- CVS Health (Buffalo Grove, IL)
- …Experience Transmission (CET Files) on behalf of our Clients and their vendors. The Claims Data Reporting Analyst will have primary responsibility and ... it all with heart, each and every day. **Position Summary** PBM Financial Operations Data Reporting is responsible for the implementation and ongoing support of … more
- Molina Healthcare (Kenosha, WI)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (Kenosha, WI)
- …Marketplace and Medicare/MMP + Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and ... and post impact analyses for any logic and source code changes for data and reporting module keeping other variables as constant that are not of focus +… more
- Walgreens (Deerfield, IL)
- …changes, claims processors, etc. Experience with query databases to pull claims data . + Maintains up-to-date knowledge about State Medicaid agencies by ... Investigates Payer Inquiry Tickets from Payor Partners, Enterprise Prescriber Data File issue resolution and Audits, Prescriber and prescriptive...monitoring and reporting on bulletins and updates to claims … more
- Molina Healthcare (Kenosha, WI)
- …Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality ... such interventions. + Assist retrospective HEDIS rate tracking and supplemental data impact reporting . + Develop Medical Record Review project reporting to… more
- Molina Healthcare (Kenosha, WI)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... business rules as they apply to each database. Validate data to be housed on provider databases and ensure...provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes.… more
- MAT Holdings, Inc (Long Grove, IL)
- …Collaborate with Marketing on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management. + Monitor and ... role demands strong analytical acumen, comfort working with large data sets, and the ability to thrive in a...on sales materials and monitor customer returns and warranty claims , ensuring accurate reporting and Program Management.… more
- Whirlpool Corporation (Racine, WI)
- …to the 'Production readiness" of new products. Also includes, analysis and reporting of external quality trends, evaluation of returned goods. Recommends product ... coordination of returned goods. Develop and maintain systems to evaluate, capture data and report returned goods information in assigned facilities. + Ensure product… more
- Molina Healthcare (Kenosha, WI)
- …management or team leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of Excel, SQL, ... **JOB DESCRIPTION** **Job Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing,… more
- AbbVie (Mettawa, IL)
- …Pharmacy benefit managers (PBMs), Group Purchasing Organizations (GPOs) + Experience analyzing patient claims data (eg IQVIA LAAD, Symphony Health data ) for ... Payer Contract Analytics team, this individual will be responsible for performing contract data analytics via data driven payer level analysis for AbbVie's key… more
- Actalent (Sturtevant, WI)
- …the Continuous Product Improvement (CPI) process. Your role involves analyzing warranty claims , data , and statistics to swiftly identify emerging issues, ... to address and resolve manufacturing quality issues. Regular weekly reporting on CPI findings and resolutions will be part...prioritize product quality using CPI process. + Analyze warranty claims , data , and statistics to identify emerging… more
- AbbVie (North Chicago, IL)
- …alternatives to traditional randomized clinical trials that make use of real-world data bases, eg electronic health records, insurance claims databases, and/or ... management strategies for assigned projects; for the design, analysis, and reporting of clinical and other scientific research programs; for generating scientific… more
- Turner & Townsend (Kenosha, WI)
- …timely drawdown of risk budget or retirement of threat/opportunity. + Use risk data to inform investment planning. + Monitor overall risk exposure and assess against ... with direct touch points to cost and schedule management, change control and reporting . + Work proactively and collaboratively with program and project control teams… more
- Molina Healthcare (Kenosha, WI)
- …with AI Data Integration._** + **_Experience with Member, Enrollment, and Claims applications -_** **which underpin essential business functions such as HEDIS ... communicates technology models and foundations used to run applications, data , and infrastructure in support of one or more...reporting , Risk Adjustment (RA), and Health Plan Reporting… more
- Molina Healthcare (Kenosha, WI)
- …(SIU) Investigator is responsible for supporting the prevention, detection, investigation, reporting , and when appropriate, recovery of money related to health care ... investigations, including but not limited to witness interviews, background checks, data analytics to identify outlier billing behavior, contract and program… more
- Walgreens (Deerfield, IL)
- …of revenue or company. + At least 1 year of experience analyzing and reporting financial data . + Intermediate level skill in Microsoft Excel (for example: ... with the monthly sales and use tax compliance filings, including pulling data , review of draft returns, and preparing account reconciliations. Provides support on… more
- Walmart (Franklin, WI)
- …with desired products, services, and experiences. Combines experience, insight, and data to determine how to best exceed customer/member needs. Develops and ... aligned with company and regulatory standards for prescriptions and claims , doctor and optician certifications/licensure, and associate training. Guides associates… more