- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Chandler, AZ)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Phoenix, AZ)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Molina Healthcare (Chandler, AZ)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- USAA (Phoenix, AZ)
- …makes us special and impactful. **The Opportunity** As a dedicated Decision Science Analyst Senior, you will provide decision support for business areas across the ... change. The essence of work performed by the Decision Science Analyst involves gathering, manipulating and synthesizing data (eg, attributes, transactions,… more
- Baylor Scott & White Health (Phoenix, AZ)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology ... presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …has grown to become one of the nation's leading intellectual property (IP) research and consulting firms. In addition to supporting the nation's leading technology ... presently seeking motivated Investigative Analysts to work with us performing investigative research services in support of a contract with the Trademark Office at… more
- Norstella (Phoenix, AZ)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 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
- Humana (Phoenix, AZ)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- WTW (Tempe, AZ)
- …**The Role** We are seeking an organized and detail-oriented Retirement Plan Compliance Analyst to join our team. As a compliance analyst you will ... **Other:** Keep abreast of laws and regulations impacting employee benefits, claims procedures, and notice requirements by using our legal database subscriptions… more
- Molina Healthcare (Chandler, AZ)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Chandler, AZ)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- CVS Health (Scottsdale, AZ)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and collaborating on day-day tasks such as: + Conducting specific formulary research to support Rebate forecasting and underwriting teams during the manufacturing… more
- Highmark Health (Phoenix, AZ)
- …or escalated inquiries. + **Evidence-Based Clinical Criteria Writing:** Research , analyze, and synthesize clinical literature, professional society guidelines, ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims , clinical, utilization, pharmaceutical) to inform policy development, identify… more
- Molina Healthcare (Chandler, AZ)
- Ideal Candidate would work remotely but reside in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, ... and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop… more
- Air National Guard Units (Phoenix, AZ)
- …the general accounting system. Reports discrepancies to the FM for further research . Based on general supervisory guidance, reviews and coordinates, with management ... You must provide transcripts or other documentation to support your Educational claims . To receive credit for Education, you must provide documentation of proof… more
- Highmark Health (Phoenix, AZ)
- …analysis of varied and multilevel data in exploratory, evaluative, and research -adjacent analytic work, and development of insights that inform program design ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- Highmark Health (Phoenix, AZ)
- …with a general understanding of data flows from various corporate systems (eg, claims , billing, lab, and Rx), to solve complex issues and problems. A comprehensive ... data including, but not limited to: medical/surgical physician and institutional claims and encounters, clinical data, prescription drug data, membership data,… more