- Lockheed Martin (Fort Worth, TX)
- …career destination\! Join us\! **Who You Are** This highly visible role in Regulatory Contracts is fast paced within Lockheed Martin, Global Supply Chain you'll be ... Be Doing** As a Global Supply Chain Staff Contracts Analyst , you are an experienced professional with a legal,...a company culture that empowers employees to think big, lead with a growth mindset, and make the impossible… more
- MVP Health Care (Schenectady, 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 (GA)
- **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
- HTC Global Services Inc (Madison, WI)
- We are seeking an experienced and detail-oriented Life Insurance Business Analyst to support the design, enhancement, and delivery of technology solutions within the ... in ensuring that technology solutions align with business goals, regulatory requirements, and customer expectations. Key Responsibilities: Requirements Elicitation… more
- Leidos (Chantilly, VA)
- **Description** The Supply Chain Analyst is responsible for supporting key supply chain functions including material procurement, production planning, and inventory ... Assist in production planning by analyzing demand forecasts, inventory levels, and lead times. + Maintain accurate records of inventory and coordinate with warehouse… 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
- 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
- Fannie Mae (Plano, TX)
- …evaluating complex documents such as financial statements, legal documents, litigation claims and engineering and inspection reports. * Exceptional written and ... project underwriting or analysis to GSE requirements. * Proven ability to lead initiatives and contribute to team success through collaboration and accountability. *… more
- Henry Ford Health System (Troy, MI)
- …and appeals by working with internal support departments and in accordance to regulatory guidelines. The Lead Appeal & Grievance Support will also assist ... GENERAL SUMMARY: The Lead Appeal & Grievance Support is responsible for...manner. + Serve as first line contact for A&G Analyst for day to day operational issues. + Function… more
- Molina Healthcare (Carson City, NV)
- …of the role. + Validates findings and test assumptions through data, but lead with contextual knowledge of claims processing, provider contracts, and operational ... Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits & Overpayment...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more