- Molina Healthcare (Scottsdale, AZ)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
- Molina Healthcare (Scottsdale, AZ)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Scottsdale, AZ)
- …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- Evolent (Phoenix, AZ)
- … business customers. + Act as a thought partner to senior stakeholders, proactively identifying business challenges, refining analytical approaches, and ... drive enterprise-wide decision-making. + Serve as a strategic advisor to senior leadership, proactively identifying business challenges and delivering… more
- Humana (Phoenix, AZ)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer ... as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved… more
- Humana (Phoenix, AZ)
- …operations, and other business teams involved in the administration of Medicare business at Humana. The Senior Business Intelligence Engineer will ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer... will be an integral part of the Pricer Business and System Support team responsible for administering complex… more
- Bank of America (Sun City West, AZ)
- …levels to drive results + Ability to present, lead, support, and influence senior management and business stakeholders **Desired Qualifications:** + BA/BS in ... Fraud Analytics and Innovation Lead Analyst - Fraud Strategy Jacksonville, Florida;Plano, Texas; Richmond, Virginia; Sun City West, Arizona; Boston, Massachusetts;… more
- Prime Therapeutics (Phoenix, AZ)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst ... for being the primary point of contact for new internal and external business partners with regard to related regulatory activity and quality efforts involving… more
- Global Patent Solutions, LLC (Scottsdale, AZ)
- …position will provide oversight, mentoring, and guidance for less senior Investigative Analysts. Specific accountabilities include: * Reviewing incident reports, ... reoccurrence * Collecting evidence, including documents and interviews to support their claims and record their findings * Working with attorneys, and other USPTO… more
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