- Molina Healthcare (Green Bay, WI)
- …Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment ... **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment… more
- Molina Healthcare (Madison, WI)
- …Summary** This Sr. Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job responsibilities include developing risk ... Strong Knowledge of Performance Indicators: + Experience developing queries within project management tools like Azure DevOps. + Risk Adjustment experience and… more
- Molina Healthcare (Kenosha, WI)
- …laws and regulations, which will protect the Business from liability and potential risk . Ensures that the Business understands and complies with applicable laws and ... 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)
- …of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management , Network, and other departments to enable critical ... + Knowledge of healthcare operations (utilization management , disease management , HEDIS quality measures, claims processing, etc.) + Knowledge of… more
- Evolent (Madison, WI)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- TelCom Construction (Hudson, WI)
- …telecommunications industry. We are currently hiring an individual to fill our Safety Analyst role reporting to our Blaine, MN location. **Connecting you to great ... gym memberships, pet insurance, and much more! **The Safety Analyst is responsible for the following areas of safety...by conducting job site, field office, vehicle and equipment risk audits and inspections. + Conducts, supports and documents… more
- CVS Health (Madison, WI)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- American Family Insurance - Corporate (Madison, WI)
- …systems. + Comprehensive understanding of insurance industry practices, underwriting guidelines, and risk management . + Ability to make independent decisions and ... The Senior Product Development Analyst is responsible for supporting the creation and...offerings + Collaborate with cross-functional teams, including IT, pricing/actuarial, claims , and compliance, to ensure product viability and adherence… more
- Evolent (Madison, WI)
- …primarily focused on performing medical economics analysis in support of complex risk -based contract development and will partner with stakeholders of various levels ... across analytics, finance, and account management . **What You Will Be Doing:** + Develop and...presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Molina Healthcare (Racine, WI)
- …quality improvement** + Experience working directly with **clinicians, nurses, or case management teams** + Familiarity with risk adjustment, value-based care ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by… more