240 business analyst jobs found

About the Department The Government Markets team implements and manages programs designed to enhance the experience of our Medicare and ACA members with both their health plan and the broader healthcare system. These initiatives promote comprehensive care while supporting Risk Adjustment and Star Ratings objectives. Position Summary The Supplemental Programs Business Analyst Coop will report to the Supplemental Programs Manager and support the administration, analysis, and continuous improvement of program operations. This role provides handson experience working with data, business processes, reporting, and stakeholder collaboration. Key areas of responsibility include: Operational Support Provider and Vendor Support Data Quality and Process Improvement Program Analytics and Reporting The coop will assist in developing executivelevel reports, presentations, dashboards, and business performance analyses. This opportunity is ideal for a student who enjoys working with...

Get to know us:   NOVO Health Services offers linen management solutions to the healthcare industry. NOVO Health keenly focuses on safety and infection control and provides its partner hospitals with a value-driven linen management control system that measures and monitors linen utilization by department to eliminate excess internal costs. NOVO's wide range of service programs offer a variety of options to provide a seamless, single source distribution system. NOVO's regional healthcare linen facilities are HLAC accredited and operate with state-of-the-art processing equipment and processes. Lead and Grow with Us! NOVO Health Services is a leading provider of healthcare linen solutions, delivering a fresh and innovative approach to the industry. Our focus on patient experience, infection prevention, and operational excellence enables us to improve linen quality while reducing overall program costs for our healthcare partners. With HLAC-accredited facilities and a...

Overview: When you join the Members 1st team, you become part of something much bigger than a credit union. You become part of our faM1ly—a tight-knit bunch with big dreams and even bigger values. It is an exciting time for us as we continue to grow, and we hope that you will choose to grow along with us.  Wanting the absolute best for our associates means more than just competitive pay. It means fantastic healthcare, paid benefits, opportunities for professional advancement and work-life balance - and best of all, a place where you are accepted and respected for your individuality. Responsibilities: The Software Engineering Manager – Salesforce leads the design and development of scalable Salesforce solutions while remaining an active, hands-on developer. This role is responsible for making sound technical decisions, enforcing Salesforce best practices, and ensuring solutions align with the long-term vision and strategic goals of Members 1st. The position combines deep...

JOB DESCRIPTION The AVP, Data Management will provide business leadership, strategic direction, and project management oversight for process improvement, technical design, implementation, migration, and change management related to inbound and outbound data files for carriers, customers, and trading partners. Working closely with ESIS business groups, operations, technology teams, strategic partners, customers, and Chubb colleagues, this leader will drive project execution, documentation, requirements gathering, solution design, product roadmap development, integration, and delivery of data solutions that support customer and carrier partner needs. Essential Functions: Set the strategic direction for ESIS data management processes and technology, including the development and delivery of new capabilities. Establish and manage a structured process for requirements definition and prioritization to meet carrier partner and client data file needs. Maximize the use of the...

JOB DESCRIPTION The AVP, Data Management will provide business leadership, strategic direction, and project management oversight for process re-engineering, technical design, implementation, migration, and change management related to inbound and outbound data files for carriers, customers, and trading partners. Working closely with ESIS business groups, operations, technology teams, strategic partners, customers, and Chubb resources, this leader will drive project execution, documentation, requirements gathering, solution design, product roadmap development, integration, and delivery of data solutions that support customer and carrier partner needs. Essential Functions Set the strategic direction for ESIS data management processes and technology, including the conceptualization, development, and delivery of new capabilities. Establish and manage a structured process for requirements definition and prioritization to meet carrier partner and client data file needs....

·All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. Univest Financial Corp Associate Project Manager US-PA-Souderton Job ID: 7026 Type: Full Time # of Openings: 1 Category: Operations Univest Financial Corporation Overview The Associate Project Manager supports the planning and delivery of projects across Univest under the guidance of experienced Project Managers and PMO leadership. This role is designed for someone with foundational project coordination or project management experience who brings practical knowledge of banking or financial-services operations. The Associate Project Manager will manage lower-complexity projects and defined workstreams, maintain core project controls, coordinate stakeholders and vendors,...

Overview Due to growth, we are adding a Analyst, Pharmacy Contract Audit to our team!   The Analyst, Pharmacy Contract Audit is responsible for the oversight of Navitus’ contractual pharmacy network reimbursement accuracy. The individual in this position is expected to make independent assessments to confirm Navitus is conforming to contractual reimbursement obligations contained in Retail, Specialty, and Mail Order pharmacy agreements. The Analyst will continually review and monitor claims data, create, and update procedures, audit networks for price change accuracy, monitor compliance with Navitus pharmacy provider contracts, communicate findings, and work with applicable teams to remediate errors. The Analyst works closely with inter and intra-departmental resources to interpret and understand contractual terms, client network selections, and how they are operationalized in applicable systems. The Analyst will be knowledgeable of business operations, utilizing...

Overview Navitus Health Solutions is seeking a Analyst, IT Governance to join our team!   The Analyst, IT Governance is responsible for developing and maintaining IT policies, procedures, guidelines, and standards in alignment with ITIL best practices. This role will work directly with application developers, business users, internal IT, and third-party vendors to improve performance, processes, and the overall health of the data. This role will participate in the planning and implementation of policies and procedures to ensure the systems are running optimal and processes are consistent with company goals, industry best practices and regulatory requirements.   Is this you? Find out more below! Responsibilities How do I make an impact on my team? Ensure all environments are managed and maintained to meet service level agreements. Evaluate effectiveness of IT controls to ensure they adequately mitigate risks and comply with requirements. This includes controls...

Overview Due to growth, we are adding an Analyst, Contract Operations to our team .   This role is ideal for a data-driven professional with experience in pharmacy benefit management (PBM), managed care, pharmaceutical contracting, or healthcare analytics. A successful candidate will possess strong analytical skills, a solid understanding of pharmacy claims and manufacturer contracting, and the ability to translate complex data into actionable business insights.   The PBM Contract & Rebate Analyst supports the administration and optimization of Lumicera's pharmaceutical manufacturer discount and contracting programs. They are responsible for operational aspects of Lumicera’s discount programs including, but not limited to contract compliance through direct pharmaceutical manufacturers, third party entities, contract optimization, contract reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client...

Overview Lumicera Health Services is seeking a Supervisor, Pharmacy Quality to join our team!    The Supervisor, Pharmacy Quality, is responsible for managing the effectiveness of the Specialty Pharmacy Quality Management Program. The Supervisor, Pharmacy Quality identifies, assigns, and supervises the work of the quality analysts and will monitor the performance of the Quality team and individual analysts to make improvements where necessary. The Supervisor, Pharmacy Quality will oversee the evaluations performed by the analysts and collaborate to create improvement plans for agents. The Supervisor, Pharmacy Quality will be responsible for creating project plans for improvements and seeing them through to resolution including reports that support the improvement and outcome-based evaluations after improvements occur.   Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Recommend quality metrics for the specialty...

Overview Navitus Health Solutions is seeking a Reimbursement Analyst, Pharmacy Network to join our team!   The Analyst supports and evaluates agreements with providers and the Maximum Allowable Cost (MAC) program through financial price modeling, analysis, and reporting. This position will communicate and work cross functionally with other teams on generic trends and generic drug discount change effects. Provider and network performance will be analyzed in support of network development, contracting negotiations, and RFP proposals.  The Analyst, under the direction and supervision of the Provider Services leadership, is responsible for maintaining a competitive and market leading MAC program. The Analyst will also be responsible for managing and responding to pharmacy pricing inquiries in compliance with Navitus response protocol. This position will help monitor and evaluate state MAC requirements to ensure Navitus remains compliant with MAC management and inquiry. The...

Overview Navitus Health Solutions is seeking a Analyst, Rebate Operations to join our team!   The Analyst, Rebate Operations is responsible for operational aspects of Navitus’ rebate programs including, but not limited to rebate submission through direct pharmaceutical manufacturers, rebate submissions through third party entities, rebate optimization, rebate guarantee reconciliation and reporting, sales and request for proposal (RFP) support, internal and external audit support, and client operations.     Is this you? Find out more below! Responsibilities How do I make an impact on my team?   Understand plan formulary design and rebate potentials for client specific set ups. Analyze claims data to ensure the accuracy of group purchasing organization (GPO) rebate processing, direct contracts with pharmaceutical manufacturers, and establish recommendations to clients for rebate optimization. Provide sales and request for proposal (RFP) support for...

Overview: When you join the Members 1st team, you become part of something much bigger than a credit union. You become part of our faM1ly—a tight-knit bunch with big dreams and even bigger values. It is an exciting time for us as we continue to grow, and we hope that you will choose to grow along with us.  Wanting the absolute best for our associates means more than just competitive pay. It means fantastic healthcare, paid benefits, opportunities for professional advancement and work-life balance - and best of all, a place where you are accepted and respected for your individuality. Responsibilities: The Senior Third Party Enterprise Risk Management Analyst plays a critical role in protecting the organization from risks associated with vendors, suppliers, contractors, and other external partners. This role evaluates third party relationships throughout their lifecycle—onboarding, ongoing monitoring, and offboarding—to ensure compliance with internal policies, regulatory...

AmeriGas AmeriGas is a Drug Free Workplace. Candidates must be able to pass a pre-employment drug screen and a criminal background check. AmeriGas is an Equal Opportunity Employer. Location: King Of Prussia, PA, US, 19406 Workplace Environment: Hybrid Company: AmeriGas Propane, Inc. Requisition Number: 30646 When you work for AmeriGas, you become a part of something BIG! Founded in 1959, AmeriGas is the nation's premier propane company, serving over 1.5 million residential, commercial, industrial and motor fuel propane customers. Together, over 6,500 dedicated professionals will deliver over 1 billion gallons of propane from 1,800+ distribution points across the United States. Posting Job Summary: Ensures the CES centers have accurate staffing plans to meet customer volume needs and ensure an excellent experience. The WFM Analysts proactively coordinates and adjusts staffing to align with contact volumes in a timely manner, achieving service level goals and...

