• Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (Rochester, NY)
    **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
    Molina Healthcare (12/08/25)
    - Related Jobs
  • Senior Analyst , Network Strategy, Pricing…

    Molina Healthcare (NM)
    **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable… more
    Molina Healthcare (11/21/25)
    - Related Jobs
  • Medicare/Medicaid Claims Reimbursement…

    Commonwealth Care Alliance (Boston, MA)
    011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely… more
    Commonwealth Care Alliance (11/30/25)
    - Related Jobs
  • Business Systems Analysis Analyst

    NTT DATA North America (Lincoln, NE)
    …organization, apply now. We are currently seeking a Business Systems Analysis Analyst to join our team in Lincoln, Nebraska (US-NE), United States (US). ... **Posisition: Claims Case Manager** **This position is eligible for company...background check with Education check and employment verification check. ** Remote Working and Technology Requirements** To work remote more
    NTT DATA North America (12/10/25)
    - Related Jobs
  • Medicare/Medicaid Claims Editing Specialist

    Commonwealth Care Alliance (Boston, MA)
    …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
    Commonwealth Care Alliance (11/25/25)
    - Related Jobs
  • Configuration Management Analyst - Clinical…

    CareFirst (Baltimore, MD)
    …setup of code sets used for configuration in benefits & pricing for claims processing, claims editing configuration set-up and maintenance. Analyzes business ... requirements and objectives towards determining the optimal configuration of the requirements. Creates complex design documents through the assessment of requirements. Assesses alternatives to different designs and chooses best solution to fit business needs.… more
    CareFirst (11/20/25)
    - Related Jobs
  • Medicaid Utilization Analyst 12 - HSA…

    State of Michigan (Lansing, MI)
    Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit (FC-PMOU) Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/5143934) ... Apply  Medicaid Utilization Analyst 12 - HSA Psychotropic Medication Oversight Unit (FC-PMOU) Salary $2,068.00 - $3,498.40 Biweekly Location Lansing, MI Job Type… more
    State of Michigan (12/14/25)
    - Related Jobs
  • Risk Management Analyst

    Fortrex (Atlanta, GA)
    **WHO YOU ARE:** We are seeking a detailed oriented Risk Management Analyst to join our team and play a crucial role in supporting insurance renewals, managing ... auto-liability and general liability claims , and overseeing certificates of insurance. In this role,...we serve. **WHAT YOU WILL DO:** The Risk Management Analyst will analyze, assess, and monitor risks related to… more
    Fortrex (12/11/25)
    - Related Jobs
  • Research Analyst

    Center For Health Information And Analysis (Boston, MA)
    …flexible, collaborative environment, offering a hybrid model that balances in-person and remote work. Our hybrid approach allows you to work alongside your ... in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within...tasks for large datasets such as the All Payer Claims Database (APCD), hospital discharge data (Case Mix), and… more
    Center For Health Information And Analysis (11/08/25)
    - Related Jobs
  • Business Systems Analyst - Epic Required

    NTT DATA North America (Raleigh, NC)
    …and forward-thinking organization, apply now. We are currently seeking a Business Systems Analyst - EPIC to join our team in Durham, North Carolina (US-NC), United ... States (US). Job Description: Business Systems Analyst (Epic Payer Platform & Interoperability) Job Summary The Business Systems Analyst leverages strong… more
    NTT DATA North America (11/12/25)
    - Related Jobs