- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior -level support for claims processing and claims ... research . The Sr. Analyst , Claims Research serves as a senior -level subject matter expert in claims operations and research , leading the most… more
- Molina Healthcare (KY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (Owensboro, KY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (KY)
- **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 ... and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research , development, and completion of special performance improvement projects… more
- Highmark Health (Frankfort, KY)
- …analysis of varied and multilevel data in exploratory, evaluative, and research -adjacent analytic work, and development of insights that inform program design ... 5 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 3 years of project leadership… more
- Evolent (Frankfort, KY)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more
- Baylor Scott & White Health (Frankfort, KY)
- …BSWH Data Strategy and enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key contributor to the data ... **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH...experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to… more
- Humana (Frankfort, KY)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Highmark Health (Frankfort, KY)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Elevance Health (Louisville, KY)
- …healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures financial performance of core Carelon products leveraging ... ** Senior Health Economist - Managed Care** **Location:** This role requires... claims , authorization, and membership data to tell a detailed story to… more