• Claims Business Analyst

    Cognizant (Des Moines, IA)
    …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
    Cognizant (03/25/25)
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  • IT Business Systems Analyst

    Prime Therapeutics (Des Moines, IA)
    …and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business Systems ... (SDLC) methodology employed by Prime and partnering with the business , IT, and other project stakeholders to elicit, define,...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft Word, Excel,… more
    Prime Therapeutics (04/29/25)
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  • Sr Analyst , Medical Economics (Clinical…

    Molina Healthcare (IA)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... Finance teams through analyzing key business issues related to UM and CM processes and...and manage information from large data sources + Analyze claims and other data sources to identify early signs… more
    Molina Healthcare (04/12/25)
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  • Sr Analyst , Healthcare Analytics - Risk…

    Molina Healthcare (Cedar Rapids, IA)
    **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
    Molina Healthcare (05/03/25)
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  • Sr Analyst , Medical Economics (Medicaid)…

    Molina Healthcare (Davenport, IA)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... business issues related to cost, utilization and revenue for...and manage information from large data sources. + Analyze claims and other data sources to identify early signs… more
    Molina Healthcare (04/16/25)
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  • Sr Analyst , Config Info Mgmt…

    Molina Healthcare (Sioux City, IA)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
    Molina Healthcare (04/25/25)
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  • Surveillance Analyst - Administrative…

    Iowa Department of Administrative Services (Des Moines, IA)
    Surveillance Analyst - Administrative Assistant 2 Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4923980) Apply  Surveillance Analyst - ... - 50315 - Polk County, IA Job Type Full-time Remote Employment Flexible/Hybrid Job Number 25-02957 Agency 216 Department...a safe and efficient securities marketplace. As a Surveillance Analyst , you will be protecting Iowa consumers by conducting… more
    Iowa Department of Administrative Services (04/29/25)
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  • Senior PBM Pricing Analyst

    Access Dubuque (Dubuque, IA)
    …Posted On 04/17/2025 **Job Overview** **Position Overview:** The Strategic Pricing Analyst position monitors contract performance, analyzes pharmacy claims data, ... Senior PBM Pricing Analyst **MedOne Pharmacy Benefit Solutions** 1 Positions ID:...unexpected trends client or pharmacy performance by analyzing pharmacy claims data and looking for outliers or trends over… more
    Access Dubuque (05/01/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Des Moines, IA)
    …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
    Humana (04/30/25)
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  • Loan Support Analyst Senior - Insurance…

    PNC (IA)
    …have an opportunity to contribute to the company's success. As a Loan Support Analyst Senior within PNC's Midland organization, you will be based in office within ... a best in class office environment; and also supports remote and hybrid work environments As a Loan Support... and hybrid work environments As a Loan Support Analyst Senior in PNC Midland's Insurance department you will… more
    PNC (05/05/25)
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