- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... a meaningful impact on the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in the insurance claims lifecycle at a… more
- Carrington (Topeka, KS)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- CVS Health (Topeka, KS)
- …with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, assesses ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Norstella (Topeka, KS)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why MMIT?** ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- Evolent (Topeka, KS)
- …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
- Evolent (Topeka, KS)
- …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
- Highmark Health (Topeka, KS)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Prime Therapeutics (Topeka, KS)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems Analyst ... + Understanding of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel, PowerPoint, Project **Physical… more
- Highmark Health (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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 (Topeka, KS)
- …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
- Evolent (Topeka, KS)
- …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
- CVS Health (Topeka, KS)
- …heart, each and every day. **Position Summary** + Review provider and member claims to determine if they meet CCR review requirements. + Follow applicable workflows, ... Claim Management policies and procedures to assist in ensuring claims are handled per policy and legal requirements. +...and external departments and personnel to accurately review specified claims and/or clarify any issues found in the course… more
- Evolent (Topeka, KS)
- …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
- CVS Health (Topeka, KS)
- …+ Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts. + Work with leaders ... from key functional areas to understand potential impacts for custom requests. + Manage and interpret operational data and apply to fee development and financial analysis. + Present to internal/external customers, constituents, and business partners. + Display… more
- Highmark Health (Topeka, KS)
- …PCPs, specialists, facilities, post-acute providers, and ancillary providers. + Interprets raw claims , provider, quality, and member data to build data sets to be ... used for analytic and reporting purposes. + Assists with provider cost savings analyses related to value based reimbursement and understands how return on investment impacts the enterprise and the provider. + Reports on financial outcomes of value based… more
- Highmark Health (Topeka, KS)
- …+ Knowledge of multiple processing systems and workflows + Knowledge of claims processing methodologies + Ability to interpret all government regulations + Knowledge ... of company products + Excellent organizational skills + Strong verbal and written communication skills **Languages (Other than English)** None **Travel Requirement** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based… more
- Highmark Health (Topeka, KS)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- Prime Therapeutics (Topeka, KS)
- …Forecasting Principal - Treasury - Remote **Job Description** The Treasury Analyst Principal is responsible for developing, managing, analyzing, and delivering ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** + Develop, manage, and advance complex… more