- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Claims Technical Analyst for one of our large PBM clients. This role is responsible for performing basic to ... errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. You will be...can vary based on the error type and impacted claims . This offers a variety of research options and… more
- Insight Global (Eagan, MN)
- Job Description Insight Global is seeking a Claims Technical Analyst to join a large PBM client. This individual will be coming in to assist with volume and ... adjudication systems (Big plus but if they worked as a pharm tech or claims analyst doing similar work, that is sufficient as well) -High attention to detail and… more
- TEKsystems (Minneapolis, MN)
- …analyst . It's kind of a go between and eventually maybe they move into a analyst role. Skills Claims Analyst , CapRX, RxClaims, PBM, Analyst , research, ... Reprocessing, medical terminology, Claim, billing Top Skills Details Claims Analyst ,CapRX,RxClaims,PBM, Analyst ,research,Reprocessing,medical terminology Additional Skills… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & ... make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the… 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
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- *_SUMMARY:_* We are currently seeking a Utilization Management Analyst to join our Denials Analysis. This full-time role will primarily work remotely, but may need ... on-site when needed (Day). *Purpose of this position: *The Utilization Management Analyst plays a critical role in reviewing, appealing, and preventing clinical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business ... The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for contributing to and...analytics. * Knowledge of managed care and health care claims preferred * Experience using SQL or Python for… more
- Highmark Health (St. Paul, MN)
- …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
- Norstella (St. Paul, MN)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote, United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: R-1510 ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...associated services. This role acts as a bridge between technical teams and end users-supporting clients through education, issue… more
- Vontier (St. Paul, MN)
- …preferred locations for this opportunity. **Job Overview** The Quality Data Analyst Intern will support the Gilbarco Veeder-Root Quality organization by conducting ... analysis efforts by providing data-driven insights into failure trends and warranty claims . * Assist in documenting quality data processes, ensuring consistency, and… more
- Evolent (St. Paul, MN)
- …fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate ... raw unadjudicated claims data. **Qualifications Required and Preferred:** + Bachelor's degree,...and adapt to changes in data architecture is preferred ** Technical Requirements:** We require that all employees have the… more
- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Lead Analyst and CMS Data Liaison** **Job Class: Research Scientist 3** **Agency: Human Services Dept** + **Job ID** : 89296 + **Location** : ... to be eligible for telework. This highly skilled and technical data position exists to support and lead DHS...research or health care policy + Large health care claims or other data stored in complex SQL Based… more
- CVS Health (St. Paul, MN)
- …the seamless operation and troubleshooting of EDI transactions. You'll combine technical expertise with strong communication and problem-solving skills to deliver ... and EDI connection setup for member rosters and provider files. + Review detailed technical designs for department projects and serve as an end user during testing.… more
- Evolent (St. Paul, MN)
- …Be Doing:** + **Strategic Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... monitored. Misrepresentation will result in immediate disqualification from consideration. ** Technical Requirements:** We require that all employees have the… more
- Highmark Health (St. Paul, MN)
- …**Required** + 3 - 5 years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 - 3 years of technical ... application experience **Preferred** + 1 - 3 years in the Health Insurance Industry + 1 - 3 years in the Healthcare Industry + 1 - 3 years in Lean/Six Sigma **LICENSES AND CERTIFICATIONS** **Require** + None **Preferred** + (Lean) Six Sigma + Project… more
- Wells Fargo (Minneapolis, MN)
- …compliance, and innovation of payment processes across our global network. **Fraud and Claims Management:** + Fraud and Claims Management delivers support by ... and provide secure, reliable, scalable, and customer friendly prevention, investigation and claims services that protect customers and Wells Fargo from fraud losses.… more
- Lumen (St. Paul, MN)
- …/ GTM, Product, Sales, Commercial Enablement, Creative and Brand, Corporate Communications, Analyst Relations and Field Activation teams to plan, build, launch, and ... team to drive profitable revenues Responsibilities include: + Translates highly technical information into succinct customer outcome messaging to develop value… more
- CVS Health (St. Paul, MN)
- …**Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance ... analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider activity. + Prepare timely and accurate Medicaid regulatory &… more
- Highmark Health (St. Paul, MN)
- …understand business requirements that drive the analysis and design of quality technical solutions. + Concentrate on providing innovative solutions to more complex ... business needs. + Take a lead role in providing required technical support, including release implementations, on-call and 24x7 supports when necessary. + Perform… more