- JBS USA (Greeley, CO)
- **Description** Claims Analyst Purpose and Scope/General Summary: We are looking for a Claims Analyst to join our JBS Pork team at the Corporate office ... plant personnel, sales, field reps, customer service, etc. The Analyst will be responsible for reporting on deductions and...claims losses. It is the role of the Analyst to identify customer trends and suggest methods of… more
- Highmark Health (Denver, CO)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Deloitte (Denver, CO)
- …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
- Carrington (Denver, CO)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... processes up to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and agency guidelines… more
- Prime Therapeutics (Denver, CO)
- …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst serves ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
- Evolent (Denver, CO)
- …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
- Prime Therapeutics (Denver, CO)
- …fuels our passion and drives every decision we make. **Job Posting Title** Forecast Analyst - REMOTE **Job Description** The Forecast Analyst is responsible for ... + Provide analysis and conclusions for moderately complex analytical work + Forecast claims and membership in support of company and client revenue forecasting +… more
- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare data) - Preferred +… more
- Baylor Scott & White Health (Denver, CO)
- …and/or level **Job Summary** **100% Remote position** The Benefit Configuration Analyst examines configuration change requests. They establish the technical scope, ... to ensure the accurate configuration of business requirement + Analyze larger sets claims data to evaluate patterns of billing as it relates to benefit design… more
- JBS USA (Greeley, CO)
- **Description** SAP SD Functional Analyst Purpose and Scope/General Summary: We are looking for a SAP SD Functional Analyst for JBS that reports onsite to the ... Planning profiles, transportation planning, freight settlement processes, disputes management, claims processing, Triggering point for TM process, 3rd Party… more
- Highmark Health (Denver, CO)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None… more
- Elevance Health (Denver, CO)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... and adaptable workplace. Alternate locations may be considered. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You… more
- Prime Therapeutics (Denver, CO)
- …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides ... STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or SQL coding skills +… more
- VF Corporation (Denver, CO)
- **What will you do?** The Customs Compliance Analyst is to provide support in customs compliance for the VF Outdoor Coalition. The Analyst is charged to assist ... track export shipment data required for the purpose of filing duty drawback claims with US Customs + Facilitates communication and information sharing with customs… more
- Humana (Denver, CO)
- …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
- Evolent (Denver, CO)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… more
- Pearson (Denver, CO)
- **Job Title: Vendor Management Analyst ** **Location: Remote** **At Pearson, we're committed to a world that's always learning and to our talented team who makes it ... collection processes to ensure accurate tracking of Medicaid-eligible services. + Monitor claims submissions to ensure they are accurate and submitted in a timely… more
- Cognizant (Denver, CO)
- …modern technologies to transform a variety of business operations. The **Encounters Analyst ** plays a critical role in ensuring the accurate and timely submission ... related healthcare and/or IT experience with specific knowledge including Encounters, claims , membership, provider maintenance, code sets, EDI including 837 and… more
- CVS Health (Denver, CO)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed. **Required… more
- Verint Systems, Inc. (Denver, CO)
- …Learn more at www.verint.com . **Overview of Job Function:** The Benefits Analyst will be responsible for the day-to-day initiatives of all annual projects ... Monitor, track and effectively respond to escalations regarding benefit programs or claims issues + Conduct audits on benefit enrollments and employee deductions as… more