MDM Data Quality Analyst- W2 CLOUDSCOUTS SOFTWARE SOLUTIONS LLCMDM Data Quality Analyst- W2Frisco, TXFull timeThe selected candidate will work under the guidance of the MDM Technical Lead to perform data analysis, data quality assessments, testing, requirements gathering, user acceptance testing (UAT) support, SQL analysis, and validation activities to ensure reliable and accurate MDM operations. This role will focus on data quality analysis, data profiling, business and technical requirements, testing, validation, and data governance activities supporting a unified cross-agency client/member view across State programs.
Epic HB Charging Analyst Computer Task Group, IncEpic HB Charging Analyst$125,000–$140,000 / yearSalary offers are based on a wide range of factors including relevant skills, training, experience, education, market factors, and where applicable, licensure or certifications obtained. About Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge.
Epic Willow Analyst Computer Task Group, IncEpic Willow AnalystSan Mateo, CaliforniaRemote$85–$95 / hourThe analyst will partner with pharmacy leadership, ambulatory providers, nursing, revenue cycle, and IT stakeholders to ensure safe, efficient, and compliant outpatient medication workflows during implementation and go-live. About Us: CTG, a Cegeka company, delivers IT and business solutions that enhance clients’ digital agility, empowering them to seize new opportunities and overcome any challenge.
Business Analyst III Elevance HealthBusiness Analyst IIIAtlanta, GeorgiaThe Business Analyst III will be responsible for serving as the liaison between the business and IT in translating complex business needs into business solutions while performing data analysis, claims validation, data validation, trend analysis, and collaborating with cross-functional teams to support business objectives. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Senior Incentive Analyst Volvo Car CorporationSenior Incentive AnalystMahwah, NJ$73,347–$136,217 / yearThe role also involves being the point of contact for Marketing and Legal Teams to develop incentive disclaimers and TV end cards based on current in-market offers, processing all manual promotion payments, preparing ad-hoc sales incentives analysis, and providing consultation and guidance to regional teams regarding retailer incentive claims. The Senior Incentives Analyst will also provide input and support to the Incentive Programs Manager in developing the yearly national and regional budget process, administer and process all manual promotion payments, and verify the accuracy of monthly incentive payments.
Threat Management Program Analyst Senior Elevance HealthThreat Management Program Analyst SeniorWoodland Hills, CaliforniaThe Threat Management Program Analyst Senior is responsible for assisting in the oversight of all aspects of the Threat Management/Workplace Violence Prevention Program, including preparedness, prevention, mitigation/response, and recovery efforts. Creates and implements employee training and awareness programs related to workplace violence pre Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Life Claims Analyst Home Office CareersLife Claims AnalystRock Island, IllinoisCorrespond with members, beneficiaries, hospitals, doctors, employer, attorneys, financial representatives, home office departments and others concerning claims, settlement options, tax law requirements and other claim processes. Fraternals are unique membership organizations that pair the “member-owned” characteristic of a mutual insurance company with the “social mission” characteristic of a service organization.
Provider Payment Appeals Analyst I Elevance HealthProvider Payment Appeals Analyst INorfolk, VirginiaRequires a HS diploma or GED and a minimum of 3 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry ; or any combination of education and experience which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Lead Actuarial Analyst, MA Risk Adjustment Strive HealthLead Actuarial Analyst, MA Risk AdjustmentPittsburgh, PA$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.
Reimbursement & Pricing Analyst Ultimate Staffing ServicesReimbursement & Pricing AnalystLakeville, Minnesota, Minnesota$24–$26 / hourThis role works closely with internal teams and external partners to ensure accurate reporting, timely reimbursements, and effective management of pricing and promotional programs. This is an excellent opportunity for someone with strong Excel skills, analytical abilities, and experience working with financial, operational, or reporting data.
Data Exchange Analyst - Claim Ops (Tpa) Capital Rx, Inc.Data Exchange Analyst - Claim Ops (Tpa)Charlotte, NC$96,800–$121,000 / yearKey Responsibilities: Data Integration & Mapping: Design, develop, and maintain data mappings and transformations for incoming and outgoing healthcare data files: 837/835 - claims & remittance, 270/271 - eligibility and responses, 278 - Prior Auth, 276/277 - claim status, 999/TA1 - file level acknowledgement as well as proprietary formats. Position Summary: The Data Exchange Analyst is a crucial member of our Data Operations team, responsible for ensuring the accurate, efficient, and secure exchange of healthcare data between Capital Rx - JUDI Health and its various partners, including employers, providers, and other TPAs.
