- CVS Health (Madison, WI)
- …reimbursement from pharmaceutical manufacturers for certain pharmacy claims billed to Medicare . The candidate will contribute to establishing reporting and achieving ... work using Microsoft Excel, enterprise accounting platforms (SAP), and large data repositories. + Perform detailed manual calculations, large standard payment… more
- Molina Healthcare (Madison, WI)
- …+ Computer Science or Info tech + Testing experience required + Data analytics + Familiarity w/SDLC Methodologies: Agile, waterfall, etc. **PREFERRED EXPERIENCE:** + ... SQL expertise + Excel expertise + Medicare , Medicaid, Marketplace claims expertise **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
- Molina Healthcare (Milwaukee, WI)
- …cross-functional coordination, and ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & ... the role. + Validate findings and test assumptions through data , but lead with contextual knowledge of claims processing,...At least 7 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Banner Health (WI)
- …and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health ... professional standards. 4. As assigned, compiles daily and monthly reports; tabulates data from medical records for research or analysis purposes. 5. Able to… more