- Highmark Health (Springfield, IL)
- …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations , Customer Service, Regulatory Affairs, IT, Legal and other departments, ... federal, and industry regulatory changes and assess their potential impact on Claims Operations , Customer Service and other operational areas processes and… more
- Evolent (Springfield, IL)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Help at Home (Chicago, IL)
- …people and the communities we are part of._ **Job Summary:** The Business Intelligence Analyst II is an integral part of the Business Intelligence team. This role ... key cross functional teams including but not limited to; Operations , HR, IT, Finance, Accounting, and Compliance. + Collaborate...Five (5) + years of experience in a financial analyst , business intelligence, or data analyst role.… more
- Humana (Springfield, IL)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... 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… more
- R1 RCM (Chicago, IL)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Analyst , Payer Accountability, you will help the Billing Department understand ... guidelines, the ability to analyze, formulate, and initiate actions to resolve claims /issues, and the overall escalation of claim issues with payors when necessary.… more
- Lyric (Springfield, IL)
- …support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products and services ... closely with engineers, clinical experts, payment professionals, and business operations leaders to develop reporting and analyze large-scale healthcare … more
- Highmark Health (Springfield, IL)
- …process improvement meetings and/or discussions. + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Convey Health Solutions (Chicago, IL)
- Job Description SUMMARY The Sr. Data Analyst will be responsible for utilizing technical and industry knowledge to accelerate analytic insights and new feature ... desired deliverables will be vital to success. Collaborating within a team, the analyst will engage with engineers, QA, Data Scientists, and Product teams using… more
- CVS Health (Buffalo Grove, IL)
- …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
- Evolent (Springfield, IL)
- …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