Healthcare Data Analyst — Claims & Cost Containment
$19.84 - $38.69 per hourMolina Healthcare of Illinois
Molina Healthcare in California is seeking a Healthcare Analyst to perform research and analysis of healthcare claims and pharmacy data. The role involves generating reports and making recommendations based on utilization findings. Applicants should have an Associate degree and 1-3 years of relevant experience, preferably with a background in pediatric or managed care. A competitive benefits package is offered, along with an hourly pay range of $19.84 - $38.69. #J-18808-Ljbffr Molina Healthcare
- ...reconciliation of electronic medical records, manage claims, and support related inquiries. The job requires a minimum... ...and investigative experience, preferably in the healthcare sector. The role emphasizes data analysis, quality assurance, and effective communication...ClaimsFor contractors
$33.82 per hour
United Health Centers of the San Joaquin Valley is seeking a Data Analyst to join the team in Fresno, CA. This fully in-person role focuses on supporting data analysis and data engineering tasks, including reporting and system integration. The ideal candidate will have...SuggestedHourly pay- A leading healthcare consulting firm is seeking an Analyst to contribute to their projects in biotech, pharmaceuticals, and healthcare services. The role involves synthesizing research, creating financial models, and developing presentations. Ideal candidates should hold...Suggested
$80k - $95k
A healthcare analytics firm is seeking a Quality Analyst to support performance improvement in value-based care programs. The ideal candidate will analyze program data, identify actionable insights, and support decision-making for better healthcare outcomes. The role requires...SuggestedFull time- A leading technology firm is seeking a Healthcare Business Analyst/Data Analyst to generate insights from data for executive presentations. Candidates should have strong skills in Tableau and SQL, along with preferred experience in the healthcare domain. This role involves...Suggested
$63 per hour
...A healthcare solutions provider is seeking an Oracle Supply Chain Analyst to work remotely, focusing on data analysis and supply chain operations. This full-time role requires strong supply... ...indicators, supporting vendor and cost-saving initiatives, and collaborating across...Full timeRemote work- ...Project Controls which includes Scheduling, Cost Controls, Document Management and Controls... ...monitoring, Estimating, Risk Analysis, Claims avoidance and Mitigation, Change Management... ...MS Excel software to analyze and aggregate data related to Budgets, Actual Costs and...ClaimsRemote jobWork experience placementWork from home1 day per week
- ...INFORMATION AND ELECTRONIC RECORDS ANALYST TRAINING PROGRAM (EHR SUPPORT... ...prepares students to manage healthcare data and electronic health record... ...reimbursement (participant cost only) and an internet stipend... ..., Charge Router Errors, and Claim Edits. Monitor and respond...ClaimsRemote jobPermanent employmentTemporary workInternshipLocal areaMonday to Friday
$80k - $110k
Hmixray, located in California, Missouri, is seeking a Business Reporting Analyst to perform crucial financial and operational analysis. Responsibilities include developing executive reports, analyzing data trends, and collaborating with stakeholders. Ideal candidates will...$84.2k - $115k
Senior Claim Data Analyst page is loaded## Senior Claim Data Analystremote type: Remotelocations: Remote - UStime type: Full timeposted on: Posted Yesterdayjob requisition id: JR104542The Senior Claim Data Analyst plays a strategic leadership role in the Claims department...ClaimsHourly payWork at officeLocal areaRemote work$80.6k - $145k
Sr RW Programmer / Sr Data Scientist / Analyst - Real World Data (US and UK Only) Job Responsibilities... ...Skills Data Experience eHR, Claims Data: Optum, HealthVerity, IQVIA PharmMetrics... ...Experience with OMOP CDM - transform healthcare data into a common format. Develop...ClaimsFlexible hours$100k - $110k
...routines to further verify the validity of the data feeds being produced. Testing feeds with... ...of 3 years’ experience in business analyst, product management or product development... ...applications (policy, billing and claims), insurance operations, and industry reporting...ClaimsWork at officeFlexible hours- ...Department: EMA Loss Adjusting Reports To: Claims Manager Status: Regular, Full-Time,... ...loss or damage assessments in a moderate cost range, based on incumbent’s experience and... ...or without correction, to prepare reports containing words, symbols, and numerical figures; the...ClaimsFull timeWork at officeNight shiftWeekend workAfternoon shift
$100k - $120k
