark Health, a national blended health ... 5 - 7 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 3 -… more
- Leprino Foods (Denver, CO)
- Associate Supply Chain Analyst Denver, Colorado Within our Corporate Supply Chain team located in Denver Leprino is seeking an Associate Supply Chain Analyst to ... system efficiencyyour ideas matter here! + Review and verify invoices and claims for accuracy, supporting cost control and operational integrity. + Collaborate with… more
- Cardinal Health (Denver, CO)
- …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
- Highmark Health (Denver, CO)
- …analytical and financial analysis capability for Highmark's pharmacy and medical benefit specialty drug management programs. Furthermore, the incumbent will utilize ... understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues...experience in support of a Marketing function or Data Analyst role or in a business environment with responsibility… more
- The Cigna Group (Denver, CO)
- …Understanding of managed care business processes, data, systems, and applications for claims payment, enrollment, benefit design, and utilization management. + ... **Provider Data Management Analyst ** Are you ready to make a difference...The Cigna Group, you'll enjoy a comprehensive range of benefits , with a focus on supporting your whole health.… more
- Elevance Health (Denver, CO)
- …American healthcare delivery. The **Senior Health Economist (** Advanced Analytics Analyst Senior) measures financial performance of core Carelon products leveraging ... claims , authorization, and membership data to tell a detailed...State** **In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
- Public Consulting Group (Denver, CO)
- …Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost ... Provides leadership, management, and direction to the Quality Assurance Analyst team. + Leads and manages department providing oversight...this role. In addition, PCG provides a range of benefits for this role, including medical and dental care… more