- AIG (Jeffersonville, IN)
- …building customer retention and customer satisfaction, they turn to us. Position Overview: The Operations Claims Analyst will work closely with the Service ... extended service programs, customer service support, service network management, claims processing services and service contract underwriting. With over 25+… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the timely ... **REQUIRED QUALIFICATIONS:** + At least 1 year of experience in claims processing or operations or equivalent combination of relevant education and experience +… more
- Deloitte (Louisville, KY)
- …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 and… more
- Molina Healthcare (Louisville, KY)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... other team members as requested on all things data related. + Supports Operations and Implementations of special projects + Responsible for analytics and reporting,… more
- Molina Healthcare (Louisville, KY)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed,… more
- AIG (Jeffersonville, IN)
- Senior Enterprise Business Analyst , Global Warranty Join us as a Senior Enterprise Business Analyst to take your career to the next level with a global market ... property casualty networks. Overview We are seeking a Senior Enterprise Business Analyst to join the Global Warranty Team. The successful candidate will be… more
- AIG (Jeffersonville, IN)
- Sr. Global Data Analyst Join us as a Sr. Global Data Analyst to take your career to the next level with a global market leader. Make your mark in General ... casualty networks. The role of the Sr Global Data Analyst is to produce recurring reporting for monthly financial...when an issue may arise and solutions; work with Operations leadership, SMEs and support staff to define short-… more
- Humana (Frankfort, KY)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration of ... 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… more
- Humana (Frankfort, KY)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... 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… more
- Highmark Health (Frankfort, KY)
- …improvement meetings and/or discussions. + Support analysis of the functions and operations of a business area/function and identify problem areas. Assist in the ... 1 - 3 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** + 0 -… more
- Molina Healthcare (Louisville, KY)
- …regulations/compliance, operations + Must have strong understanding of QNXT claims processes + Must be able to identify and troubleshoot claim discrepancies ... Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data… more
- CVS Health (Frankfort, KY)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- Public Consulting Group (Frankfort, KY)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... methodologies to ensure transparency and repeatability. + Develop and implement claims -based quality metrics to assess the performance of Medicaid programs. +… more
- Elevance Health (Louisville, KY)
- …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...such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience… more
- Public Consulting Group (Frankfort, KY)
- …Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies ... Third Party Administrator Services + Enhance Health and Public Safety Services + Claims Processing Services and Solutions + Consulting and Advisory Services + Cost… more