Sr. Business Analyst Polar IT ServicesSr. Business AnalystElkridge, New JerseyExperience with STP (Straight Through Processing) and workflow enablement Key Words to search in Resume Business Analyst, P&C Insurance, Policy admin systems, Gen AI, Prompt, Claude, Rating for auto/home . • Creation of: o Business Requirements Documents (BRD) o Functional Requirements (FRD) o User Stories with Acceptance Criteria o Use Cases and Process Flows .
Revenue Integrity Chargemaster Analyst Ann & Robert H. Lurie Children's Hospital of ChicagoRevenue Integrity Chargemaster AnalystChicago, IllinoisUpdates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System). Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
QA Analyst II (Automation) Nanosoft Consulting Talent PageQA Analyst II (Automation)Wooster, OhioEquivalent insurance experience includes a minimum of three years of experience working in an underwriting, financial reporting/accounting, or claims department. Bachelor's degree in Computer Science/Information Technology or a related field, or equivalent software test-related experience/knowledge.
Analyst, Customs and Trade Compliance – North America Michael Kors Stores CaliforniaAnalyst, Customs and Trade Compliance – North AmericaThe role combines analytical responsibilities, customs and trade compliance support, data review, and cross-functional coordination, with increasing exposure to trade compliance governance, FTZ operations, audit readiness, and duty optimization initiatives. Support Foreign Trade Zone (FTZ) operations, including inventory analysis, admission and removal validation, zone-to-zone transfers, reconciliations, and audit support.
Pricing Analyst II Geico InsurancePricing Analyst IIBeachwood, OH$51,250–$115,825 / yearYou will play an active role in informing business strategies, educating management on profitability and projections, and communicating across departments to support company success. As a Pricing Analyst, you will help determine rates for our insurance products, analyze and project drivers of loss trends, and support the development and enhancement of insurance products.
Business Systems Analyst Zenith American SolutionsBusiness Systems AnalystDesigns, generates, and evaluate reports, queries, data, and procedures on systems, including scheduling and distribution of forms and mailings for daily, weekly, monthly, annual, or other periodic processes. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day.
Medical Economics - Analyst, Medical Economics ArchWell HealthMedical Economics - Analyst, Medical EconomicsNashville, TNRequired Skills/Abilities: Proactive initiative in exploring and discovering opportunities to improve company performance through data analysisEstablish trusting, professional relationships with colleaguesEffective organization skills with the ability to work in a very fast-paced, team-oriented environmentFinancial and business acumen, problem-solving, and analytical skills with keen attention to detail and accuracyKnowledge of healthcare/medical economics data such as hospital/physician /ASC claims, utilization data, and healthcare industry coding systems ICD-10, CPT/HCPCS, Revenue Codes, MS/APR-DRGs and APCsExcellent communication skills across verbal, written, and presentation applications (Microsoft Word, PowerPoint, Excel, etc). Minimum Qualifications: Bachelor's degree in STEM (i.e., Applied Math, Statistics, Actuarial Science, Economics, or a related field required)1-2 years of prior experience as an analyst with a health plan, ACO, RBE, or consulting firm focused on healthcare analytics, decision support, or medical economicsProficiency in MS Excel, including formulas, PivotTables, PowerBI, graphing and other reporting and presentation featuresExperience in data mining, working with healthcare claims and enrollment data in large repositories and/or relational databases with SQL experience strongly preferred.
Business Information Analyst II - Hedis Quality Analytics Elevance HealthBusiness Information Analyst II - Hedis Quality AnalyticsIndianapolis, INMay require taking business issues and devising the best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Analyst, Medical Economics & Analytics Progyny, Inc.Analyst, Medical Economics & AnalyticsNew York, NY$75,000–$85,000 / yearHeadquartered in New York City, Progyny has been recognized for its leadership and growth as a TIME100 Most Influential Company, CNBC Disruptor 50, Modern Healthcare's Best Places to Work in Healthcare, Forbes' Best Employers, Financial Times Fastest Growing Companies, Inc. 5000, Inc. Our benefits solution empowers patients with concierge support, coaching, education, and digital tools; provides access to a premier network of fertility and women's health specialists who use the latest science and technologies; drives optimal clinical outcomes; and reduces healthcare costs.