- Huron Consulting Group (Chicago, IL)
- …contract implementations and pricing updates. + Monitor and troubleshoot pricing-related claims issues; lead root-cause investigations and recommend corrective ... and pricing rules are accurately interpreted and reflected in our claims payment environment. **Key Responsibilities** + Configure and optimize provider pricing… more
- MVP Health Care (Rochester, NY)
- …and continuous improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for you if you have ... quality data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...for business data issues as assigned by the team lead . + Analyze data sets and trends for anomalies,… more
- AIG (Chicago, IL)
- …data driven insights that will support Underwriting and Portfolio Management. + Lead the quarterly portfolio roll-up and reporting operations for select North ... American Commercial, and Specialty portfolios. + Work closely with actuarial, claims , and other functions, integrating catastrophe modelling insights into day-to-day… more
- Ochsner Health (New Orleans, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... Strong leadership skills **Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit timely, accurate, and… more
- State of Arkansas (Little Rock, AR)
- … advice to the Public Employee Claims Manager, Commerce Program Supervisors, Claims Coordinators, and Claims Analyst ; providing training to agencies in ... and the Legal Support Specialist in the Public Employee Claims Division. The Attorney III also carries his or...in specialized areas of law, such as administrative law, regulatory compliance, labor law, or constitutional law. Lead… more
- PNC (Chicago, IL)
- …for the business. We are investing in a newly formed Small Business Marketing Analyst role and are seeking an innovative thought leader to build the foundation of ... portfolio strategy design & branding, product value propositions and claims development, integrated go-to-market strategy and planning and launches, in-market… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …support health economic claims . **Job Duties** + Serve as a primary analyst for clinical studies and RWE research using multiple clinical trial data and ... they are completed on time, within budget, and in compliance with regulatory guidelines. + Design statistical analysis plans for clinical studies and observational… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …The role also includes the development and communication of market segment medical claims expense trends with the aim to provide insights that inform pricing, ... of Finance, spanning multiple layers of the organization from analyst to SVP, including Sales & Segmentation, Pharmacy, ET,...develop and execute on aligned goals. Key Accountabilities: + Lead the development of analytics to support new trend… more
- The County of Los Angeles (Los Angeles, CA)
- …and control devices to ensure systems are functioning accurately and within regulatory limits. Make adjustments, switch to backup systems, or shut down equipment ... and main electrical distribution to ensure proper operation and regulatory compliance. + Assist with requesting quotes, generating purchase...attaching to your application or sending to the exam analyst . Veteran's Credit If you are a veteran, you… more