Data Scientist Analyst Elevance HealthData Scientist AnalystIndianapolis, IndianaIn this role, you will help modernize how emerging cost drivers are detected using real-time data, AI-powered insights, and dynamic tools to support critical decisions for executive, actuarial, and financial audiences. Develop and implement predictive models, trend detection algorithms, and statistical analyses using weekly claims, pharmacy, lab, and authorization data to identify emerging cost drivers.
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.
Sr. Claims Analyst, Health And Risk Solutions Sun Life FinancialSr. Claims Analyst, Health And Risk SolutionsBaltimore, MD$68,200–$102,300 / yearYou will also play a key role in managing internal and external relationships, supporting new hire training, and coaching and mentoring Health and Risk Solutions Claim Analysts and Overpayment Specialists. Through employers, industry partners and government programs, Sun Life U.S. offers a portfolio of benefits and services, including dental, vision, disability, absence management, life, supplemental health, medical stop-loss insurance, and healthcare navigation.
Disputes Analyst Phaxis LLCDisputes AnalystNew York, NY$35–$50 / hourConduct end-to-end investigations of complex debit card disputes involving fraud, unauthorized activity, merchant disputes, processing errors, duplicate billing, service-related disputes, and scam claims. You will serve as a subject matter expert for dispute operations, support quality and process improvement initiatives, and provide guidance to junior analysts while ensuring compliance with network regulations and client requirements.
Claim/Underwriting Analyst Ardellis InsuranceClaim/Underwriting AnalystGrand Rapids, MichiganJob Summary The Claim/Underwriting Analyst is responsible for monitoring current and prospective clients, including: Collecting and evaluating aggregate claim reports from clients, processing reimbursable claims, maintaining data tracking records, preparing documents for prospects and group renewals and providing general customer service. Working knowledge and proficiency in the use of computer and business related software, including Microsoft applications (Excel, Word and Outlook) and Adobe Acrobat.
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.
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 .
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.
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.
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.
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.
Logistics Analyst Wollborg Michelson RecruitingLogistics AnalystSan Diego, CACoordinate damage claims by arranging repairs, obtaining estimates, tracking repair progress, and scheduling final delivery. Provide customers with proactive updates regarding production status, inspections, delivery timelines, and other order-related information.
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.
Decision Support Analyst II LexisNexis Risk SolutionsDecision Support Analyst IIAlpharetta, Georgia$59,200–$98,600 / yearBy partnering with cross-functional stakeholders, this role ensures clear visibility into revenue performance, underlying drivers, and emerging trends, while helping to identify opportunities and risks impacting the business. Within our Insurance vertical, we provide customers with solutions and decision tools that combine public and industry specific content with advanced technology and analytics to assist them in evaluating and predicting risk and enhancing operational efficiency.
Accounts Receivable Analyst Pacifica ContinentalAccounts Receivable AnalystAtlanta, GAThe key role of an employee who works as Accounts Receivable is to ensure their company receives payments for goods and services and records these transactions accordingly. • Client’s portals (EDI) Knowledge • Experience in PBI and Microsoft packet (Excel, word, ppt, Visio).
Senior Medical Economics Analyst WellSkySenior Medical Economics AnalystOverland Park, KansasMedical Economics Analyst is responsible for analyzing healthcare cost, utilization, quality, and performance data to generate accurate, timely, and actionable insights that support operational and financial decision making. Lead advanced data analysis initiatives, filtering and validating large, complex datasets to identify performance trends, risks, and strategic opportunities across claims and healthcare data.
Healthcare Statistical Analyst I/II/III/IV (VBP) Lifetime Workforce SolutionsHealthcare Statistical Analyst I/II/III/IV (VBP)Rochester, New YorkThe Healthcare Statistical Analyst performs technical services within the actuarial or risk adjustment department that support of the Health Plans operations which monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others.
Product Management Analyst-Homeowners Insurance Products Slide InsuranceProduct Management Analyst-Homeowners Insurance ProductsTampa, FLIn this role, you'll partner with Product Managers, Underwriting, Claims, Actuarial, Data Science, and Engineering teams to improve product performance and help drive profitable growth. What you already have: Education, Experience, and Licensing: Bachelor's degree in business, finance, economics, data analytics, mathematics, or a related field; or equivalent combination of education and experience.
Health Information Management (HIM) Analyst – Epic HIM / Solventum / Payor Platform InterscriptsHealth Information Management (HIM) Analyst – Epic HIM / Solventum / Payor PlatformChantilly, VirginiaThe ideal candidate will possess strong knowledge of health information management processes, medical records management, coding workflows, regulatory compliance, and healthcare technology systems. We are seeking a detail-oriented Health Information Management (HIM) Analyst with experience supporting HIM operations, Solventum (formerly 3M Health Information Systems), and healthcare payor platform workflows.
CDCE Data Analyst Emory HealthcareCDCE Data AnalystAtlanta, GeorgiaFull timeEnvironmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks. This role is responsible for leveraging large datasets—including MEDPAR, Vizient, Quality data, and internal claims—to benchmark organizational performance and identify opportunities for improvement in Clinical Documentation Integrity (CDI), coding accuracy, and provider documentation practices.