Senior Healthcare Data Analyst, Provider Network - Kelsey Seybold, Pearland, TX UnitedHealth Group Inc.Senior Healthcare Data Analyst, Provider Network - Kelsey Seybold, Pearland, TXPearland, TX$91,700–$163,700 / yearThis role is expected to leverage advanced analytics and emerging AI-enabled tools to improve data efficiency, enhance predictive insights, and support informed financial and network strategy decisions while ensuring data governance and regulatory compliance. The analyst partners closely with payor strategy, finance, actuarial, and clinical operations to evaluate provider performance, support contract negotiations, and ensure network adequacy while balancing cost, access, and quality.
Business Information Analyst Senior Elevance HealthBusiness Information Analyst SeniorWallingford, ConnecticutWe 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. May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.
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.
Population Health Data Analyst Elevance HealthPopulation Health Data AnalystRocky Hill, ConnecticutMay require taking business issue and devising 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.
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.
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).
Configuration Quality Assurance Analyst I Partnership HealthPlan of CaliforniaConfiguration Quality Assurance Analyst IFairfield, California$77,430.47–$96,788.08 / yearFull timeMaintain current knowledge of assigned configuration areas of responsibility, and related PHC Policy and Procedure, Medi-Cal Provider Manual, Title 22 regulations, CMS Medicare regulations, and Knox Keene regulations. Maintain current knowledge of all PHC processes that impact Configuration department responsibilities including but not limited to: Claims, Member Services, Finance, Pharmacy, Health Services, Provider Relations, IT-EDI, IT- Amisys.
Reinsurance Analyst Senior USAAReinsurance Analyst SeniorColorado Springs, CO$93,770–$179,240 / yearLead and serve as a subject matter expert on special projects/audits related to reinsurance administration systems, legal contracts/treaties, new product launches and other initiatives. Collaborate and maintain strong relationships with business partners and may perform in an advisory capacity to operational business leaders on matters pertaining to business initiatives or strategies.
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.
NewAccounts Receivable Analyst InnovanceAccounts Receivable AnalystAlbert Lea, MN$24–$30 / hourResponsible for all accounts receivable functions including data entry and posting of all cash receipts and billing, reports to management on the status of customer accounts, claim and returns authorizations, tracking of receivables, necessary filing and analysis. · Maintain accurate customer files in company management systems; keeping track of name changes, mergers, address changes, tax rate changes and mailing attention for all divisions and relaying this information to appropriate personnel.
NewInvestment Client Srvcs Analyst (New Accounts) - Hybrid Northwestern MutualInvestment Client Srvcs Analyst (New Accounts) - HybridFranklin, WIThis role provides end-to-end ownership of new account inquiries and transactions, including reviewing account-opening documentation, resolving complex issues, managing escalations, and partnering with Financial Representatives to support a smooth account-opening experience. The New Accounts team within Investment Client Services supports our field partners and clients by completing new account requests accurately and efficiently in a regulated, client-focused environment.
New1035 Exchange Analyst (NRF) Northwestern Mutual1035 Exchange Analyst (NRF)Franklin, WITeam members typically spend about half of their time supporting clients and field partners by phone and half of their time managing complex 1035 exchange cases, conducting research, obtaining requirements, and processing transactions. Insurance Products: Leverages knowledge of the general components, characteristics, principles, philosophy, and advantages of specific Northwestern Mutual insurance products to inform approach to situations such as innovation, development, and improvement.
NewInvestment Client Srvcs Analyst (Asset Movement) - Hybrid Northwestern MutualInvestment Client Srvcs Analyst (Asset Movement) - HybridFranklin, WIEducational Background: Associate's degree in business or a related field, or an equivalent combination of education and experience, specifically in customer service: For customer service a minimum of 4 years of customer service experience preferably with a focus on asset movement, related transactions, or financial services demonstrating proven customer service skills. Provide Exceptional Service: Deliver a personalized and remarkable experience for our field partners and their staff by answering questions related to asset movement, providing detailed servicing options, and assisting them through asset movement transaction procedures or services in a call center environment.
NewCommunications Strategist Northwestern MutualCommunications StrategistMilwaukee, WI$83,200–$124,800 / yearThis includes developing communications that support underwriting priorities and change initiatives, claims-related education and storytelling, and our industry-leading risk product suite (life insurance, disability insurance, annuities, and long-term care). Cross Functional Partnering & Planning: Facilitates collaboration, communication, coordination, and planning with individuals and teams from different functions within the organization, and who have different areas of expertise, to achieve common goals.
Sr. Auto Claims Analyst Caribbean American Life Assurance CompanySr. Auto Claims AnalystSan JuanThe Senior Auto Claims Analyst is a senior individual contributor responsible for governing claim outcomes, coverage interpretation, and operational consistency for vehicle service contract programs and other ancillary products related to the auto industry. This role provides technical authority, analytical leadership, and escalation oversight to ensure claims are handled accurately, consistently, and in full compliance with contract terms, regulatory requirements, and internal controls.
Construction Claims Analyst/Lead Construction Claims Analyst (Full-Time) MBPConstruction Claims Analyst/Lead Construction Claims Analyst (Full-Time)Raleigh, North Carolina$82,000–$115,000 / yearFull timeOverview: MBP is looking for Construction Claims Analyst/Lead Construction Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration.