• Actuarial Analyst - Medicaid/ACA

    Centene Corporation (Cheyenne, WY)
    …that diverse thinking strengthens teams and drives innovation. **These Actuarial Analyst openings include roles on the following teams.** Additional teams may ... as we expand on our process for projecting medical claims across many Medicaid markets. Work will be both...help determine adequate premium rates; query, validate, and analyze data to inform financial projections; help prepare experience reports… more
    Centene Corporation (10/21/25)
    - Related Jobs

  • Senior Analyst , Strategic Analytics

    DriveTime (Tempe, AZ)
    …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on… more
    DriveTime (10/07/25)
    - Related Jobs

  • Patient Access Analyst - Full Time - Day

    Hackensack Meridian Health (Neptune City, NJ)
    …our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Patient Access ... Analyst is a revenue cycle expert in the areas...to the end users. Performs reviews of all Access data elements, such as real time eligibility (RTE), Medicare… more
    Hackensack Meridian Health (10/02/25)
    - Related Jobs

  • Business Process Analyst 1

    IQVIA (Milwaukee, WI)
    …will develop the skills necessary to complete the evaluation and validation of data , calculate rebates, and quantify your findings. You will also build and enhance ... business relationships with your clients. Those skills are pertinent because as an analyst , you will be responsible for multiple accounts and processes and be… more
    IQVIA (10/17/25)
    - Related Jobs

  • Actuarial Analyst II

    Elevance Health (Latham, NY)
    **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
    Elevance Health (10/18/25)
    - Related Jobs

  • QA Analyst PBM Implementation - Remote

    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 ... work experience; HS diploma or GED is required + 2 years of experience within Claims Processing, Audit, Quality or Pharmacy + Must be eligible to work in the United… more
    Prime Therapeutics (10/12/25)
    - Related Jobs

  • HEDIS Network Analyst

    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 ... (IET) and Follow-Up after Hospitalization for Mental Illness (FUH) data :** + Work with BI, Quality, and BH teams...Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors… more
    Commonwealth Care Alliance (10/18/25)
    - Related Jobs

  • Strategy Analyst

    Northwell Health (Great Neck, NY)
    …using large data sets with information such as hospital admissions data , physician claims and demographic statistics. Analyses will focus on providing ... **Req Number** 169342 Job Description The Strategy Analyst will be a key member of the...BI to understand trends and identify opportunities in the healthcare market. Highlight key data findings in… more
    Northwell Health (10/15/25)
    - Related Jobs

  • Analyst , Client Analytics

    Evolent (Carson City, NV)
    …culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple sources using SAS and SQL ... loved ones. The Client Analytics team offers candidates the opportunity to leverage data & analytics to drive actionable insights and strategies for our partners. We… more
    Evolent (10/15/25)
    - Related Jobs

  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
    Humana (10/21/25)
    - Related Jobs