- Molina Healthcare (Chandler, AZ)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... CMS and internal audit activities. This position contributes to the development of...collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory… more
- Tucson Electric Power (Tucson, AZ)
- **Benefits Analyst - I, II, Senior or Lead** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy Corporation ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead** **Position Overview**… more
- Molina Healthcare (Scottsdale, AZ)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… more
- Molina Healthcare (Scottsdale, AZ)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen....+ Assist in developing and refining internal SOPs and audit tools related to COB claim reviews. + Act… more
- United Rentals (Scottsdale, AZ)
- …using company data, financial analysis, and contract interpretation to validate or dispute claims . + Audit Defense Execution + Develop clear, data-backed dispute ... Rentals!** As a Senior Manager of Sales Operations, the Senior Sales Operations Analyst - Contract Compliance serves as United Rentals' first line of defense in… more
- Molina Healthcare (Phoenix, AZ)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- CVS Health (Phoenix, AZ)
- …a specialized team of auditors as part of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned ... Medicare Part-D Compliance Audit Programs, review pharmacy submitted Medicare claims , make independent decisions, and call network pharmacies to audit … more
- CVS Health (Phoenix, AZ)
- …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... 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
- SRP (Glendale, AZ)
- Contract Procurement Analyst 1, 2, Senior (AFS) Location: Glendale, AZ, US Date: Aug 25, 2025 **Requisition ID** : 19203 **Join us in building a better future for ... and oversee supplier disputes including negotiating settlements, warranties and claims by implementing corrective action in accordance with established Contract… more