The incumbent will partner with the organizational risk and business partners, the technology organization, and global delivery teams to meet Highmark Health’s mission requirements in a manner consistent with the enterprise risk appetite. Plan and conduct risk assessment activities according to the ...
C13 - Business Analytics Lead Analyst. As part of the Financial Crimes and Fraud Prevention organization, this role manages and executes the first party fraud analytics and strategies supporting Citi's North American and global credit card businesses. This role partners closely with Credit Risk Poli...
The Information Security Analyst I position is tasked with designing, developing, administering and tuning security event monitoring and intrusion detection related systems while providing support for new analytic methods for detecting threats. Takes corrective action using the SANS stages of incide...
Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, heal...
Key Words: Appeals & Grievances, A & G, Adjudication, Claims, Claims Processing, Bundling, Code Bundling, Claims Payment, Clinical, Payment Integrity, Excel, Power User, Power BI, Enrollment, Enrollment Analyst, Analyst, Business Analyst, BA, Sr Business Analyst, Healthcare, Managed Care, MCO, Membe...
Analyst, Data is responsible for data compilation, data management, data analysis, and reporting. We are seeking a detail-oriented, highly skilled senior data analyst with healthcare data background who feels comfortable in a fast-paced environment. Perform periodical data audit, develop processes f...
The ideal candidate for this role will be proficient with Excel and have an understanding of HEDIS, Quality Improvement and / or Risk Adjustment. ...
The Regulatory Compliance Analyst position works to ensure that Evolent’s day-to-day operations comply with local, state, and federal laws, regulations, and other guidance. We are hiring for a Regulatory Compliance Analyst to join our team. As a Regulatory Compliance Analyst, you’ll play a crucial r...
The Lead Analyst, Advanced Provider Data Management is responsible for analyzing and understanding business processes, identifying areas for improvement, and developing solutions to optimize performance. This position requires leadership skills, technical expertise, and the ability to mentor and sup...
Fields direct questions from Molina Operations Staff regarding business, technical and operations rules. Develops technical solutions to complex business and system problems. Provides leadership by mentoring others and sharing business and system knowledge. Bachelor's Degree in Business Administrati...
The Credit Analyst III collaborates with relationship managers in gathering and evaluating commercial credit related information on current and prospective customers by preparing written reports of analysis which include in-depth analysis of financial statements, historical and projection-based cash...
Collaborate with Health Plan Risk and Quality leaders to improve outcomes by managing Risk/Quality data collection strategy, analytics, and reporting, including but not limited to: Risk/Quality rate trending and forecasting; provider Risk/Quality measure performance, CAHPS and survey analytics, heal...
Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and predicting (Power BI and Databricks) to enable informed business decisions. Responsible for data compilation, data management, data analysis, and reporting. C...
As a member of the Compliance team, our Medicare Compliance Analysts are responsible to deliver an effective compliance program. Compliance Analyst II would have a Bachelor's degree or equivalent experience; 5 years of compliance experience or equivalent related experience, with experience in a heal...
As a member of the Analytics team, our Senior Reporting Analyst serves as a data and analytic consultant for functional business areas by collecting and analyzing operation and financial data. Senior Data Reporting Analyst. Every day, Cambia's dedicated team of Data Reporting Analysts is living our ...
Salesforce Architect/Business Analyst. Join Tribe Wellness as our Salesforce Architect and Business Analyst - 100% Remote. Salesforce Architect/Business Analyst. If you're the kind of person who lives for Salesforce, loves cracking business puzzles, and wants your work to fuel something bigger, this...
Otsuka Pharmaceuticals - Trade Compliance Analyst. Provide technical and analytical support for customs and trade compliance matters at the North Americasite/division(s) level, ensuring compliance with all relevant customs regulations and trade laws and regulations, including 19CFR, 15CFR, OFAC, FDA...
The Ethics and Compliance Analyst will be an integral member of the Ethics and Compliance Group in the Legal Department and will report to the Manager of E&C Operations. This Analyst enables the Ethics and Compliance team to deliver training and targeted messaging to Western Digital’s global workfor...
The Credit Analyst II collaborates with relationship managers in gathering and evaluating commercial credit related information on current and prospective customers by preparing written reports of analysis which include in-depth analysis of financial statements, historical and projection-based cash ...
Become a part of the innovative and dynamic Guidant Financial team as a remote Sales Operations Specialist! In this vital and influential position, you will be instrumental in enhancing our sales operations by carefully managing data and generating insightful reports in Salesforce, which are crucial...
Compliance Senior Analyst, Independence Consultation – Business Relationships, Independence & Conflicts Network (ICN). Do you have a focus on compliance with regulations and policies? Are you passionate about quality-assurance and risk-management in a professional services environment? Then our Inde...
You'll be a member of the Content and Policy Analyst that define content standards and outline policy and inclusion criteria for our FCC and Trade Compliance business. You will support the management of our World Compliance data, specifically the maintenance and dissemination of our researcher-facin...
We are a tech healthcare data company transforming how the industry understands and consumes healthcare data. We are accelerating and looking for a Healthcare Data Analyst to join our team. This position focuses on healthcare data profiling and analysis tasks that require quantitative reasoning skil...
Bread FinancialTM is a tech-forward financial services company providing simple, personalized payment, lending and saving solutions. The analyst will participate in soliciting feedback from stakeholders and assisting in the identification of improvement opportunities. The analyst will need to assess...
Are you a highly skilled and experienced security professional with a passion for incident response and operational excellence? If so, Nutanix is seeking a Senior Analyst to join our dynamic Security Operations Center team. The Senior Analyst will also act as a trusted Subject Matter Expert (SME) fo...