- Prime Therapeutics (Madison, WI)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... drives every decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy...define, and document the requirements for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business… more
- Molina Healthcare (Racine, WI)
- **JOB DESCRIPTION** **Job Summary** JOB SUMMARY: The Sr. Analyst , Healthcare plays a critical role in supporting clinical and operational initiatives by translating ... healthcare business needs into technical solutions. This role works closely...queries to extract, validate, and analyze healthcare data, including claims , pharmacy, and lab datasets. + Build and maintain… more
- American Family Insurance - Corporate (Madison, WI)
- …May specialize in product management and product development accountabilities depending upon business need. You will report to a Senior Manager, Product. ... Analyze the performance of the line or book of business , provide product strategy recommendations to divisional and departmental leadership. Evaluate and track… more
- Highmark Health (Madison, WI)
- …in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
- Prime Therapeutics (Madison, WI)
- …Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing Analyst participates in the assessment of value generated by Prime's ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Humana (Madison, WI)
- …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. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Norstella (Madison, WI)
- …therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- Molina Healthcare (WI)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and… more
- Prime Therapeutics (Madison, WI)
- … Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance ... claims , contracting and pharmacy reimbursement. Works directly with business partners across the enterprise. **Responsibilities** + Executes compliance procedures… more
- Highmark Health (Madison, WI)
- …Collection of Documents (COD). Oversee day to day department operations. Manage AI Business Analyst staff and AI Coordinators. Responsible for overseeing all ... work closely with the section's Accountant, Accounting Coordinators, Associate Analyst , providing, guidance, feedback, training, motivation, and support. This team… more