- Molina Healthcare (Milwaukee, WI)
- …of critical information on claims databases. Maintains 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… more
- Lyric (Madison, WI)
- …leveraging advanced coding, analytic reporting , and predictive modeling, the Clinical Data Analyst - Staff uncovers actionable insights that drive innovation ... not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal...experts, payment professionals, and business operations leaders to develop reporting and analyze large-scale healthcare claims and… more
- Molina Healthcare (Green Bay, WI)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Prime Therapeutics (Madison, WI)
- …and assists with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess ... drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst... extraction, storage, manipulation, processing and analysis + Analyze claims data of varying complexity to identify… more
- Molina Healthcare (Milwaukee, WI)
- **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... and regulatory guidance. The ideal candidate will bring deep knowledge of claims adjudication, QNXT system navigation, and strong analytical acumen. Experience in… more
- Evolent (Madison, WI)
- …insights and compelling narratives for stakeholders. **What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization ... the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique… more
- Evolent (Madison, WI)
- …quality assurance and database testing, medical benefits, provider, enrollment, and / or claims data . + Demonstrable experience with Testing, Writing Test cases, ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting , and technical...acceptance test cases + perform administrative tasks for status reporting or other data related needs +… more
- Prime Therapeutics (Madison, WI)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Prime Therapeutics (Madison, WI)
- …+ Recommend new and revised financial pricing programs based on analysis of pharmacy claims data , average wholesale drug prices (AWP), and other relevant data ... data + Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings… more
- Molina Healthcare (Green Bay, WI)
- …Risk Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and ... and other analytic / programming tools as needed + Reporting includes Risk Adjustment program performance metrics, risk score...functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more