• Senior Manager, Software Engineering

    Walmart (Bentonville, AR)
    …Vertex AI, and CI/CD/MLOps/AgentOps/DevOps practices. + Experience working with healthcare datasets ( claims , EMR/EHR, pharmacy, registries), ontologies (MeSH, ... **Position Summary ** **What you'll do ** The Walmart Healthcare Research Institute (WHRI) is building a modernized AI/ML and multi-agent infrastructure to deliver… more
    Walmart (10/23/25)
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  • Director of Group Benefits Analytics and Design

    Publix (Lakeland, FL)
    …benefits + 5 years of experience managing others + Experience with self-insured healthcare claims within a data warehouse + Microsoft Office applications: ... of Benefits Administration and lead a team that will use our data warehouse/ healthcare analytics tool and collaborate with external healthcare vendors to… more
    Publix (11/21/25)
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  • Quality Manager (Hybrid)

    CareFirst (Baltimore, MD)
    …analytics using SQL, Python, R, or similar; fluent in Excel. Expertise with healthcare claims , survey, clinical, and health data. + Strong computer skills ... **Education Level:** Bachelor's Degree in population health, public health, healthcare administration, business administration, health policy, economics, statistics, mathematics,… more
    CareFirst (11/19/25)
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  • Director Biostats Real World Evidence

    Bristol Myers Squibb (Princeton, NJ)
    …Informatics, or a related field. + 3+ years of experience working with real-world healthcare data ( claims , EMR, registries, etc.). + 6+ years of experience in ... of performing the curation, transformation, and analysis of complex healthcare datasets to inform evidence generation, supporting developing clinical program… more
    Bristol Myers Squibb (11/30/25)
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  • Staff VP - Engineering, Medical Cost Mgmt & Cost…

    Elevance Health (Richmond, VA)
    …years at the executive level. + Proven track record of delivering large-scale healthcare technology solutions ( claims systems, care management platforms, or cost ... for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance… more
    Elevance Health (11/26/25)
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  • Sr. Director, Client Analytics

    Evolent (Lincoln, NE)
    …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
    Evolent (11/25/25)
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  • Business Analyst

    Insight Global (King Of Prussia, PA)
    …Skills and Requirements - 5+ years experience as a BA in the healthcare industry - Previous healthcare claims processing and adjudication ... Job Description One of our large healthcare software clients are looking for a Business Analyst to join their growing team. The Staff Business Analyst has strong… more
    Insight Global (11/14/25)
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  • Sr Analytics Consultant

    Health Care Service Corporation (Nashville, TN)
    …detailed analysis, design, and building out workflows to support the Healthcare ( Claims , Enrollments, Sales) Technology Platform Solutions team. Interact ... Summary** The position is responsible for delivering Automation in the Healthcare domains. Work with stakeholders to convert business requirements into technical… more
    Health Care Service Corporation (10/25/25)
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  • Senior Software Development Engineer

    CVS Health (Scottsdale, AZ)
    …VB.NET, MVC, Angular, SQL, Entity Framework + Strong domain knowledge in healthcare systems ( claims processing, member/provider data, EDI 837 submissions). + ... for a highly skilled Senior Developer with a strong background in healthcare systems and hands-on experience in software development. The ideal candidate will… more
    CVS Health (11/22/25)
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  • Adjudicator, Provider Claims -On The Phone…

    Molina Healthcare (Columbus, OH)
    …**Job Summary** Respond to inbound calls to provides support for provider claims adjudication activities including responding to providers to address claim issues, ... and researching, investigating and ensuring appropriate resolution of claims . **Knowledge/Skills/Abilities** + Responds to incoming calls from providers regarding … more
    Molina Healthcare (11/27/25)
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