- Molina Healthcare (Kenosha, WI)
- …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 (Milwaukee, WI)
- **JOB DESCRIPTION** **Job Summary** Responsible for Medicare risk adjustment related estimates, establishing premium rates, financial analysis, and reporting. ... Extracts, analyzes, and synthesizes data from various sources to identify risks. Maintain/update SQL model(s), estimate risk scores, and analyze impact.… more
- Elevance Health (Waukesha, WI)
- ** Data Scientist Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... accommodation is granted as required by law. As a ** Data Scientist Analyst ** , you will support...that uncover early signals in cost trends across Medicaid, Medicare , Local Group, and Individual markets. You'll collaborate with… more
- Molina Healthcare (Kenosha, 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...and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements… more
- Molina Healthcare (Green Bay, WI)
- …finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for...include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data ,… more
- Marshfield Clinic (Marshfield, WI)
- …together to support the most exciting missions in the world!** **Job Title:** Financial Analyst II or Senior Financial Analyst I - Local Hybrid/Remote - ... pm (United States of America) **Job Description:** **JOB SUMMARY** The Financial Analyst II is responsible for collecting, analyzing and monitoring financial data… more
- Molina Healthcare (WI)
- …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data , regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...or analytics + Exposure to Databricks, Spark, or similar data platforms + Familiarity with Medicare Advantage… more
- Prime Therapeutics (Madison, WI)
- …our passion and drives every decision we make. **Job Posting Title** Claim Technical Analyst - JUDI Ops Team - Remote **Job Description** The Claims Technical ... Analyst is responsible for serving as the claims analysis...This role is responsible for developing queries to retrieve data and performing intermediate level and some complex client,… more
- Marshfield Clinic (Marshfield, WI)
- …the most exciting missions in the world!** **Job Title:** Senior Financial Analyst II - Hospital Reimbursement & Reports **Cost Center:** 101651010 System ... (United States of America) **Job Description:** **JOB SUMMARY** The Senior Financial Analyst II - Hospital Reimbursement & Reports is responsible for analyzing,… more
- Good Samaritan (WI)
- …and support to all operating segments across Sanford. Responsible to review Medicare /Medicaid documentation to assist nursing centers in completing minimum data ... set (MDS) documentation to assure appropriate levels of Medicare and/or Medicaid reimbursement. Works with executive leadership, administrators, and facility staff… more