AmeriGas AmeriGas is a Drug Free Workplace. Candidates must be able to pass a pre-employment drug screen and a criminal background check. AmeriGas is an Equal Opportunity Employer. Location: King Of Prussia, PA, US, 19406 Workplace Environment: Hybrid Company: AmeriGas Propane, Inc. Requisition Number: 30939 When you work for AmeriGas, you become a part of something BIG! Founded in 1959, AmeriGas is the nation's premier propane company, serving over 1.5 million residential, commercial, industrial and motor fuel propane customers. Together, over 6,500 dedicated professionals will deliver over 1 billion gallons of propane from 1,800+ distribution points across the United States. Applications for this position will be accepted until 11/27/2026. Posting Job Summary: Ensures the CES centers have accurate staffing plans to meet customer volume needs and ensure an excellent experience. The WFM Analysts proactively coordinates and adjusts staffing to align with...

Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. This is a role well suited to an ambitious professional, looking for the next step in their career. As a Compensation Analyst , you will be responsible for : Your role: You will manage and administer the variable pay process for regional and global business areas through consultation with global financial and divisional functions' You will be the primary point of contact for all variable pay-related inquiries and issue resolution. You will develop and implement internal controls for audits of employee variable pay participation, modeling, and payment. You will analyze data, provide reporting, and...

JOB DESCRIPTION About the Role Join Chubb Overseas General (COG) as a Senior Reinsurance Data & Automation Analyst within our Reinsurance Operations team. You will own the systems, controls, and analytics that power our Billing and Settlements functions, turning complex reinsurance data into reliable, automated, and insightful reporting. You will build and improve Alteryx and AI workflows, drive process standardization across regions, and partner closely with Reinsurance Finance (FP&A) and Ceded Reinsurance colleagues around the world. Key Responsibilities Workflow Development: Lead initiatives to standardize and further automate recurring tasks across international reinsurance processes. Design, build, and maintain Alteryx and AI workflows that support operational functions, such as quota share statement generation and accounts receivable reconciliation.x0060 Reinsurance Data Maintenance: Maintain reinsurance database entries and reporting codes for global...

JOB DESCRIPTION The Senior COG Reinsurance Billing Analyst owns XOL billing and complex QS billing production for assigned programs within the Billing tower, reporting to the COG Reinsurance Billing Lead. This role operates with minimal day-to-day oversight, exercising independent judgment on complex calculation and billing processes. Responsibilities Calculate Reinsurance Transactions: Calculate and register reserve, loss, & premium adjustments based on reconciled data and application of appropriate contract wording. Prepare billing statements and adjusting entries as necessary to ensure correct P&L for both reporting and billing purposes. Excess of Loss (XOL) statements : Prepare and distribute XOL billings, meeting contractual timeframes, liaising and coordinating with regional reinsurance/finance teams on shared programs, and acting as a key point of contact for certain strategic reinsurers which require advanced reporting and query resolution. Quota...

Join us in pioneering breakthroughs in healthcare. For everyone. Everywhere. Sustainably. Our inspiring and caring environment forms a global community that celebrates diversity and individuality. We encourage you to step beyond your comfort zone, offering resources and flexibility to foster your professional and personal growth, all while valuing your unique contributions. The Commission Analyst will be a key contributor to the Commissions team. Commissions is a fast paced and challenging environment in which you will be able to use your analytical, communication, conflict resolution and problem-solving skills on a daily basis. Reporting to the Commissions Director, it affords you the opportunity to take initiative and drive change to existing concepts and methodologies. This position affords you the opportunity to work with Field Sales, management and multiple business lines within Healthineers. You will also interact with other departments within Healthineers including MSC,...

UGI Utilities Position title: Billing Operations Analyst (Denver, PA or Wilkes-Barre, PA) Location: Denver, PA, US, 17517 Billing Operations Analyst (Denver, PA or Wilkes-Barre, PA) Location: Denver, PA, US, 17517 Workplace Environment: Onsite Company: UGI Utilities, Inc Requisition Number: 30853 At UGI Utilities, Inc. we believe in providing a superior range of energy products and services to our customers in a safe, affordable manner. As our energy needs evolve, UGI will be there providing safe and reliable service that brings warmth and comfort to our 750,000 customers in 45 counties in Pennsylvania and 1 county in Maryland. We strive to reflect the communities we serve by attracting and retaining top talent, while maintaining a diverse workforce that embraces our culture of safety, service, and integrity. As an employee of UGI Utilities, you can expect a...