Actuarial Analyst II (Intermediate) – Forecasting Analytics USAAActuarial Analyst II (Intermediate) – Forecasting AnalyticsColorado Springs, CO$77,120–$138,810 / yearIndependently applies actuarial methodologies to complete structured projects (e.g., Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale). Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
NewClaims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTECentennial, CORemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
NewATM Settlement and Claims Analyst Elevations Credit UnionATM Settlement and Claims AnalystBroomfield, CO$19.47–$24.30 / hourEssential Functions: Ensures daily processes are accurately completed in a timely manner, including but not limited to; payment processing, reject posting, various daily, monthly and quarterly reports, GL research and daily mail requests. Actual compensation offered may vary from the posted hiring range based on factors such as relevant experience, time in role, base salary of internal peers, prior performance, business sector, licensure requirements and/or skill level, and will be finalized at the time of offer.
Claims Analyst Collector - Full Time Montrose Regional HealthClaims Analyst Collector - Full TimeMontrose, COThe Claims Analyst III must know the essential functions of denied claims for Medicare, Medicaid, and Commercial payers for accurate payments of services provided by Montrose Memorial Hospital. 2 years hospital PFS department experience with a broad knowledge of hospital billing, collections, and payment application for Medicare, Medicaid, and Commercial insurances.
Claims Analyst I - Patient Financial Services - Full Time Montrose Regional HealthClaims Analyst I - Patient Financial Services - Full TimeMontrose, COAs the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. This positionensures that patients and insurance company payments and adjustments are properly deposited, posted and balanced for all payment types.
Unclaimed Property Claims Analyst Lauth Investigations International IncUnclaimed Property Claims AnalystDenver, CO$80,000–$90,000Advanced OSINT & Public Records Mastery: Exceptional capability utilizing specialized search engines, public county court portals, historical repositories, and public record aggregators (e.g., LexisNexis, TLO, or Ancestry/FamilySearch institutional tiers). Execute Targeted OSINT & Skip-Tracing: Deploy advanced OSINT, social media intelligence (SOCMINT), and proprietary locational databases to track down missing, estranged, or unknown heirs globally and establish contact.
EPIC Professional Billing Claims Analyst CommonSpirit HealthEPIC Professional Billing Claims AnalystEnglewood, COAs one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs.
EPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full Time SolutionHealthEPIC Applications Analyst (1-4): Hospital Billing Admin and Hospital Billing Claims - IT Services - Full TimeCOEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
Claims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement) Denver Health and Hospital AuthorityClaims Audit Analyst - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement)Denver, ColoradoInteract and collaborate with other corporate groups such as Provider Relations, Member Services, Information Systems, Compliance, Third Party Recovery, Finance, Patient Accounts, Enrollment, Utilization Management and Product Line Managers. Daily data analysis and research of claims processing to ensure benefit structures and operation processes are adhering to the rules, regulations and contractual requirements by CMS, DOI, contracted and non- contracted providers.
Claims & Risk Analyst HelloFresh SEClaims & Risk AnalystCO$68,040–$72,900 / yearYou'll play a key role in keeping the function running efficiently by owning intake, tracking, and routine follow-ups, while partnering closely with the broader risk management team on escalations and decision-making. Monitor and support claims throughout the lifecycle by handling routine follow-ups, identifying aging or high-risk claims, and coordinating with adjusters to ensure timely progression.
QA Analyst with Facets Claims experience Cognizant Technology Solutions CorpQA Analyst with Facets Claims experienceEnglewood, COBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyse site usage and to personalise your experience.
Senior Healthcare QA Analyst - Facets Claims & Medicare Cognizant Technology Solutions CorpSenior Healthcare QA Analyst - Facets Claims & MedicareEnglewood, COBy clicking "Accept All", you agree to the storing of cookies on your device to give you the most optimal experience using our website. We may also use cookies to enhance performance, analyse site usage and to personalise your experience.
