173 data analyst jobs found

Aledade The Sr Manager, Healthcare Payment Operations (internally: Sr. Manager, Performance Economics) will support Aledade's Practice Payments Excellence Initiative as we transition to an automated payment processing system across all health plan contracts. Acting as the subject matter expert for contract payment terms, this role provides critical inputs such as mapping required fields for data ingestion and writing payment distribution logic for calculations. In addition, the position will own all payment reconciliation activities to support compliance and audit requirements. Candidates should be comfortable working remotely/work from home anywhere within the US. Primary Duties: Serve as the subject matter expert in interpreting payer agreements and practice participation terms to ensure accurate calculation and distribution of care coordination fees, quality bonuses, and other payments. Collaborate with the Provider Network Operations team to support the build of...

Aledade The Vice President of Risk Stratification plays a critical role in shaping and implementing a strategic approach to risk stratification. This senior leadership position focuses on utilizing data analytics to identify high-risk populations, allowing for targeted interventions and improved care management to mitigate potential adverse events. This role will lead teams in analyzing patient data, building risk models, and collaborating with stakeholders to optimize patient outcomes based on their risk level. This role will collaborate closely with leadership of Affordability and Quality initiatives, to integrate best practice workflows for managing the health of the risk pool. In addition, this senior leader will demonstrate strength in provider engagement, payment and risk sharing models, collaborative care models, data/analytics support, member engagement, health improvement and management programs, as well as collaboration with vendor partners to achieve identified...

Aledade As an Analytics Technical Product Manager you will be a key member of the Analytics organization, the team that delivers insights and decision making tools to drive Aledade strategy and support our various lines of business. In this role, you will report to an Analytics leader and serve as a force multiplier for our teams. You will work alongside business owners, product team members, data analysts, designers and engineers to define project goals, solution scope, implementation approach, and rollout plans. You will play a significant part in scoping analytics work, managing stakeholders, and delivering high-quality, high-impact analytics products with the ability to scale. You will support teams of Analytics professionals to help us deliver new analysis and complex data products that power intelligence across our suite of tools. If you're a data-savvy person looking for a product management career within an analytics environment, this is the role for you....

Aledade The Sr. Program Analyst (internally called: Sr. Analyst, Central Performance & Innovation) will support the various teams across the Central Performance & Innovation department with a focus on supporting the development of custom analytics solutions—bridging data gaps for internal stakeholders. Additionally, the Analyst will contribute to and drive different activities with Aledade Departments and internal and external stakeholders to achieve mutually defined goals, and further the program development of the centralized service team. The Analyst must be curious, flexible, detail and service-oriented, possess strong verbal and written communication skills, and be fluent in Google Workspace tools such as Google Sheets. Candidates should be comfortable working remotely/work from home anywhere within the US. Primary Duties: Data Analysis: Analysis of operational and performance data within CPI programs and geographic markets, providing...

University of Michigan Mission Statement Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society. Job Summary This is a salaried (monthly pay) Professional position reporting directly to the Director of the Post Service Complex Claims Unit. This role works directly with internal and external legal counsel teams by providing all-encompassing support and tracking needed to ensure the best possible outcome of cases submitted for legal proceedings relative to Auto No-Fault and Worker Compensation cases that are not successfully collected through normal claims submission and resolution measures. This...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

CSL Job Summary: The Chargeback Analyst is responsible for the timely validation of debit and credit memos within Model N, managing all trading partner accounts exceeding $400M+ in annual total in validation and processing. This position will manage day-to-day engagement with chargeback vendor(s) by resolving errors and maintaining regular communication with Wholesaler and Distributors. Principal Accountabilities: Adjudication & Validation: Analyze daily chargeback transactions to ensure credits are accurately issued within a 3-5-day window in Model N. Serve as the primary analyst responsible for researching and investigating errors to mitigate systemic issues. Multi Channel Revenue Protection: Oversee adjudication and reconciliation of high volume EDI 844 / 844 resubmissions transactions and manual claims across distributor and direct purchase channels. Data Integrity Collaboration: Partner closely with the Membership Analyst to resolve customer...

