UNKNOWN

FEED

This role will use SQL and large-scale pharmacy claims data to investigate claim outcomes, identify discrepancies, validate benefit and pricing configurations, and ensure claims adjudicate accurately and in accordance with contractual and regulatory requirements. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

YEAR

Capital Rx, Inc.

Staff Analyst, Analytics - Pharmacy Payment Integrity & Analytics

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Experience in Non-Emergency Medical Transportation (NEMT), Medicaid, Medicare Advantage, managed care, healthcare services, transportation, logistics, or provider network operations preferred or equivalent combination of education and/or experience. Supports RFP pricing by translating operational requirements into financial assumptions, including staffing, transportation network needs, provider reimbursement, reporting requirements, implementation complexity, technology needs, service levels, and compliance obligations.

ModivCare

Pricing Analyst III

IRecruitee

In terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Candidates must possess extensive experience writing and executing database queries to support data-driven validation, alongside working knowledge of agile methodologies and modern software development tools.

HOUR

StratAcuity Staffing Partners Inc

UAT Quality Analyst IV

linkup_via_bold

The lead analyst's primary focus will be to provide in-depth analysis of ongoing and developing new initiative across multiple markets, supporting and advancing initiatives across analytics and operational performance in collaboration with both the new market & business development team, as well as the organization overall. The Lead Data Analyst, Partner Analytics will partner with the market Operator, Clinical, Implementation, Data Engineering, Provider Integration leaders in the organization to support new and ongoing initiatives.

Strive Health

Lead Analyst, Network Analytics

Research, hypothesize and develop analytical approaches for identifying, analyzing, and interpreting trends or patterns in complex data sets, particularly in healthcare claims & lab data. Collaborate with team members from strategy, clinical and new market functions to identify data driven opportunities to add value to existing and potential partners.

Sr. Data Analyst

The analyst’s primary focus will be Enterprise-wide and operational performance analytics, including clinical performance and outcomes measurement, developing and maintaining key performance indicators (KPIs), building dashboards for executive, operational, and clinical leaders, identifying trends and opportunities for improvement, and supporting cross-functional initiatives with data-driven insights. The analyst will work closely with operational and clinical leadership, Market Stakeholders, and the broader Technology team to develop a robust suite of analytics that supports clinical decision-making, quality improvement, and value-based care performance.

Sr. Analyst, Operations Analytics

OTHER

How You’ll Make An Impact At Strive Health, patients come first. We’re on a mission to transform chronic conditions by identifying risk earlier, coordinating thoughtful care, and supporting people through every stage of their health journey. Our work reduces emergency visits, improves outcomes, and helps patients live fuller ...

Lead Analyst, Healthcare Economics

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Collaboratively formed in 2008 by CU Anschutz, CSU, and UNC, the Colorado School of Public Health provides education programs, including a Master's concentration in global health, innovative research that places the School in the top 20 in NIH funding among Schools of Public Health, and community service that addresses public health issues including chronic disease, healthcare access, climate, and environmental threats, emerging infectious diseases, population mental health, ONE HEALTH and injuries for the Rocky Mountain region, nationally and globally. This position is for a Core-based Sr PRA 3- where Core members are usually expected to possess higher technical skills, educational training and interpersonal skills while operating a highly-expensive, sophisticated, cutting-edge equipment, and advanced data analysis supporting a wide variety of project and collaborating with multiple researchers' campus-wide.

University of Colorado

Data Analyst, Senior Professional Research Assistant Level 3

Strive Health, LLC

Collaborate with team members from strategy, clinical and new market functions to identify data driven opportunities to add value to existing and potential partners. The associate's primary focus will be supporting and advancing initiatives across analytics and operational performance in collaboration with both the new market & business development team, as well as the organization overall.

The analyst's primary focus will be Enterprise-wide and operational performance analytics, including clinical performance and outcomes measurement, developing and maintaining key performance indicators (KPIs), building dashboards for executive, operational, and clinical leaders, identifying trends and opportunities for improvement, and supporting cross-functional initiatives with data-driven insights. The analyst will work closely with operational and clinical leadership, Market Stakeholders, and the broader Technology team to develop a robust suite of analytics that supports clinical decision-making, quality improvement, and value-based care performance.

FULL_TIME

The Senior Analyst serves as a key advisor to the Vice President of Global Benefits, employees, vendors, and business partners regarding benefits strategy, program design, compliance requirements, and employee experience. This role oversees the day-to-day management of health and welfare plans, retirement programs, wellness initiatives, communication, and related benefits operations while ensuring compliance with applicable federal, state, and local regulations.