Sedgwick is seeking an experienced Claims Manager in California to analyze complex medical malpractice claims and provide timely... ...investigating claims, coordinating legal defense, and implementing cost containment strategies. A Bachelor’s degree and 6 years of claims...Claims- [Remote] Medical Only - Claims Adjuster, Workers’ Compensation (California) Required Skills Job Description Job Title: [Remote] Medical... ...investigate, and resolve claim-related issues, prioritizing cost containment and best-in-class service delivery. Review and approve...ClaimsFull timeRemote work
- ...prospective and retrospective claims. The Physician Reviewer will... ...of services provided by other healthcare professionals in compliance... ...determination is clear, concise, and contains adequate supporting... ...transcription services at no cost, and user-friendly work portal...ClaimsExtra incomeContract workRemote work
$19.84 - $38.69 per hour
...Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and... ...Preferred Experience 3-5 years of Healthcare Analyst experience 1-2 years of Pediatric...ClaimsHourly payWork experience placement$130k - $160k
...launch operations, driver support, vehicle operations, insurance & claims, and fleet readiness across all markets. You will be... ...aggressively leveraging automation and AI to improve efficiency, reduce costs, and enable rapid growth. This is not a traditional operations management...ClaimsLocal area$33 - $39 per hour
...examination, investigation and settlement or declination of insurance claims through effective research, negotiation and interaction with... ...claimants, ensuring that company resources are utilized in a cost effective manner in the process. Those within a 50-mile radius...ClaimsFlexible hours- Investigate, evaluate, negotiate, and settle auto claims. Determine liability and coverage efficiently and accurately. Resolve claims within... ...to determine coverage, origin, and extent of loss. Monitor costs to ensure they are reasonable and customary. Keep the insured...Claims
$60k - $90k
...benefits, vacation time, a Simple IRA, and reimbursement for licensing costs. Work‑life balance is a top priority in my office, and I make... ...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with...ClaimsFull timeFor contractorsWork at officeFlexible hours- A leading technology company is seeking a Business Analyst / Product Manager with a focus on the healthcare domain. This role involves gathering and analyzing business requirements, supporting product management, and collaborating across teams. Ideal candidates are adaptable...
$135k - $180k
...experience Rudolph & Sletten, a Tutor Perini Company, is seeking a Cost Manager to join our project office in San Jose, CA. About... ...initiates & administers accounts for T&M work Prepares insurance claims in coordination with Safety Engineer. Communicates job status to...Contract workWork experience placementFor subcontractorWork at office$90k - $110k
A leading insurance agency in California is seeking a Property & Casualty Claims Analyst. In this role, you will manage the claims process, analyze complex issues, and provide exceptional client support. The ideal candidate has at least 5 years of experience in the Property...Claims- ...Resolution & InsuranceManage all litigation, claims, investigations, and dispute resolution... ...controlling legal spend and ensuring high-quality, cost-effective representation.Develop... ...management.Advise on technology agreements, data privacy, cybersecurity, AI usage, and...ClaimsContract workLocal areaRemote workWorldwide
- ...A claims adjusting company is looking for Independent Insurance Claims Adjusters in California. This role offers the opportunity to make a positive impact in people's lives by assisting with recovery from disasters. Ideal candidates will be licensed adjusters or willing...ClaimsFlexible hours
$56.7k - $94.9k
Blue Cross Blue Shield of Michigan seeks Claim Representatives I, II, and III in California. These positions involve verifying insurance coverage, investigating claims, and facilitating return-to-work processes. Candidates should have a bachelor’s degree and relevant experience...Claims$80.96k - $135.52k
Overview This position serves as a technical expert in the claim handler career path. Under limited supervision, handles claims... ...to mediation or litigation. Manages outside vendors to ensure cost containment efforts. Establishes and maintains effective working relationships...ClaimsContract work$190k - $220k
...is on a mission to modernize insurance. Claims processing (i.e. should we pay this claim... ...involving phone calls, faxes, and gut instinct—costing tens of billions of dollars a year. We... ...functional teams, including engineering, data science, and design to develop and launch...ClaimsFlexible hours$50 per hour
...A healthcare technology company is looking for a Community Health Worker to train AI models in California. This role requires expertise in healthcare, where you will assess AI chatbots' logic, accuracy, and performance, ensuring medical accuracy in responses. Responsibilities...Hourly payRemote workFlexible hours
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