- Molina Healthcare (Syracuse, NY)
- …the Sr. Analyst , Data is responsible for data compilation, data management , data analysis, and reporting + Extracts and compiles various sources of information ... easily understood reports, analysis, and summary of findings for use by management + Assists in preparation of regularly produced reports to support executive… more
- Option Care Health (Bannockburn, IL)
- …best and brightest talent in healthcare. **Job Description Summary:** The Analyst , Compliance Auditing, Monitoring and Analytics is responsible for supporting the ... to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance activities and to identify… more
- Citigroup (Jacksonville, FL)
- The Fraud Ops Sr Analyst is a senior level positions responsible for contributing to the development of fraud management policies, processes and procedures to ... models + Proven experience in the Investigation and Fraud claims process + Experience in trend analysis and alerts...team within the Commercial Cards group. + Bankcard fraud management or fraud investigations experience + Ability to work… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Lineage Logistics (Novi, MI)
- …team. **Job Description:** Lineage is currently searching for a **Procurement** ** Analyst ** to join our growing team. Ideal candidates possess experience and/or ... education in business, supply chain management , finance or economics combined with strong technical skills,...contractual obligations are met, supplier concerns are addressed, and claims against suppliers are resolved. + Review purchase orders… more
- Warner Music Group (New York, NY)
- …including, without limitation, tracking audit notifications, reviewing and analyzing the claims contained in the audit reports we receive, making recommendations to ... internal label clients regarding how to respond to those claims , facilitating settlement negotiations between the party auditing and...you may be asked to perform by the senior management of the Group and the division. **About you:**… more
- AmeriHealth Caritas (Charleston, SC)
- …set up. + Ensure that provider payment issues submitted by Provider Network Management or any other source are validated, researched and resolved within established ... + Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that are not correctly submitted for payment. + Act as the resource… more
- Evolent (Atlanta, GA)
- …will partner closely with executives across analytics, finance, product and account management . **What You Will Be Doing:** + Support Business Development & Product ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- CVS Health (Topeka, KS)
- …And we do it all with heart, each and every day. **Overview** The Senior Analyst supports Product Analytics by making data accessible and actionable for the care ... management suite of products. This role is responsible for...in business analytics. + Familiarity with medical and pharmacy claims datasets and healthcare analytics. + Excellent verbal and… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Dec 9, 2025 Location: San Juan, PR Company: Popular Workplace Type: Hybrid Business Analyst Full Time Job Opportunity Location Hybrid / Cupey Center / Puerto Rico ... produce scorecards and incentives reports, send incentive payments, works with claims submitted and document exceptions. Coordinate and facilitate working sessions… more