- Humana (Phoenix, AZ)
- …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
- CVS Health (Phoenix, AZ)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- CVS Health (Phoenix, AZ)
- …of network and mail pricing for CVS Health, a Fortune Company. The Sr. Analyst , you will ensure quality assurance for all client pricing implementations by auditing ... role covers all delivery systems and adjudication platforms related to pharmacy claims adjudication. You will inspect the correct application of business rules,… more
- City National Bank (Phoenix, AZ)
- *FRAUD TEAM SUPPORT ANALYST * WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations, including: conducting analysis of ... require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support activities… more
- CVS Health (Scottsdale, AZ)
- …next role? Work for a Fortune 5 company? Join our team as a Sr Analyst , where you will be developing and maintaining expert knowledge of the rapidly changing ... and advanced knowledge of data modeling and statistical analysis. Your familiarity with healthcare claims data will also be key. To be successful in this role you… more
- Molina Healthcare (Mesa, AZ)
- …candidate will be based in Texas and be able to work CST Hours **Job Summary** Provides subject matter expertise and responsibility for oversight, production, and ... for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more