- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide ... routine and ad hoc analytics to drive impactful material, recommendations, and data driven decision making to support overall payment integrity and claim operations… more
- CVS Health (Woonsocket, RI)
- … 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
- Providence (Renton, WA)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- AIG (Atlanta, GA)
- …+ Utilize data visualization tools to create visualizations that simplify complex claims data for executive reporting . + Create PowerPoint presentations ... to manage risk. Join us as a Vendor Operations Claims Analyst to play your part in...of responsibilities in support of NAM claim vendors, including data management, reporting , billing and operations. Make… more
- JBS USA (Greeley, CO)
- …sales, field reps, customer service, etc. The Analyst will be responsible for reporting on deductions and claims data , including past due invoices, DSO ... **Description** Claims Analyst Purpose and Scope/General Summary:...Responsibilities: + Comprehensive analysis, find trends/develop conclusions on deductions, claims , and AR data + Run and… more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in... Analysis & Loss Prevention:** + Track and analyze claims data to identify patterns, trends, and… more
- AIG (Atlanta, GA)
- …team's standard operating process. + Support Claims Law Firm Managers with spend data analysis, data queries, and reporting , which support line of ... customers to manage risk. Join us as a Senior Claims Law Firm Analyst to play your...responsive, fair and professional service with empathy and efficiency. Reporting directly to the NAM Head of Law Firm… more
- Trinity Health (Livonia, MI)
- …to CMS. + Submits data to CMS to ensure compliance with all reporting requirements. + Reviews and analyzes claims loss and expense reserves established by ... **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time… more
- Amazon (New York, NY)
- …cargo claims . You'll develop and validate metrics, review benchmarking data , and communicate with internal stakeholders through business reviews. In this ... is seeking a highly skilled and detail-oriented Senior Risk Analyst with a background in logistics, supply chain, and...KPIs, and benchmarking that will track the global cargo claims program - Reporting business metrics to… more
- Amazon (Bellevue, WA)
- …recommendations and influencing stakeholders - 3+ years experience in data reporting and analytics for auto insurance claims Preferred Qualifications - ... the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of...- Ability to influence stakeholders - Deep experience with data reporting and data visualization… more
- The Hartford (Hartford, CT)
- …too. Join our team as we help shape the future. This role is responsible for assessing Claims data needs and working with the TM1 team to build TM1 based ... reporting cubes to facilitate data ...to drive and support strategic outcomes. In this role, the Data Analyst /Technical Consultant will be a key member… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... to support the department's goals. + Strong knowledge of provider data /processes/requirements related to provider contracting, credentialing, claims processing… more
- Fluor (Fresno, CA)
- …the regional Authority staff, PCMs and other consultants in providing planning, development, reporting , and maintenance of data program wide * Perform review and ... direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight… more
- Molina Healthcare (Grand Island, NE)
- …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
- CVS Health (Irving, TX)
- …opportunity to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to ... a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to,...will continuously improve quality controls and accuracy of reported data , looking for ways to further automate reporting… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and...analyses for any logic and source code changes for data and reporting module keeping other variables… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …of Ward's Top 50 and rated A++ by AM Best. We are looking for a Sr. Reporting Analyst I to join our team! Summary: Ensure accuracy and timeliness of deliverables ... with customers to support accuracy of submissions. Respond to inquiries from reporting bureaus and agencies regarding statistical data . Identify root causes… more
- American Family Insurance - Corporate (Madison, WI)
- …needs of the role. We are looking to fill two openings but are open to candidates at the Data Analyst , Senior Data Analyst or Lead Data Analyst ... two openings but are open to candidates at the Data Analyst , Senior Data ...issues, tests and analyzes impact of system changes to data / reporting infrastructure. + Develops, tests, and deploys… more
- The Cigna Group (St. Louis, MO)
- …primarily responsible for providing sales support for new and existing clients. Modeling claims data to determine network participation in various standard and ... network solutions. + Extract, analyze, and validate large sets of data used for reporting both internally and externally. + Analyze trends, provide analysis, and… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more… more