Qualfon

Senior Benefits Analyst

[AW]-iCims

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

Capital Rx LLC

Manager, Healthcare Economics, you'll work closely with stakeholders across clinical operations, finance, actuarial, and data science to translate complex data into meaningful insights that inform strategy, enhance population health initiatives, and support sustainable VBC models that improve outcomes and reduce total cost of care. We are seeking a strategic, data-driven Lead Analyst, Healthcare Economics to shape how we measure, evaluate, and improve the clinical and financial performance of our programs for individuals with chronic kidney disease (CKD) and end-stage kidney disease (ESKD).

The Network Analyst evaluates the BH provider network, analyzes market and provider data, identifies opportunities for network improvement, and supports strategic initiatives that enhance access to high-quality behavioral health services. This role serves as a key liaison between network management, provider organizations, Provider Data Services, credentialing, and other internal business partners to ensure network adequacy, provider satisfaction, and operational excellence.

<p>CVS Health offers a world of promising job opportunities across a diverse range of careers in everything from corporate and pharmacy roles to retails positions. No matter where you work at CVS Health, your unique skills, talents and abilities are welcome and valued. We recognize and reward greatness and want our employees to know their work is making a difference in the lives of millions. Join us today. Together we can continue making innovative, high-quality health and pharmacy services safe, affordable and accessible – for all. </p>

CVS Health Corp

Behavioral Health Network, Senior Analyst

Manage and respond to litigation demands, regulatory inquiries, and small claims by gathering and analyzing relevant facts and documentation, evaluating supporting information, and communicating directly with consumers, regulators, and court representatives. The base salary range is $89,000.00 - $110,000.00 per year, total on target compensation includes a base salary plus annual incentives that align with individual and company performance.

We believe that when money moves freely, good things happen. A business grows. A child goes to college. Emergency aid goes where it’s needed. We help people move their money to make good things happen.

Western Union Co

Senior Legal Analyst

This is a hybrid role spanning risk management, project execution, and data analytics: the Analyst plans and coordinates cross-functional workstreams, analyzes data to surface risks and trends, and improves the processes and reporting that keep regulatory and client audits, corrective actions, performance guarantees, finance accruals, and client-experience initiatives controlled and defensible. By delivering true price transparency, eliminating unnecessary middleman fees, and leveraging advanced AI-powered care delivery, Judi Health helps clients achieve unprecedented operational efficiency and service levels.

Judi Health

Senior Analyst, Risk Management, Audit

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Baker Tilly Advisory Group, LP and Baker Tilly US, LLP, trading as Baker Tilly, are independent members of Baker Tilly International, a worldwide network of independent accounting and business advisory firms in 141 territories, with 43,000 professionals and a combined worldwide revenue of $5.2 billion. Ability to lead and supervise others, provide exceptional client service, demonstrate commitment to continuous learning in order to stay current regarding applicable strategies, see the "big picture" as well as the details, display appropriate ethical knowledge and commitment, and exhibit a sense of urgency and commitment to quality and the timely completion of projects.

Baker Tilly Virchow KrauseLLP

Temporary Application Analyst

The role guides employees and managers through leave and benefit processes, coordinates with external administrators, and works with HR partners, Payroll, and HRIS to resolve issues accurately and on time. About 75% of the role is dedicated to leave and benefit plan administration, with the remaining time supporting broader Benefits team work such as employee communications, vendor management, analysis, compliance, process improvement, and annual benefit programs.

Claims Analyst Jobs in Colorado

Staff Analyst, Analytics - Pharmacy Payment Integrity & Analytics Capital Rx, Inc.

Pricing Analyst III ModivCare

UAT Quality Analyst IV StratAcuity Staffing Partners Inc

Lead Analyst, Network Analytics Strive Health

Sr. Data Analyst Strive Health

Sr. Analyst, Operations Analytics Strive Health

Lead Analyst, Healthcare Economics Strive Health

Data Analyst, Senior Professional Research Assistant Level 3 University of Colorado

Lead Analyst, Network Analytics Strive Health, LLC

Sr. Data Analyst Strive Health, LLC

Sr. Analyst, Operations Analytics Strive Health, LLC

Senior Benefits Analyst Qualfon

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Staff Analyst, Analytics - Pharmacy Payment Integrity & Analytics Capital Rx LLC

Lead Analyst, Healthcare Economics Strive Health, LLC

Behavioral Health Network, Senior Analyst CVS Health Corp

Senior Legal Analyst Western Union Co

Senior Analyst, Risk Management, Audit Judi Health

Temporary Application Analyst Baker Tilly Virchow KrauseLLP

Benefits Analyst Prologis Inc

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