American Hospital Association The American Hospital Association (AHA) is a national organization that represents and serves all types of hospitals, health care networks, and their patients and communities. The AHA has two main offices, located in Washington, D.C., and Chicago. The AHA offers a flexible hybrid work schedule of three days in the office and two days working remotely. Essential Functions Provide technical configuration and maintenance support for Workday modules, security settings, and workflows, including requirements gathering, testing, deployment and documentation, to meet association and business unit needs and objectives. Provide first and second-line technical support for user issues and system-related problems, resolving glitches and maintaining smooth operations. Interface with vendors/consultants when necessary to resolve issues. Collaborate with internal stakeholders to manage testing activities for Workday releases, enhancements, integrations and...

Aledade The Research Analyst will support Aledade business goals with analyses that leverage rich data sources including national Medicare claims, other payer claims, electronic health records, and event notification data. Develop and maintain documentation and reporting frameworks to ensure transparency, reproducibility, and compliance with internal and external standards. Provide subject matter expertise in risk analytics, offering insights and recommendations to partners within the broader Impact Analytics team. Work cross-functionally with partners across actuary, product and engineering organizations to drive insights. Primary Duties Understand the problem space: Work with teams across Aledade and external partners to understand and clarify questions and issues for data analysis and experiments. Assist in analysis execution: Design descriptive statistical analyses to answer key business questions. Design and program code to integrate, evaluate, and...

CSL The Membership Operations Analyst is responsible for the day-to-day maintenance of customer data to ensure accurate chargeback processing. This role focuses on the timely resolution of membership exceptions in the third-party adjudication queue and the synchronization of GPO/PBG rosters with internal systems. You will utilize advanced data analysis techniques to identify data mismatches and ensure that customer accounts are correctly aligned with their contractual tiers. The Membership Operations Analyst will serve as a key operational partner supporting Commercial Operations and Sales by aligning membership strategy with contract performance and execution. This role manages customer onboarding, issue resolution, reporting needs, and overall account performance. You will also act as the primary liaison between thirdparty vendors and internal I&T teams to support system integrations, data exchanges, and process improvements. A core focus of the role is driving customer...

Lantheus Lantheus (NASDAQ: LNTH) is the leading radiopharmaceutical-focused company, delivering life-changing science to enable clinicians to Find, Fight and Follow disease to deliver better patient outcomes. Headquartered in Massachusetts with offices in New Jersey, Canada, Germany, Sweden, Switzerland and United Kingdom, Lantheus has been providing radiopharmaceutical solutions for nearly 70 years. Today, we’re expanding our portfolio and pipeline across oncology, neurology and cardiology. Through recent acquisitions, along with strategic partnerships across the life sciences ecosystem, we are accelerating our efforts to advance precision medicine and improve patient outcomes around the world. At Lantheus we are purpose-driven, and every employee plays a vital role in our success. We’re dedicated to cultivating a high-growth, forward-thinking culture where innovation thrives and diverse perspectives drive meaningful progress. Join us and be part of a company where your...

CSL The Opportunity Join a company that finds solutions to complex challenges. With expertise in influenza science and beyond, our team works on the latest research and pioneering technologies to improve the manufacturing process and the effectiveness of influenza vaccines. We operate as one integrated global organization drawing together expert staff from different countries to collaborate. Together, we are working to protect communities from seasonal influenza and global pandemic threats. When you join CSL Seqirus, you join a team dedicated to making a difference in people's lives. It's a feeling of possibility, creativity, and purpose to deliver our promise. Job Summary Reporting to the Manager, Customer Account Management, you will maintain a group of accounts within multiple customer segments, e.g. Retail, Wholesale/Distribution, IDN, and Independent/Corporate owned HealthCare Professionals. You will complete the order to cash management of vaccine orders and...

Point32Health, Inc. Who We Are Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We've had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it's at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about...

argenx Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. argenx is a clinical-stage biopharmaceutical company creating and developing a pipeline of differentiated antibody therapeutics. Our unique antibody engineering technologies combined with the complementary expertise of our people enabled us...

argenx Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. argenx is a clinical-stage biopharmaceutical company creating and developing a pipeline of differentiated antibody therapeutics. Our unique antibody engineering technologies combined with the complementary expertise of our people enabled us...

argenx Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. argenx is a clinical-stage biopharmaceutical company creating and developing a pipeline of differentiated antibody therapeutics. Our unique antibody engineering technologies combined with the complementary expertise of our people enabled us...

argenx Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. argenx is a clinical-stage biopharmaceutical company creating and developing a pipeline of differentiated antibody therapeutics. Our unique antibody engineering technologies combined with the complementary expertise of our people enabled us...