• Senior Business Analyst (Remote)

    CareFirst (Washington, DC)
    **Resp & Qualifications** **PURPOSE:** The Sr. Business Analyst will have the responsibility to ensure that the business's need for changes to processes, policies ... technical (functional/non-functional) requirements. Under the direction of a Lead Business Analyst , Product Owner, or Scrum Master, participates in the creation of… more
    CareFirst (01/14/26)
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  • Senior Actuarial Analyst

    Highmark Health (Harrisburg, PA)
    …:** Job Description **JOB SUMMARY** This job is a mid-level actuarial analyst position. Participate in Highmark's Actuarial Executive Development Program and is ... functions which may include insurance premium and pricing development, claim trend analysis, experience studies, medical economics, profitability analysis, wellness… more
    Highmark Health (12/13/25)
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  • Sr. Statistical Analyst

    American Heart Association (Dallas, TX)
    …growing team dedicated to precision medicine and scientific research. As a Senior Analyst , you will define data strategies, architect statistical analysis ... Center ( **Home-Based is acceptable)** . We are seeking an experienced Senior Statistical Analyst /Data Scientist to drive scientific discovery within our… more
    American Heart Association (01/13/26)
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  • Senior Financial Analyst

    Transdev (Lombard, IL)
    …of life and combat global warming. https://www.transdevna.com Overview of Position: Senior staff position within North American headquarters responsible to support ... support for key internal topic of insurance and insured claims estimates + Work with actuary and risk department...to support valuation of significant estimates related to insured claims + Create and maintain pricing model related to… more
    Transdev (01/02/26)
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  • Senior BCM Analyst - Hybrid

    Philadelphia Insurance Companies (Bala Cynwyd, PA)
    …and contributes to continuous improvement efforts + Communicates effectively with senior executives and leaders during crisis and emergency situations + Gathers ... the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an… more
    Philadelphia Insurance Companies (12/23/25)
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  • Senior QNXT Analyst - Contract…

    Molina Healthcare (Omaha, NE)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable systems. + Participates in defect resolution… more
    Molina Healthcare (01/17/26)
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  • Senior Financial Analyst…

    Ochsner Health (New Orleans, LA)
    …The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This role involves ... - + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and organizational skills. + Excellent communication and… more
    Ochsner Health (01/10/26)
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  • Senior Compensation Analyst

    Quality Technology Services, LLC (Overland Park, KS)
    …who assist or participate in the investigation of any complaint or discrimination claim . The "Know Your Rights" Poster is included here: Know Your Rights (English) ... (http://www.eeoc.gov/sites/default/files/2022-10/22-088\_EEOC\_KnowYourRights\_10\_20.pdf) Know Your Rights (Spanish) The pay transparency policy is available here: Pay Transparency Nondiscrimination Poster-Formatted… more
    Quality Technology Services, LLC (12/02/25)
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  • Senior , Implementation Analyst

    CVS Health (NH)
    …healthcare, PBM, Account Management + Medicare experience + Knowledge of Claims and Benefits Testing/Processing + Automation, AI tools **Anticipated Weekly Hours** ... 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The… more
    CVS Health (01/17/26)
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  • Sr Analyst , Performance Suite Analytics…

    Evolent (Honolulu, HI)
    …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols...audit and payment integrity methods and techniques to ensure claims were paid according to policy + Coordinate with… more
    Evolent (01/16/26)
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