NewClaims and Risk Analyst Esler Companies LLCClaims and Risk AnalystDenver, COHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) - or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesCO$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
NewClaims and Risk Analyst Renewal by Andersen | Esler CompaniesClaims and Risk AnalystDenver, ColoradoFull timeHolds relevant certification such as - Certified Risk Manager (CRM); Associate in Risk Management (ARM); Associate in Insurance Data Analytics (AIDA) – or willingness to pursue certification. The ideal candidate will possess excellent organizational skills, strong analytical capabilities, payroll and business finance understanding, and the ability to handle sensitive information with discretion.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)CORemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Director, Decision Science Analytics - Omni Channel & Digital Claims Analytics USAADirector, Decision Science Analytics - Omni Channel & Digital Claims AnalyticsColorado Springs, CO$164,780–$296,610 / yearResearches and pursues the latest and/or industry leading practices in data and analytics, (Ex: Cloud, Data Mining, Python, Neural Networks, Sensor data, IoT, Streaming/NRT data) to advance the overall DSA community knowledge. Maintains and innovates knowledge of data analysis tools, data visualization, developing analysis queries and procedures in SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect external insights to business problems.
Civil Engineer (Highway) (Claims) U.S. Department of TransportationCivil Engineer (Highway) (Claims)Lakewood, CO$118,675–$154,280 / yearSpecified academic courses -- Successful completion of at least 60 semester hours of courses in the physical, mathematical, and engineering sciences and that included the courses specified in the basic requirements under paragraph A. The courses must be fully acceptable toward meeting the requirements of an engineering program as described in paragraph A. Related curriculum -- Successful completion of a curriculum leading to a bachelors degree in an appropriate scientific field, e.g., engineering technology, physics, chemistry, architecture, computer science, mathematics, hydrology, or geology, may be accepted in lieu of a bachelor's degree in engineering, provided the applicant has had at least 1 year of professional engineering experience acquired under professional engineering supervision and guidance. The ideal candidate should also possess a strong technical background in the field of highway engineering and construction, including a broad understanding of roadway design, geotechnical engineering, structural engineering, hydraulics, material quality requirements and heavy highway construction practices for the design and construction of highways and bridges.
Director of Claims and Litigation Banner HealthDirector of Claims and LitigationCO$57.38–$95.64 / hourParticipates and presents at introductory meetings with potential insureds; prepares materials, participates and presents at Banner Medical Group (BMG) meetings, committees and other organizational structures and at other physician program meetings as established and as appropriate; provides education relative to the program across BH. Responsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medicals.
Director Complex Claims and Counsel Banner HealthDirector Complex Claims and CounselCO$65.70–$109.50 / hourResponsible for obtaining, entering data into claim file and monitoring such data in order to comply with deadlines for meeting Medicare, Medicaid, Ship Extension Act (MMSEA) reporting requirements in relation to claimants and others releasing medical expense claims. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
NewEpic ASAP Applications Analyst StratAcuity Staffing Partners IncEpic ASAP Applications AnalystDenver, CO$45–$50 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Everforth Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts.
Treasury Analyst I Advanced Energy Industries IncTreasury Analyst IDenver, CO$65,000–$85,000 / yearAE's power solutions enable customer innovation in complex applications for a wide range of industries including semiconductor equipment, industrial, manufacturing, telecommunications, data center computing and healthcare. BENEFITS: As part of our total rewards philosophy, we believe in offering and maintaining competitive compensation and benefits programs for our employees to attract and retain a talented, highly engaged workforce.
Enterprise Solutions Integration (ESI) Work Requirements Business Analyst State of ColoradoEnterprise Solutions Integration (ESI) Work Requirements Business AnalystCO$71,544–$93,012 / yearDefinition of Professional Experience: Work that involves exercising discretion, analytical skill, judgment, personal accountability, and responsibility for creating, developing, integrating, applying, and sharing an organized body of knowledge that characteristically is uniquely acquired through an intense education or training regimen at a recognized college or university; equivalent to the curriculum requirements for a bachelors or higher degree with major study in or pertinent to the specialized field; and continuously studied to explore, extend, and use additional discoveries, interpretations, and application and to improve data, materials, equipment, applications and methods. Contributing to large-scale enterprise system implementations within regulated healthcare environments, supporting the development and management of long-term system and integration goals; aligning business objectives with technical integration and data exchange solutions; applying strong data literacy to assess interface design and cross-system impacts; resolving complex cross-functional issues; and overseeing vendor deliverables.
