- ManpowerGroup (Vacaville, CA)
- …flows for workers' compensation insurance operations. + Analyze current workflows in claims handling, reserving, audits, and regulatory compliance to identify ... leader in the insurance industry, is seeking a Business Analyst to join their team. As a Business ...+ Deep understanding of workers' compensation insurance operations, including claims , reserves, self-insurance, and regulatory compliance. +… more
- Molina Healthcare (Racine, WI)
- …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
- UPMC (Pittsburgh, PA)
- …in healthcare reimbursement? At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how claims are processed ... and actionable insights + Collaborate across teams: Partner with Claims Operations, Medical Policy, IT, and more to align...to align edits with clinical and financial goals. + Lead impactful projects: Drive initiatives that monitor and adapt… more
- Mount Sinai Health System (New York, NY)
- …onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more advanced understanding...others in the Data Science team and takes the lead role in project initiatives. **Qualifications** + BA or… more
- Prime Therapeutics (Phoenix, AZ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
- Safran (Gainesville, TX)
- Dispute Resolution Analyst (Temporary) **Job details** **General information** **Entity** Safran is an international high-technology group, operating in the aviation ... IT - User support technician **Job title** Dispute Resolution Analyst (Temporary) **Employment type** Temporary **Contract period** N/A **Professional category**… more
- AIG (Parsippany, NJ)
- …studies across accounts, portfolios, and business segments to ensure rate adequacy and regulatory compliance. + Lead the budgeting process and other financial ... measurement. They collaborate with Marketing, Operations and Financial Management. Senior Actuarial Analyst - A&H At AIG, we are reimagining the way we help… more
- Zions Bancorporation (Houston, TX)
- …risk topics and mindset to actively challenge inputs (eg vendor and business claims ). + Contribute to and lead internal initiatives, including methodology ... assessment ratings against the Bank's risk methodology, and in accordance with regulatory and industry standards. + Assess the adequacy of due diligence… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Duke Energy (Charlotte, NC)
- …work, and competitive pay and benefits. Job Summary The Senior Financial Analyst position is responsible for the day-to-day overall cost management, accounting and ... requires timely response to end user inquiries/issues. Position will provide Regulatory knowledge includes familiarity with environmental clause cost management, and… more