• Senior Stop Loss Claims…

    Highmark Health (Frankfort, KY)
    …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with...various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards.… more
    Highmark Health (12/23/25)
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  • Senior Analyst , Risk…

    Molina Healthcare (KY)
    **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Educates users on how to use reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
    Molina Healthcare (01/06/26)
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  • Insurance Analyst / Senior Insurance…

    PPL Corporation (Louisville, KY)
    …does not support a fully remote/work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance Analyst position will assist with ... Analyst will perform a number of insurance and risk management activities that support the various business lines...in underwriting, broker placement or client advisory roles. + Senior Insurance Analyst consideration - at least… more
    PPL Corporation (11/03/25)
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  • Senior Analyst , Medical Economics…

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** **Job Summary** Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and ... and manages information from large data sources. * Analyzes claims and other data sources to identify early signs...tools to monitor trend drivers and provides recommendations to senior leaders for affordability opportunities. * Leads projects to… more
    Molina Healthcare (01/11/26)
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  • Senior Analyst , Quality Analytics…

    Molina Healthcare (Covington, KY)
    **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...deep dive to support HEDIS audit and revenue at risk reporting. + Calculate and track HEDIS rates for… more
    Molina Healthcare (12/05/25)
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  • Data Analyst Manager

    Sedgwick (Louisville, KY)
    …the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating ... Fortune Best Workplaces in Financial Services & Insurance Data Analyst Manager **PRIMARY PURPOSE OF THE ROLE:** To manage...and provides analysis for forecasting and/or benchmarking used by senior management. + Reports directly to senior … more
    Sedgwick (12/05/25)
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