• Senior Analyst , Network Strategy,…

    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 (10/25/25)
    - Related Jobs
  • Senior QNXT Analyst - Contract…

    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 (10/01/25)
    - Related Jobs
  • Senior Data Analyst - Operations…

    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 (11/02/25)
    - Related Jobs
  • Senior Analyst , Quality Analytics…

    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
    Molina Healthcare (11/13/25)
    - Related Jobs
  • Lead Analyst , Performance Analytics

    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
    Evolent (11/12/25)
    - Related Jobs
  • Medicaid Provider Hospital Reimbursement…

    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 (11/17/25)
    - Related Jobs
  • Sr. Medicare (PPS) Provider Hospital Reimbursement…

    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
    Humana (10/18/25)
    - Related Jobs
  • Fraud Analytics and Innovation Lead Analyst

    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
    Bank of America (11/07/25)
    - Related Jobs
  • Regulatory Analyst Sr - Remote

    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
    Prime Therapeutics (11/19/25)
    - Related Jobs
  • Trademark Fraud Investigative Analyst I

    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
    Global Patent Solutions, LLC (11/07/25)
    - Related Jobs