- Cognizant (Nashville, TN)
- …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
- Prime Therapeutics (Nashville, TN)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- Community Health Systems (Antioch, TN)
- **Job Summary** The Patient Accounts Analyst I is responsible for managing all aspects of the revenue cycle for assigned clinic locations, ensuring timely and ... clinic staff and corporate teams to optimize financial performance. The Patient Accounts Analyst I also tracks, reviews, and reports on billing metrics and trends,… more
- Molina Healthcare (Bowling Green, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Elevance Health (Nashville, TN)
- …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Rating/ Claims System Advisor** **Location:** This role requires associates...approach combines structured office engagement with the autonomy of remote work, promoting a dynamic and adaptable workplace. Alternate… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Regions Bank (Nashville, TN)
- …of the system. **Job Description:** At Regions, the Data and Analytics Analyst transforms data into a meaningful format for operational and/or decision-making ... information + Completes day-to-day deliverables and ad-hoc data reports to support business needs/projects and answer data related questions + Ensures compliance by… more
- Cognizant (Nashville, TN)
- …+ **Min 10** **yrs of exp as a Product Owner** , Product Manager, Business Systems Analyst and with a strong background in application development and ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
- Molina Healthcare (Bowling Green, KY)
- …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory reporting requirements and Health Plan… more
- Lumen (Nashville, TN)
- **About Lumen** Lumen connects the world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. ... team of lawyers providing advice and counsel to human resources and business leaders related to employees, employment policies, and compliance with local, state… more