- CVS Health (St. Paul, MN)
- …do** + Executes both routine and non-routine business support tasks for the Medical Claims area under limited supervision, referring deviations from standard ... heart, each and every day. **A Brief Overview** Inspects and provides accurate claim information to support savings optimization for claims . Responds to… more
- Highmark Health (St. Paul, MN)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Deloitte (Minneapolis, MN)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... * Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims * Experience in performing configuration changes and system builds… more
- Cognizant (St. Paul, MN)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... + 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Elevance Health (Mendota Heights, MN)
- **Rating/ Claims System Advisor** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration and connectivity, while ... and adaptable workplace. Alternate locations may be considered. The **Rating/ Claims System Advisor** will be responsible for providing support,...of study and a minimum of 6 years systems analyst or business analyst experience; or any… more
- Robert Half Technology (Bloomington, MN)
- Description We are looking for a skilled Business Analyst to join our team. In this role, you will play a critical part in evaluating business challenges, optimizing ... sprint reviews. * Analyze and improve business processes within claim administration and CRM systems. * Prepare detailed reports...At least 2 years of experience as a Business Analyst or a similar role. * Proficiency in Atlassian… more
- Robert Half Technology (Golden Valley, MN)
- Description Job Overview: We are searching for an experienced Sr. Business Analyst /Project Manager (BA / PM) for our Corporate & Operations Applications team. This ... and 5+ years of experience working as a Business Analyst in ERP with Finance or a similar role,...Finance, and 5 years of experience in a regulated medical device company. A comprehensive understanding of Finance and… more
- Evolent (St. Paul, MN)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in… more
- Evolent (St. Paul, MN)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... 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 (St. Paul, MN)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Product Development efforts. **What You'll… more
- Humana (St. Paul, MN)
- …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
- Medtronic (Minneapolis, MN)
- …interpretation, and messaging of retrospective analysis of administrative health care claims data (both public/Medicare, commercial, and hospital claims data) ... with the intent of publication in peer-reviewed medical journals and presentation at clinical and health economics conferences. + Execute ad-hoc and… more
- Thrivent Financial (Minneapolis, MN)
- …they want today-and tomorrow. Job Summary The Senior Investment Operations Analyst performs 'middle office' functions (trade and corporate action processing, ... cash reporting and forecasting, multi-managed fund transaction support, class action claims , derivatives support, securities lending support, etc.) that support the… more
- Highmark Health (St. Paul, MN)
- …and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal ... strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem identification and resolution activities,… more
- Jack Link's (Minneapolis, MN)
- …+ Reconciliations + Vendor relations + Leave of absence and disability claim administration + Analyze employment and benefits data for accuracy; prepare reports ... 3+ years of current Human Resources benefits experience including 401k and medical insurance experience + Demonstrated current working knowledge of ERISA laws, ACA,… more
- CVS Health (Plymouth, MN)
- …tasks and assignments of operational/financial activities in support of revenue or claim information. + Performs general data gathering and analysis in support of ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (St. Paul, MN)
- …+ 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) ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- US Bank (St. Paul, MN)
- …Risk Partners, and our Enterprise Data Governance Teams! This role will support Claims & Disputes initially and be instrumental to the growth and development of ... the following (some may vary based on role, location or hours): + Healthcare ( medical , dental, vision) + Basic term and optional term life insurance + Short-term and… more
- Highmark Health (St. Paul, MN)
- …identified opportunities. This position will necessitate clinical informatics and medical knowledge. **ESSENTIAL RESPONSIBILITIES** + Leads the design, development, ... 7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project leadership… more
- Highmark Health (St. Paul, MN)
- …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 ... participation percentage, type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered and to set… more