NewAnalyst, Product Integrity & Wear Testing (Smartwool) SmartwoolAnalyst, Product Integrity & Wear Testing (Smartwool)ColoradoManage the validation of seasonal performance & sustainability claims & risk assessment by partnering with SW materials team, VF internal resources & cross functional teams such as; Product Stewardship, Legal, E-Commerce, Marketing, and VF Lab to analyze materials & finished goods testing results and how they impact the desired end use of the product. Partner with Product Stewardship, Smartwool Director of Sustainability & icebreaker Sustainability Manager, track & prepare information for EU and US regulatory changes, ensuring compliance with the changing landscape of product compliance documentation.
Total Rewards Analyst- Benefits & Compensation Wide Open WestTotal Rewards Analyst- Benefits & CompensationDenver, ColoradoIn this role, you will support the design, administration, analysis, and continuous improvement of compensation and benefits programs, ensuring they remain competitive, compliant, cost-effective, and aligned with the organization's overall people strategy. The Total Rewards Analyst partners across the business to help create a positive colleague experience, support engagement initiatives, and ensure compensation and benefits programs align with the company's values, behaviors, and people-first culture.
Commercial Insurance Analyst - Remote CSAA Insurance GroupCommercial Insurance Analyst - RemoteCORemote$110,700–$123,000 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers, Nebraska - Home Teleworkers {+ 20 more}. Pursuit or completion of industry-relevant continuing education, including graduate degrees, MBS, risk and insurance designations from The Institutes (AINS, AIC, ARM, CPCU, etc.), or actuarial exams and designations (ACAS, FCAS, CERA).
Inside Adjuster (Trainee) Analyst II - HYBRID Denver, CO Allstate Insurance CompanyInside Adjuster (Trainee) Analyst II - HYBRID Denver, CODenver, COYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. Notice of Licensing Requirement: As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor.
NewAccounts Receivable Analyst Deloitte Touche Tohmatsu LtdAccounts Receivable AnalystColorado Springs, CO$70,000–$90,000 / yearAs an Accounts Receivable Analyst you will deliver Back End Revenue Cycle Management (RCM) services, including Billing and Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for health care provider client. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Senior Project Scheduling Analyst City & County of DenverSenior Project Scheduling AnalystDenver, CO$86,634–$142,947 / yearSpecifically, as the Project Scheduling Analyst Senior, you will: Serve as the primary point of contact for assigned projects and programs, maintaining clear communication with internal and external stakeholders and offering training to enhance user experience when applicable. Experience in construction or engineering industries such as aviation, transportation, infrastructure, heavy civil, vertical construction, defense/military facilities, power/energy systems, hospitals, or other large-scale, complex operational environments.
Corporate Escrow Analyst Glacier Bancorp IncCorporate Escrow AnalystDenver, CO$28.30–$42.44 / hourThe Escrow Analyst will be responsible for the administration of the comprehensive flood procedures related to loans located in a flood zone, and have direct responsibility for analyzing flood hazard determinations to ensure coverage and documentation is obtained when collateral is in a designated flood hazard area. Collaboration: Participates in the formulation of procedures, policies, and methods to ensure compliance with Glacier Bancorp, legal, investor, regulatory, and/or business policies which directly affect the work unit but may have an indirect effect on other departments or outside customers.
NewBenefits Analyst Rocket SoftwareBenefits AnalystDenver, CORemote$73,000–$90,000 / yearThe analyst collaborates with internal teams, vendors, and carriers to maintain accurate systems, resolve employee inquiries, and contribute to continuous improvement initiatives. The Benefits Analyst supports the administration, and analysis of U.S. and global benefit programs to enhance the employee experience and align with the company’s total rewards philosophy.
