- Norstella (St. Paul, MN)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- CVS Health (St. Paul, MN)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- State of Minnesota (St. Paul, MN)
- … Analyst serves as a strategic/operational planner and health information analyst for DHS Medical Assistance (Medicaid) health care quality improvement ... **Working Title: Sr Healthcare Quality Improvement Analyst ** **Job Class: Agency Policy Specialist** **Agency: Human...Experience working with health care data systems, such as claims data or electronic health records. + Experience with… more
- TEKsystems (Minneapolis, MN)
- …accountability with those who fail to maintain these standards Skills Default Servicing, Loan Claim Filing, Private Investor Claims , Default Claims , MSP, MS ... and loss mitigation relevant documents based on a specific claim type in a timely and efficient manner. This...and/or client * Files respective investor/insurer initial and final claims based on the respective guidelines for allowable limits… more
- CVS Health (St. Paul, MN)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Cognizant (St. Paul, MN)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... side with client team to add PBPs. + Troubleshoot and remediate/workaround for claim pend issues. + QNXT Configuration for different State implementation + Ability… more
- Xylem (Chaska, MN)
- …innovative and sustainable solutions. **The Role:** The **Senior Product Compliance Analyst ** is focused on product compliance to regulatory requirements for ... medical devices in the US, Canada and in various...and service. **Core Responsibilities:** * The Senior Product Compliance Analyst will develop US, Canada and emerging market assessments… 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 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 (St. Paul, MN)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Eliassen Group (St. Paul, MN)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... Insurance client is looking to bring on a Business Analyst for a long-term contract.The project is working on...consultants, we offer a great benefits package that includes Medical , Dental, and Vision benefits, 401k with company matching,… more
- Intermountain Health (St. Paul, MN)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… 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
- Prime Therapeutics (St. Paul, MN)
- …or STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Intermediate SAS or SQL coding ... decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides… more
- Evolent (St. Paul, MN)
- …team at Evolent. This individual will be primarily focused on performing medical economics analysis in support of complex risk-based contract development and will ... into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant… more
- Evolent (St. Paul, MN)
- …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 ... innovative analytics solutions that drive decision-making for clients by performing medical economics analyses to determine cost and utilization drivers. Showcase… 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
- CVS Health (St. Paul, MN)
- …+ Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost avoidance/reduction efforts. + Work with leaders ... internal partners. **Required Qualifications** + 1-2 Years of applicable medical insurance experience: brokers (producers), carriers, third-party administrators, benefit… 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
- 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