• Senior Business Analyst - Emphasis…

    Molina Healthcare (Grand Island, NE)
    …interaction experience + Experience working with complex, often highly technical teams + Medicaid primary and Medicare preferable payer claims experience + QNXT ... Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems… more
    Molina Healthcare (07/24/25)
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  • Senior Quality Analyst…

    Providence (WA)
    …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
    Providence (08/01/25)
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  • Medicaid Provider Hospital Reimbursement…

    Humana (Santa Fe, NM)
    …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business...and other business teams involved in the administration of Medicaid business at Humana. The Senior Business… more
    Humana (07/29/25)
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  • Senior Contracting Compliance…

    Mount Sinai Health System (New York, NY)
    …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... compliance related to Facility Contracts for all Commercial, Medicare Advantage and Medicaid Managed Care Plans. The team serves as MSHP's subject matter experts… more
    Mount Sinai Health System (07/09/25)
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  • Senior Analyst , Network Relations

    CVS Health (Richmond, VA)
    …Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability ... with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for...& Availability monthly monitoring process. + Responsible for reviewing claims data in QNXT when provider's inquiry involves … more
    CVS Health (07/16/25)
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  • Senior Analyst Network Relations

    CVS Health (Boise, ID)
    …Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability ... with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for...& Availability monthly monitoring process. + Responsible for reviewing claims data in QNXT when provider's inquiry involves … more
    CVS Health (07/31/25)
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  • Senior Analyst , Medical Economics…

    Molina Healthcare (Columbus, OH)
    **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
    Molina Healthcare (07/10/25)
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  • Senior Analyst , Healthcare…

    Molina Healthcare (Roswell, NM)
    **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 (07/17/25)
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  • Senior Contract Analyst

    City of New York (New York, NY)
    …from Contract Analysts while supervising them regarding the unit's daily activities. The Senior Contract Analyst supervises the conduct of the field visits to ... assistance with applying for public benefits and services including Medicaid , food stamps and cash assistance. HASA also provides...Administration (HASA) is recruiting for one (1) Associate Staff Analyst to function as a Senior Contracts… more
    City of New York (05/14/25)
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  • Senior Healthcare Data Analyst

    Staffing Solutions Organization (Albany, NY)
    …understanding of database structures and business context of various elements related to Medicaid claims . Related efforts will include the production of reports ... workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The Data … more
    Staffing Solutions Organization (07/10/25)
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