- Molina Healthcare (Spokane, WA)
- …in data analysis. Performs research and deep-dive analysis of complex healthcare claims data , CMS return files, and financial cost, revenue, and vendor ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk...and Power BI, organizing and managing large and varied data sets, analyzing healthcare data for decision… more
- Molina Healthcare (Spokane, WA)
- …collection. Success in this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily accessed ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...**Required Experience** + 3-5 Years of experience with healthcare-related data ( claims /encounters, provider, CMS/EDGE response files, etc.… more
- CVS Health (Olympia, WA)
- …will work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information ... curiosity, collaboration, and innovation. + Constantly work to understand data structures and their business context +...AWS/ Azure. + Experience working with medical and/or pharmacy claims data . + Experience in healthcare industry,… more
- Evolent (Olympia, WA)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make… more
- Molina Healthcare (WA)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Molina Healthcare (Tacoma, WA)
- … data solutions. JOB DUTIES: + Partner with clinical, operational, and business teams to understand data needs and translate requirements into actionable ... solutions. + Write advanced SQL queries to extract, validate, and analyze healthcare data , including claims , pharmacy, and lab datasets. + Build and maintain… more
- Humana (Olympia, WA)
- …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
- Molina Healthcare (Tacoma, WA)
- …+ Perform research and analysis of complex healthcare utilization and performance date, claims data , pharmacy data , and lab data ... on relevant findings. + Oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Develop and direct… more
- Molina Healthcare (Bellevue, WA)
- …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 customers as it pertains to contracting, benefits,… more
- REI (Seattle, WA)
- …welfare programs. + Educate, coach, and partner with management and HR Business Partners. Implement solutions for complex claims , including return-to-work ... administrators to create and use best practices in operations. These include claims management and health and care management protocols. The position also serves… more