- Molina Healthcare (Phoenix, AZ)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data (SQL and advanced Excel functions) from internal and external sources to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Actuarial Analyst - REMOTE **Job Description** The Senior Actuarial ... design and pricing support for all Prime's lines of business (commercial, Medicare and Medicaid). This role...support in complex projects that are highly visible to senior leadership and across the organization. **Responsibilities** + Own,… more
- Prime Therapeutics (Phoenix, AZ)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The ... Senior Compliance Analyst assists in the implementation of Prime's compliance programs...is dedicated to the government program compliance in the Medicare , Medicaid, and the Affordable Care Act (ACA) spaces.… more
- CVS Health (Phoenix, AZ)
- …And we do it all with heart, each and every day. **Position Summary** As a Senior Database Analyst , you will be responsible for using MS Access, SAS and related ... and for Sales/Clients for all CVS Health adjudication platforms and lines of business ( Medicare Part D, Commercial, Medicaid, etc.). Our Analysts make high… more
- Molina Healthcare (AZ)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... reports related to Risk and Quality/HEDIS for Medicaid, Marketplace and Medicare /MMP. Assists with research, development, and completion of special performance… more
- CVS Health (Phoenix, AZ)
- …**Key Responsibilities** : + Drafting and reviewing product filings: Draft Medicare Supplement and short-term limited duration health insurance products (policies, ... Stay abreast of changes in state and federal regulations related to Medicare supplement insurance. + Record Keeping: Maintain accurate records of product filings… more
- Molina Healthcare (Phoenix, AZ)
- …claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed ... on databases and ensure adherence to business and system requirements of customers as it pertains...in QNXT or Networx + Must have knowledge on Medicare payment methods + Experience on Hospital payment methodology… more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** **Position Summary:** The Senior Reimbursement Analyst is responsible for providing cost report preparation cost report appeals audit ... Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior … more
- CommonSpirit Health (Phoenix, AZ)
- **Responsibilities** The ** Senior Reimbursement Analyst i** s responsible for providing cost report preparation, cost report appeals, audit preparation and other ... Sr. Reimbursement Analyst also assists in the improvement of internal business processes and meeting future reimbursement service needs. The Senior … more
- Cognizant (Phoenix, AZ)
- …for the Configuration and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more