- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: We are looking for a Claims Analyst to join our JBS Pork team at the Corporate office ... plant personnel, sales, field reps, customer service, etc. The Analyst will be responsible for reporting on deductions and...claims losses. It is the role of the Analyst to identify customer trends and suggest methods of… more
- Prime Therapeutics (Cheyenne, WY)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Evolent (Cheyenne, WY)
- …the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Prime Therapeutics (Cheyenne, WY)
- …fuels our passion and drives every decision we make. **Job Posting Title** Forecast Analyst - REMOTE **Job Description** The Forecast Analyst is responsible for ... + Provide analysis and conclusions for moderately complex analytical work + Forecast claims and membership in support of company and client revenue forecasting +… more
- Evolent (Cheyenne, WY)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Baylor Scott & White Health (Cheyenne, WY)
- …and/or level **Job Summary** **100% Remote position** The Benefit Configuration Analyst examines configuration change requests. They establish the technical scope, ... to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit design… more
- JBS USA (Greeley, CO)
- **Description** SAP SD Functional Analyst Purpose and Scope/General Summary: We are looking for a SAP SD Functional Analyst for JBS that reports onsite to the ... Planning profiles, transportation planning, freight settlement processes, disputes management, claims processing, Triggering point for TM process, 3rd Party… more
- Highmark Health (Cheyenne, WY)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None… more
- Prime Therapeutics (Cheyenne, WY)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or SQL coding skills +… more
- Humana (Cheyenne, WY)
- …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
- Evolent (Cheyenne, WY)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Cognizant (Cheyenne, WY)
- …modern technologies to transform a variety of business operations. The **Encounters Analyst ** plays a critical role in ensuring the accurate and timely submission ... related healthcare and/or IT experience with specific knowledge including Encounters, claims , membership, provider maintenance, code sets, EDI including 837 and… more
- Pearson (Cheyenne, WY)
- **Job Title: Vendor Management Analyst ** **Location: Remote** **At Pearson, we're committed to a world that's always learning and to our talented team who makes it ... collection processes to ensure accurate tracking of Medicaid-eligible services. + Monitor claims submissions to ensure they are accurate and submitted in a timely… more
- CVS Health (Cheyenne, WY)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed. **Required… more
- Verint Systems, Inc. (Cheyenne, WY)
- …Learn more at www.verint.com . **Overview of Job Function:** The Benefits Analyst will be responsible for the day-to-day initiatives of all annual projects ... Monitor, track and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and employee deductions as… more
- Evolent (Cheyenne, WY)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from ... multiple sources using SAS and SQL programs. Import and load data from disparate sources to facilitate reporting for multiple health plans. Build new client relationships to understand analytical and reporting needs. Create actionable, innovative analytics… more
- Otsuka America Pharmaceutical Inc. (Cheyenne, WY)
- …fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive ... legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo,...will not be held liable or responsible for any claims , losses, damages or expenses resulting from job recruiting… more
- Evolent (Cheyenne, WY)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care,… more
- Evolent (Cheyenne, WY)
- …SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data * Using analytical tools to integrate various data sources to ... lines of business and health care data including medical, pharmacy and ancillary claims data, membership data, clinical operational data (UM & CM), or other… more
- CVS Health (Cheyenne, WY)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) ... statements + Presenting financial analyses to Executive Leadership during Executive Underwriting Approval Calls and responding to financial questions in real-time + Supporting Underwriting Managers and Sr. Managers with ad-hoc financial analyses and client… more