Total Rewards Analyst- Benefits & Compensation Wideopenwest NetworksTotal Rewards Analyst- Benefits & CompensationDenver, ColoradoIn this role, you will support the design, administration, analysis, and continuous improvement of compensation and benefits programs, ensuring they remain competitive, compliant, cost-effective, and aligned with the organization’s overall people strategy. We are seeking a Total Rewards Analyst to help shape and support a competitive, colleague-focused Total Rewards strategy that drives engagement, retention, and organizational success.
HR Analyst- Remote System OneHR Analyst- RemoteDenver, ColoradoRemote$24–$26 / hourThe HR Analyst supports the Human Resources (HR) Central Team in a variety of areas (e.g., HR general inquiries, talent management, payroll support, international transfers, timekeeping support, onboarding, offboarding, background checks, policy interpretation, etc.). - Provides accurate and efficient resolutions of issues through multiple channels (e.g., Salesforce Case Management System, phone, email, and chat) by following appropriate resolution/assessment methodologies (e.g., investigating and research).
Pricing Analyst III ModivCare Inc.Pricing Analyst IIIDenver, CO$69,900–$90,000 / yearExperience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred or equivalent combination of education and/or experience. Supports RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations.
Analyst, Business (ROPS) DaVita IncAnalyst, Business (ROPS)Denver, CO$57,784–$85,000 / yearProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. Washington Non-exempt: Bellingham: $19.13/hour, Burien: $21.63/hour, Everette: $20.77/hour, Unincorporated King County: $20.82/hour, Renton: $21.57/hour, Seattle: $21.30/hour, Tukwila: $21.65/hour, Remainder of Washington state: $17.13/hour.
Business Analyst DaVita IncBusiness AnalystDenver, CO$57,784–$85,000 / yearProfessional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning. As an Analyst within ROPS you will join a team of highly motivated individuals and will be a key player in enhancing business outcomes for various operational teams that impact DaVita's revenue cycle.
Regional Lean Business Analyst, Operational Excellence Agilent Technologies IncRegional Lean Business Analyst, Operational ExcellenceCO$124,160–$232,800 / yearYou will spend significant time on manufacturing floors alongside the RDL and Lean Manufacturing Specialist during site diagnostics and improvement cycles, directly observing processes, engaging with production teams, and gathering the data to turn into action. Direct experience operating within a structured production system methodology such as the Toyota Production System, Danaher Business System, or comparable enterprise-wide operational excellence framework, with an understanding of how deployment-based improvement differs from project-based continuous improvement.
Sr Analyst, Integrated Care Partnerships (DaVita IKC)) DaVita IncSr Analyst, Integrated Care Partnerships (DaVita IKC))Denver, CO$62,000–$95,000 / yearAs a Senior Analyst, specializing in population health informatics on this team, you will harness technology and data systems to manage, analyze and apply healthcare data to provide valuable insights about prioritization strategy, patient outcomes, and care delivery. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
Sr Analyst, Integrated Care Partnerships (DaVita IKC) DaVita IncSr Analyst, Integrated Care Partnerships (DaVita IKC)Denver, CO$62,000–$95,000 / yearAs a Senior Analyst, specializing in population health informatics on this team, you will harness technology and data systems to manage, analyze, and apply healthcare data to provide valuable insights about prioritization strategy, patient outcomes, and care delivery. Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
NewActuarial Analyst II Elevance Health IncActuarial Analyst IIDenver, CO$84,744–$138,672 / yearMinimum Requirements: Requires a BA/BS degree and to have passed a minimum of three Society of Actuaries (SOA) or Casualty Actuarial Society (CAS) actuarial exams and a minimum of 1 year related experience; or any combination of education and experience, which would provide an equivalent background. Strategic Product Development: Provide actuarial expertise to product development teams by evaluating benefit design options, pricing impacts, and unique plan assessments for specialized client needs.
NewPricing Analyst III ModivCarePricing Analyst IIIDenver, CO$69,900–$90,000 / yearExperience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred or equivalent combination of education and/or experience. Supports RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations.
