• Risk Adjustment Audit Operations Analyst

    Molina Healthcare (WI)
    …for medical record collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory processes, and ... **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the...Python or another programming language + Basic familiarity with healthcare data types such as claims , encounters,… more
    Molina Healthcare (08/08/25)
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  • Senior Clinical & Population Health…

    Highmark Health (Madison, WI)
    …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
    Highmark Health (07/22/25)
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  • IT Business Systems Analyst Sr - Medicaid…

    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 ... decision we make. **Job Posting Title** IT Business Systems Analyst Sr - Medicaid Pharmacy Implementations - Remote **Job...project team and various levels of management. With consistent Senior Leadership visibility, the IT BSA Sr is also… more
    Prime Therapeutics (08/27/25)
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  • Sr. Medical Analyst

    Norstella (Madison, WI)
    …life-saving 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 ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
    Norstella (07/31/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    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 ... analysis to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field. + Previous experience using… more
    Prime Therapeutics (08/01/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Madison, WI)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
    Humana (08/14/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Madison, WI)
    Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance ... stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business partners… more
    Prime Therapeutics (08/14/25)
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