- Prime Therapeutics (Montgomery, AL)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
- The Cigna Group (Bloomfield, CT)
- **Summary** : Provides professional input to Business Analytics assignments/projects. Works in collaboration with business partners to provide analyses and ... to develop models and procedures, and monitor trends, within Business Analytics. **Excited to grow your career?** We value...seeking a detail-oriented and strategic Data Governance & Validation Analyst to join our team. In this critical role,… more
- Molina Healthcare (Toledo, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Buffalo, NY)
- **Job Description** **Job Summary** The Senior Analyst will serve a key role on the RADV (Risk Adjustment Data Validation) team, contributing to the end-to-end data ... Success in this role requires a blend of strong technical acumen, business context, and analytical curiosity. While data is primarily accessed through Databricks,… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …in all that we do, providing the best professional service to our business partners, allowing them to achieve their goals. Our talented team delivers actuarial, ... expertise to our customers. Job Summary: As a Cyber Threat Intelligence Analyst , you will be instrumental in collecting, analyzing, and disseminating cyber threat… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...for the assigned state + Works in an agile business environment to derive meaningful information out of complex… more
- NTT DATA North America (Merced, CA)
- …as part of an overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in remote in the US. **Job Overview:** We are ... seeking a detail-oriented and experienced DSNP Business Analyst with specialized knowledge in Medicare...Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong… more