Pricing Analyst III ModivcarePricing Analyst IIIDenver, ColoradoExperience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred or equivalent combination of education and/or experience. Supports RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations.
Lead Actuarial Analyst, MA Risk Adjustment Strive Health, LLCLead Actuarial Analyst, MA Risk AdjustmentDenver, CO$99,000–$124,000 / yearWe offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials. You will play a critical role in evaluating financial performance, uncovering areas of opportunity, and use your 3+ actuarial exam progress to help translate complex data into actionable strategies.
Lead Analyst, Risk Adjustment Analytics Strive Health, LLCLead Analyst, Risk Adjustment AnalyticsDenver, CO$99,000–$124,000 / yearWe offer a competitive Actuarial Study Program designed to help you succeed, including exam fee support, study resources, and rewards for passing exams and achieving actuarial credentials. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to talentacquisition@strivehealth.com.
Data Analyst StioData AnalystDenver, CORemoteThe right person doesn’t hesitate to sweep the floor (fix a broken Excel link), isn’t afraid to question the status quo (does this metric actually measure what it claims to?), and would rather quickly solve a pressing business problem with simple analysis than build a sophisticated model that collects dust. This is a full-stack, horizontal role: the work spans data infrastructure (ingestion, modeling, transformation) through analysis, BI development, and direct stakeholder partnership across Finance, Merchandising, Marketing, Operations, Inventory Planning, and B2B.
Medication Rebate Analyst EvioMedication Rebate AnalystDenver, CO$95,000–$115,000 / yearIn 2020, a group of five amazing Blue Cross Blue Shield health plans that in total serve more than 20 million members recognized that the way medications get to patients needs significant reform—rapidly rising costs and massive system complexities are detrimental to patients and the entire industry. Evio is a highly unique pharmacy solutions company that was founded by and works closely with health plans to implement transformative (to cost, quality, access and experience) initiatives primarily focused on specialty and other high-cost medication solutions.
Platform Operations Analyst, Medication Rebates EvioPlatform Operations Analyst, Medication RebatesDenver, CO$100,000–$130,000 / yearIn 2020, a group of five amazing Blue Cross Blue Shield health plans that in total serve more than 20 million members recognized that the way medications get to patients needs significant reform—rapidly rising costs and massive system complexities are detrimental to patients and the entire industry. In partnership with Evio teammates across analytics and technology you will: Join Evio's analytics team to work with both internal and external stakeholders to operationalize Evio's rebate administration platform supporting a full medical medication rebate portfolio.
Contract QC Analyst TriWest Healthcare AllianceContract QC AnalystDenver, CORemoteFull timeCollaborate with multiple business partners including but not limited to Contracting Administration, Corporate Compliance, Claims Administration, and Legal to create strategies for contract templates while being proactive in preventing non-compliance. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.
Actuarial Analyst II (Intermediate) - Forecasting Analytics USAAActuarial Analyst II (Intermediate) - Forecasting AnalyticsColorado Springs, CO$77,120–$138,810 / yearWhat you'll do: Independently applies actuarial methodologies to complete structured projects (e.g., Builds tools to test and implement new methodologies that improve accuracy of actuarial analysis; utilizes model results to select new variables and refresh existing variables in a rating algorithm; analyzes results from multiple methodologies to propose reserve selections and documenting rationale). Intermediate knowledge of data analysis tools, data visualization, developing analysis queries and procedures in Python, R, SQL, SAS, BI tools or other analysis software, and relevant industry data & methods and ability to connect technical insights to business problems.
Business Intelligence Analyst TriWest Healthcare AllianceBusiness Intelligence AnalystDenver, CORemoteFull timeTechnical Skills: Knowledge of the healthcare industry; expertise with data modeling & data mining; experience with data architecture, design & development, with DB2 and MS SQL DBMS, one or more OLAP/Reporting tools (Cognos and Microsoft Analysis Services, ETL tools (Cognos Data Manager or MS SQL EIS); experience with Tableau; strong knowledge of Excel, Access, and query language/software. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.