- Molina Healthcare (Caldwell, ID)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, ... to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical … more
- American Water (Camden, NJ)
- …Managers and Supervisors, HR Business Partners, Supply Chain, IT, Security, State Operations Managers and Supervisors, Insurance Company Claims Examiners and ... years. The company has a long-standing history of executing its core operations , aligned with sustainable best practices, through its commitments to safety,… more
- Prime Healthcare (Farmers Branch, TX)
- …revenues and efficiencies. As the Subject Matter Expert (SME) for Revenue Cycle operations , the Senior Analyst will lead strategic project implementations. ... Cycle Management by analyzing data and identifying process improvement opportunities. The Senior Analyst will apply analytical and critical thinking to develop… more
- UIC Government Services and the Bowhead Family of Companies (Arlington, VA)
- **Overview** SENIOR FINANCIAL BUSINESS ANALYST (NAUT): Bowhead seeks a Senior Financial Business Analyst to support our customer on the Nautical contract ... plans, support activities, and develop cost-efficiency strategies for financial system operations + Participate in J6 IT Governance processes and compliance reviews… more
- Evolent (Helena, MT)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a ... the impact of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Risk Adjustment Business Operations Analyst assumes a pro-active approach in ensuring the accuracy and ... methodologies, risk score calculations, enrollment, submissions, medical and pharmacy claims , and provider data. Incumbent is responsible for performing analyses… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms (eg, PMPM,… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations , and product development expertise. MSHP is a fast growing business… more
- Molina Healthcare (Louisville, KY)
- …Governance and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations based on data and industry knowledge. ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed,… more
- Evolent (Carson City, NV)
- …the culture. **What You'll Be Doing:** **Who You'll Be Working With:** The Senior Analyst Performance Suite Analytics utilizes and develops project management ... fosters expertise and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding health plan cost & use and… more