• Lead Analyst , Claims

    Molina Healthcare (Buffalo, NY)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on 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 to contracting,… more
    Molina Healthcare (06/18/25)
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  • Business Analyst - Claims Systems

    Levi, Ray & Shoup, Inc. (Chicago, IL)
    …this opportunity is made for you! The Business Analyst will: + Lead efforts to analyze and optimize healthcare claims processes to improve accuracy ... File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL...+ Ensure technical solutions align with business goals and regulatory requirements. + Collaborate with compliance teams to audit… more
    Levi, Ray & Shoup, Inc. (07/22/25)
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  • Benefits Analyst - I, II, Senior…

    Tucson Electric Power (Tucson, AZ)
    **Benefits Analyst - I, II, Senior or Lead ** Company **Tucson Electric Power** Location **Tucson, AZ** Requisition ID **6015** **About Us** UNS Energy ... employees,here (https://youtu.be/hpknvJPLuoc) andhere (https://youtu.be/7BECywu-Re4) . **Job Description - Benefits Analyst - I, II, Senior or Lead ** **Position… more
    Tucson Electric Power (06/09/25)
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  • Sr Medicaid Reimbursement Regulatory

    Zelis (Plano, TX)
    …interests that shape who you are. Position Overview The Sr. Medicaid Reimbursement Regulatory Analyst will collaborate with the Zelis Regulatory Pricer ... an accurate and timely fashion. What you'll do: + Research and decipher regulatory sources such as legislative rules, state registers, waiver programs and bulletins… more
    Zelis (07/12/25)
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  • Lead Analyst , Configuration…

    Molina Healthcare (Provo, UT)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong… more
    Molina Healthcare (07/24/25)
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  • Lead Analyst , Payment Integrity…

    Molina Healthcare (Syracuse, NY)
    …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (08/03/25)
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  • Security & Derivatives Lead Analyst

    Citigroup (Getzville, NY)
    The Sec & Derivatives Lead Analyst is a senior level position responsible for product management in the FX and Treasury Operations teams. **_Responsibilities:_** ... business initiatives, client solutions, and/or projects, particularly business mandatory, regulatory , and business discretionary workstreams where deadlines are inflexible… more
    Citigroup (07/31/25)
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  • Risk Management Analyst (Non Clinical) - St…

    Trinity Health (Albany, NY)
    …Type:** Full time **Shift:** Day Shift **Description:** **TITLE** Risk Analyst /Specialist **DEPARTMENT:** Clinical Quality & Safety **REPORTS TO:** Risk Manager ... being faithful to who we say we are. **POSITION SUMMARY** The Risk Analyst is primarily responsible for supporting non-clinical risk management activities in both… more
    Trinity Health (06/18/25)
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  • Sr. Business Systems Analyst

    Prime Therapeutics (Eagan, MN)
    …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... Provide work plan and detailed estimate based on scope; lead scope management, prioritization and drive scope trade off...within project + Educate and advance business systems analyst practice within the Claims IT team… more
    Prime Therapeutics (07/25/25)
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  • DSNP Business Analyst

    NTT DATA North America (Merced, CA)
    …DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong understanding of CMS ... sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in remote in the...scenarios. + Assess downstream implications of changes across the claims platform, ensuring regulatory and functional alignment.… more
    NTT DATA North America (07/18/25)
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