- Walmart (Bentonville, AR)
- …and create trust across our online and marketplace businesses. The Sr. Analyst position is responsible for reviewing internal and external item reports, conducting ... detail-oriented, self-starter to support and assist in item risk management that operates with a sense of urgency, is...Property and Rights Ownership and managing related concerns and/or claims . Brand Portal familiarity is a plus. + Experience… more
- CVS Health (Austin, TX)
- …every day. **Position Summary** CVS Health is looking for an experienced Business Analyst , QA and Technical SME with focus on balancing high-impact business ... management solutions with small project speed to market efficiency....- Healthcare Insurance and PBM knowledge including Prior Authorizations, Claims , Rebates, Network contracting, Sales, Call Center Ops and… more
- CVS Health (Springfield, IL)
- …Support CVS Health's financial integrity with sound pricing and risk management practices. The Medicare Actuarial Pricing team is responsible for anticipating ... business partners in addition to the broader actuarial team. **A Brief Overview** Senior Analysts on the Medicare Actuarial team leverage strong technical skills to… 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 ... Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS… more
- CVS Health (Hartford, CT)
- …to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The PSL role has responsibility ... to respond, manage, and resolve escalated and complex global issues for Claims /Calls, PSS, and health plan back-office operations. The Plan Sponsor Liaisons serve… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …legal, and payroll expertise to our customers. Job Summary: Develops crisis management , emergency management and contingency plans for Tokio Marine North ... + Develops and implements plans, processes, policies and procedures for emergency management , crisis management and contingency planning program elements + Leads… more
- Tutor Perini (Sylmar, CA)
- …sponsorship now or in the future. Tutor Perini Corporation is seeking a **Risk Management Analyst ** to join our office in **Sylmar, CA** **About Tutor Perini ... bridge projects. **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** The Risk Management Analyst is responsible for identifying, assessing, and… more
- Ventura County (Ventura, CA)
- … claims staff to ensure adherence to laws, regulations, contractual obligations, and claims management best practices. + Assists the TPA to facilitate review ... Management within a county-wide environment. PAYROLL TITLE: Risk Analyst AGENCY/DEPARTMENT: County Executive Office/Risk Management - Workers' Compensation… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation review process, committee structure and timing with key… more
- CVS Health (Hartford, CT)
- …regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need. **Required Qualifications** ... are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or… more