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.
Claims Analyst III Integrated Resources, IncClaims Analyst IIIDoral, FloridaContractorIntegratedResources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. Top 3 skills: Computer skills - Microsoft Excel (intermediate to advanced skills, i.e. pivot tables, v-look ups).
Sr. Programmer Analyst (AS/400) Integrated Resources, IncSr. Programmer Analyst (AS/400)Maryland Heights, MissouriContractorCoordinates, guides and mentors programming efforts performed by in-house programmers or outside consultants to ensure that all programming is completed according to the project plan. May also do coding from flow charts, assist in determining the causes of computer or program malfunctions, and confer with technical personnel in systems analysis and application planning.
NewField Property Claims Adjuster- Metro Denver, CO Farmers Insurance GroupField Property Claims Adjuster- Metro Denver, CODenver, CORemote$23.22–$36.23 / hourRequired job duties are normally performed in a climate- controlled office environment, but with exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions Excessive Noise Levels Chemicals Chemical/Biological Conditions Moving Mechanical Parts Areas considered to be dangerous Conditions, which could affect the respiratory system or skin such as: fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims.
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.
Sr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY) HF Management ServicesSr Data Analyst, Healthcare Claims Audit and Compliance (Hybrid NY)New York, New York$83,100–$120,360 / yearThis role partners with cross-functional teams to identify risks, evaluate controls, analyze claims and configuration data, and develop reporting that supports operational excellence, compliance, and payment accuracy. Demonstrated ability to develop innovative solutions to complex problems, leveraging advanced problem-solving skills and sound judgment to make critical, independent decisions within area of responsibility.
Control Tower Pre Analyst KYYBA, IncControl Tower Pre AnalystAuburn Hills, MIFounded in 1998 and headquartered in Farmington Hills, MI, Kyyba has a global presence delivering high-quality resources and top-notch recruiting services, enabling businesses to effectively respond to organizational changes and technological advances. Analyst plays a crucial role in ensuring that customer issues are promptly identified, thoroughly understood, and effectively addressed, ultimately contributing to improved product quality, customer satisfaction, and brand loyalty.
Data Reporting Analyst Integrated Resources, IncData Reporting AnalystEwing Township, New JerseyFull timeWorking with marginal oversight, the incumbent is responsible for performing complex research, analysis, and reporting of network utilization, cost containment and key operational information. Responsible for producing reports from various sources to provide the department/division with actionable information or business intelligence.
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.
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.
Senior Healthcare Informatics Analyst Glint Tech Solutions LLCSenior Healthcare Informatics AnalystAlabamaRemoteThe selected candidate will independently provide advanced analytics to support understanding and improvement of pharmacy benefit utilization, cost, quality, and clinical outcomes, developing analytic attributes related to utilization management, drug cost optimization, formulary performance, medication adherence, and provider/member pharmacy engagement in collaboration with Pharmacy, Clinical, Actuarial, Finance, and IT partners. Bachelor's degree in healthcare administration, pharmacy, public health, statistics, economics, analytics, computer science, or related field (4 years of relevant experience may substitute; Master's may substitute for 2 years, Doctorate for an additional 2 years).