- Molina Healthcare (Kenosha, WI)
- …and/or detects violation of applicable laws and regulations, which will protect the Business from liability and potential risk. Ensures that the Business ... to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee,… more
- Molina Healthcare (Madison, WI)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for… 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 ... Experience** + 0-2 years of experience in data analytics, business intelligence, or healthcare operations + Foundational...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
- Molina Healthcare (Madison, WI)
- **Job Description** **Job Summary** Assist business teams with developing requirements for major projects of considerable complexity, prepares system design ... debug/analyze problems. + Fields direct questions from Molina Operations Staff regarding business , technical and operations rules. + Develops technical solutions to … more
- Molina Healthcare (Kenosha, WI)
- …equivalent discipline **Required Experience** + 3-5 Years of experience with healthcare -related data ( claims /encounters, provider, CMS/EDGE response files, etc. ... **Job Description** **Job Summary** The Senior Analyst will serve a key role on the...this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily… more
- Highmark Health (Madison, WI)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Elevance Health (Waukesha, WI)
- …BI/Tableau, and actuarial software tools. + Experience working with large administrative claims datasets and healthcare cost/utilization metrics. + Ability to ... **Actuarial Analyst III** **Location:** This role requires associates to...anticipate future health cost drivers and enable faster, smarter business decisions. **How You Will Make An Impact:** +… more
- Norstella (Madison, WI)
- …seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- Prime Therapeutics (Madison, WI)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Previous experience using ... our passion and drives every decision we make. **Job Posting Title** Senior Analyst Pricing - Remote **Job Description** The Senior Pricing Analyst participates… more
- Prime Therapeutics (Madison, WI)
- …analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field. + Previous experience using ... drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description**...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more