- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects… more
- Ford Motor Company (Dearborn, MI)
- …Containment and Validation Mapping, (Form-4). *If the following circumstances occur: all claims are classified as Dealer Goodwill or Customer damage, Design related ... and Validation Mapping (Form-4). *Present and speak to Subsystem data during daily & monthly VQR reviews. *Ensure that...of team's current status to objectives. *Ensure the ECB claims are being binned correctly, if warranty claims… more
- NTT America, Inc. (Plano, TX)
- …details of a project + Collaborate with Automation Engineers, Machine Learning Engineers, Data Analysts and Business Intelligence Analyst to execute ... partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Risk Adjustment Clinical Auditor/ Analyst position in the Medicare department. This is a full time position working ... Monday through Friday daylight hours and will be fully remote.. The Clinical Auditor/ Analyst is an integral part of the Risk Adjustment Department and is responsible… more
- Arkansas Children's (Little Rock, AR)
- … Knowledge:** Familiarity with healthcare datasets (eg, AHA, PHIS, US News benchmarks, claims data ) and ability to translate complex datasets into actionable ... to 5:00 pm - Onsite Provides consultation, interpretation and analysis of data related to business development, service-line planning, public relations,… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks a Senior Acquisition Specialist/Management Analyst to support the PMA 261 program. **Responsibilities** * Supports and drafts program ... Initiation Document (PID), Statement of Work (SOW), funding documents, Contract Data Requirements Lists (CDRLs), and Acquisition Program Baseline Agreements (APBA).… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks an experienced Foreign Military Sales (FMS) Program Analyst to support PMA 263. Position is hybrid and requires the individual to live ... progress, financial performance, and potential risks. + Analyze FMS data to identify trends, opportunities for improvement, and potential...or where a rental car must be obtained for business travel purposes, applicants must have a valid driver… more
- Mass Markets (ND)
- …Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience ... POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in...We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role… more
- Insight Global (Plano, TX)
- Job Description Insight Global is looking for a Korean-Speaking Order Management Analyst to join one of their clients in Plano, TX. This position will be part of the ... MX Mobile Service Parts Order Management team, where the analyst will play a key role in supporting order management and customer satisfaction. This candidate will… more
- Prime Therapeutics (Montgomery, AL)
- …our passion and drives every decision we make. **Job Posting Title** QA Analyst PBM Implementation - Remote **Job Description** The Quality Assurance (QA) Analyst ... duties as assigned **Minimum Qualifications** + Bachelor's degree in Business , Liberal Arts, or related area of study, or...GED is required + 2 years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be… more
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