- Elevance Health (Tampa, FL)
- …Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and ... eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical editing… more
- Molina Healthcare (Rochester, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Navy Federal Credit Union (Pensacola, FL)
- …reported by our members. The investigators responsibilities include validating claims , processing chargebacks, responding to merchant disputes, and ensuring ... with various levels of staff to accomplish tasks/assignments + Perform research and analysis; may include quantitative and/or qualitative analysis + Maintain… more
- Molina Healthcare (NM)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and Identifying targeted Interventions and tracking outcome. Assist with research , development, and completion of special performance improvement projects.… more
- CVS Health (Woonsocket, RI)
- …it all with heart, each and every day. **Position Summary:** As a Senior Analyst on the Program Modernization Automation and Development AI team, you will serve as ... and Lean Six Sigma leaders to achieve team objectives. You will research and develop highly technical solutions utilizing various applications and tools and… more
- Morley (Saginaw, MI)
- …in a positive workplace that's close to home? As an experienced Business Analyst at Morley, you'll analyze and help implement both internal and client initiatives, ... tickets to local events. **_What You'll Do_** + Proactively research and explore new technologies + Use advanced strategies...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- MVP Health Care (Rochester, NY)
- …accuracy of claims and supporting overall payment accuracy. + Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, ... improvement. To achieve this, we're looking for an Overpayment Recovery and Monitoring Analyst to join #TeamMVP. If you have a passion for managing audits, medical… more
- Citigroup (New Castle, DE)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- CVS Health (Woonsocket, RI)
- …every day. This is a hybrid position. **Position Summary** As a Rebate Formulary Analyst - Manufacturer Rebates you will perform a critical role in the analysis of ... and collaborating on day-day tasks such as: + Conducting specific formulary research to support Rebate forecasting and underwriting teams during the manufacturing… more