- CVS Health (Northbrook, IL)
- …and for successfully implementing this newly defined process. With respect to analytical research , this Claims Analyst would work with service requesters ... join and to grow with our finance operations team. This Senior Financial Analyst , Adjustment Reporting and Research position focuses on claim adjustment… more
- Molina Healthcare (Kenosha, WI)
- …trends or discrepancies related to over- or underpayment. + Utilize QNXT to research claims history, provider contract setup, and benefits configuration. + Work ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims … more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Analyst , Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. ... The analyst will support existing lines of business and expansion...Technical Configuration and Configuration Information Management. **Job Duties** + Research , review, and decipher state-specific Medicaid and Medicare reimbursement… more
- Molina Healthcare (Kenosha, WI)
- …around Program Valuation on Molina's Risk Adjustment Actuarial team. Responsibilities include research , analysis and modeling of complex healthcare claims data, ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...provides insights needed to support strategic investment decisions + Research and develop reports and analyses for senior management… more
- DATAMAXIS (Northbrook, IL)
- …an exciting opportunity with our direct client for an experienced SAP SD/Vistex Business Analyst to join our SAP Pricing & Rebates team. We're seeking a highly ... motivated functional analyst to support critical pricing and chargeback processes. In...pricing scenarios. + Expertise in Sales Rebates, Agreements, Contracts, Claims , Reconciliation functionality in Vistex + Experience in Vistex… more
- MAT Holdings, Inc (Long Grove, IL)
- …, Employer Provided Life/AD&D + and More The Sales & Operations Planning Analyst serves as a key cross-functional liaison, collaborating closely with the Sales Team, ... + Conduct margin analysis to inform profitability decisions and perform market research to assess new opportunities. + Collaborate with Marketing on sales materials… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research , development, and completion of special performance improvement projects… more
- Molina Healthcare (Kenosha, WI)
- …+ Actively participates in all stages of project development including research , design, programming, testing and implementation to ensures the released product ... technical teams + Appeals & Grievance, healthcare services, or claims background **Preferred License, Certification, Association** Certified Business Analysis… more