- Prime Therapeutics (Madison, WI)
- …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job Description** The ... IT Business Systems Analyst (BSA) Sr is responsible for serving as a...Management (PBM) or healthcare experience with understanding of Medicare, Medicaid , the Exchanges along with regulatory compliance requirements (HIPAA… more
- Humana (Madison, WI)
- **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing … more
- Molina Healthcare (Racine, WI)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze risk score… more
- Molina Healthcare (Kenosha, WI)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational Ownership** + Assists… more
- Marshfield Clinic (Marshfield, WI)
- …support the most exciting missions in the world!** **Job Title:** Solution Analyst , Senior (Local remote) **Cost Center:** 101651153 IS-Finance and Customer Soln ... these locations already, or willing to relocate.** **JOB SUMMARY** The Solutions Analyst Senior will collaborate with IS and Marshfield Clinic Health System (MCHS)… 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 Operations ... and processing. This role will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and… 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
- 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
- Molina Healthcare (Green Bay, WI)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... analysis across multiple states and lines of business (Medicare, Medicaid , Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing health care… more
- Prime Therapeutics (Madison, WI)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance Principal is responsible ... client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other duties as assigned **Education & Experience** + Bachelor's… more