3684 lead analyst jobs found

Position Summary The primary purpose for the Business Analytics Lead Analyst is to provide direct analytic support for the Clinical Research and New Solutions department, specifically, the Prospect Analytics division. The analyst will provide reporting, analytic support, and consultation to our core customers (Sales and Account Management Teams) engaged in the client service model. In providing this service, the analyst will need to maintain a high level of customer satisfaction and will require cross-functional collaboration. Additionally, the analyst will support enhancements to reports to meet evolving business needs. This individual will possess functional, technical and advanced business knowledge to provide customized, ad hoc solutions for information requests. In addition, there will be a technical component that is required with a thorough understanding of relational databases, the information warehouse, claims data, and SQL code. Essential Functions Data...

Case Management Lead Analyst - Senior Specialty Consultant JOB TITLE: Case Management Lead Analyst - Specialty Consultant JOB BAND: High band 3 DEPARTMENT: Clinical Operations-Clinical UNIT/SECTION: Military OneSource REPORTS TO: Specialty Consultant Manager (Supervisor) Role Summary: A great opportunity to help military members and their families! The Specialty Consultant works with members of the military and their families in providing confidential specialty and special needs consultations. The Specialty Consultant is responsible for identifying the individual and/or family's most immediate needs and leveraging their behavioral expertise to recommend available services that meet those needs. This key role provides participants with support, education, resources, as well as information regarding legal/educational entitlements they may be eligible for. The Specialty Consultant will coach the participant to an individualized plan of action to...

Strategic Analysis, Inc. Strategic Analysis, Inc. is an EOE Minorities/Females/Disabled/Veterans. Job Code: 24-178 Location: Arlington, VA FT/PT Status: Full Time Required Clearance: Top Secret SCI Strategic Analysis, Inc. (SA) is seeking a detail-oriented candidate of strong character for the position of Defense Science Board (DSB) Lead Analyst . The DSB is comprised of former senior military and government officials, as well as leaders in industry and academia that provide independent advice to Defense Department (DoD) senior leadership on modern science and technology (S&T) challenges. The DSB Lead Analyst will provide programmatic and analytical support directly to the Defense Science Board Secretariat and Board Members and coordinate the full range of administrative, programmatic, and policy issues impacting DSB activities, task forces, and studies. Onsite work with our government clients in the Pentagon and at SA headquarters (HQ) is necessary. Telework...

The Healthcare Financial Analyst Lead Analyst will support the Business Financial Officer (BFO) team within a highly complex and regulated Medicare Advantage business. The individual hired to this position will manage the MidAmerica market. The Medicare Advantage business includes a broad portfolio of products and provider risk arrangements. The skill sets needed to manage this wide spectrum of responsibility will be inclusive of Organizational Agility, Influential Leadership, and Drive for Results. This Micromarket BFO role will oversee financial strategy, lead planning & analysis, enable growth, and be engaged in a variety of functions supporting the Medicare Advantage business. They will partner with the product, pricing, and strategy teams to drive the annual bid process balancing growth and profitability. They will be responsible for communicating financial outcomes and insights, highlighting opportunities to improve our gross margin through strong collaborative...

Marketing Lead Analyst, Individual and Family Plans Small Group Segment - Hybrid ROLE SUMMARY A key resource on the customer retention marketing team, this position will support the Individual and Family Plans, Small Group business unit with responsibility for developing and executing legally required customer communication campaigns. Working with the Segment Marketing Advisor, this position will partner with enterprise and business unit compliance teams to identify, develop and execute communications strategies and plans to ensure compliance with state and federal laws and regulations across all customer marketing channels. This position may also be responsible for managing compliance and legal reviews of all materials. He or she will also be responsible for negotiating and/or resolving complex issues with internal customers and matrix partners using independent judgment and discretion. Finally, this position will have accountability for the development and execution of...

Must Reside in Chattanooga area Job Summary: This role is responsible for supporting Cigna Medicare Advantage's Risk Adjustment program for assigned populations in an operational market. The role will be accountable for assigned provider groups reaching risk adjustment related annual metrics. This role will work directly with providers to assist in achieving accurate and complete coding documentation. Provider Data Lead Analysts will be responsible for the most complex provider groups along the engagement continuum within an assigned market. Lead Analyst will be primary contact for provider groups on Risk Adjustment topics at joint operating meetings, quality meetings, etc. Lead analysts may be asked to provide coaching and support to senior analysts, lead representatives, or other team members to achieve Risk Adjustment goals. The role will work under the direction of Risk Adjustment Manager to reach overall operational market goals in conjunction with market matrix...

Position Summary The Financial Analysis Lead Analyst works within the Retail Network Pricing and Guarantees support team embedded within the Supply Chain organization. The lead analyst will perform all financial modeling and analysis for retail pharmacy network negotiations. Responsible for managing all aspects of pharmacy contractual guarantees. Analyst will conduct routine analysis on guarantee performance and make pharmacy pricing recommendations to management in order to meet the guarantees. Provide ad-hoc reporting and analysis as required. Work closely with the financial analysis senior manager on the team. Essential Functions Perform financial modeling for all chain and independent pharmacy retail network contract negotiations Communicate modeling results to business partners and respond to questions Provide pricing and analytical support for new contracting initiatives Monitor contracted and forecasted retail payable rates in alignment with...

Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time Required Work Hours: 9:00 a.m.-5:30 p.m. PST. Major Job Responsibilities and Required Results for CM: Obtains informed verbal consent and takes all steps to obtain written consent. Acts with speed and purpose to identify, support and resolve customer healthcare needs. Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care. Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure. Promotes quality cost-effective outcomes managing care needs through the continuum of care utilizing...

Bilingual Nurse Case Management Lead Analyst -Remote -Full-Time Required Work Hours: 9:00 a.m.-5:30 p.m. PST. Major Job Responsibilities and Required Results for CM: Obtains informed verbal consent and takes all steps to obtain written consent. Acts with speed and purpose to identify, support and resolve customer healthcare needs. Establishes a collaborative relationship with the Customer, client (plan participant), family, physician(s), and other providers to determine medical history and current status to assess the appropriate level of care and options for alternative care. Sets a plan for short-term and long-term goals, time frames for follow-up, resources available (internal and community), involves all appropriate parties (client, physician, providers, employers, etc), and identifies anticipated case results/outcomes and criteria for case closure. Promotes quality cost-effective outcomes managing care needs through the continuum of care utilizing...

Please note: This hybrid role will require the incumbent candidate to come into the local Cigna office 3 days per week. The incumbent candidate must be based out of the following office: Walnut Creek, CA . Responsibilities: The Sales Client Account Lead Analyst role is a key member of the Client and Growth Services organization, providing advanced professional input to complex Client Services geographically assigned local market book of business and projects for a designated region, while working collaboratively across the segment and matrix lines. This role manages a complex book of business and is accountable to proactively manage, respond and address complex inquiries through strategic service plans to facilitate results attainment for the client experience and net promoter score (NPS), persistency and overall customer growth. The Account Lead Analyst is also responsible to support and provide direction to more junior professionals utilizing in-depth...

Summary The Business Analytics Lead will be an individual contributor responsible for providing analytics supporting value-based care capabilities for Accountable Care. This role will be responsible for executing analytics around ACO/Risk Bearing Entity programs to help measure and evaluate the cost and quality of care of our members by our provider groups. In addition, this person will be responsible to identify opportunities for our clinical partners to work with our providers to meet our goal of reducing costs and increasing quality of care to our members. This individual will need to work collaboratively with key technical and non-technical matrix partners to provide analytical reporting for use in evaluation of our value-based care programs. Responsibilities Create tools and reports to help evaluate the cost and quality of care opportunities for a variety of provider groups in a value-based care arrangement Extract, analyze, and validate large sets of data used to...

Summary The Business Analytics Lead will be an individual contributor responsible for providing advanced analytics supporting value-based care capabilities for Accountable Care. This role will be responsible for executing advanced analytics around ACO/Risk Bearing Entity programs to help measure and evaluate the cost and quality of care of our members by our provider groups. In addition, this person will be responsible to identify opportunities for our clinical partners to work with our providers to meet our goal of reducing costs and increasing quality of care to our members. This individual will need to work collaboratively with key technical and non-technical matrix partners to provide analytical reporting for use in evaluation of our value-based care programs. Responsibilities Create tools and reports to help evaluate the cost and quality of care opportunities for a variety of provider groups in a value-based care arrangement Extract, analyze, and validate large sets...

Summary The Medicare Risk Adjustment Advanced Analytics team is searching for a highly motivated and collaborative person to build new data processes, expand technology capabilities, and enable analytics. You will work closely with colleagues across the Risk Adjustment business, data science, and data analytics teams to develop new assets, data solutions, and pipelines while following best practices and data governance standards. You are a data management expert who enjoys collaborating in a matrix organization. You are curious and enjoy exploring data and understanding the business implications behind your deliverables. You excel at translating complex datasets into clean, easy-to-use solutions and creatively solving problems. You are self-motivated and enjoy working in a fast paced environment. Responsibilities Responsible for the extraction and analysis of healthcare information Responsible for the automation and scheduling of business critical processes Develop...

Must live in California to be considered for this position. This is a Work-at-Home position. Monday-Friday Responsibilities The Transplant Case Manager interacts with benefit specialist and claims staff for claim payment direction to ensure correct interpretation of transplant contracts and to apply payments accurately. Assists in service marketing and/or account management functions for service center-based customers, as assigned. Assists Sales Account Executive in communicating status and/or resolving issues for service center-based customers, as assigned. Participates on committees, task forces and other company projects, as assigned. Supports training initiatives or audits of case files, as assigned. Demonstrates sensitivity to culturally diverse situations, clients and customers. Any other assigned tasks as deemed necessary to meet business needs. Additionally the candidate will be responsible for the adoption and demonstration of the Consumer Health Engagement...

LOCATION REQUIREMENTS Desired work location: Denver, CO and surrounding area Field work - approximately 3 days weekly, local travel (Position requires that the time be spent primarily externally with administrative support). Reliable transportation and valid driver's license Mileage reimbursement provided Job Summary: The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The External Representative is the primary conduit to the providers and the individual that represents Cigna Medicare Advantage. The Provider Performance External Representative's responsibilities include: Supporting the development, management and oversight of the physician/ provider network in his/her assigned territories. Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g. physicians, practice managers, care coordination teams), as well as...

Highlights Healthcare is seeking an experienced and dedicated Board-Certified Behavior Analyst (BCBA) to work as needed as a LEAD BCBA for our locations & learners in the Raleigh-Durham area. Who is Highlights Healthcare? Highlights Healthcare provides diagnosis and early intervention ABA therapy services to bring meaningful and positive change to children with autism. We specialize in serving young learners and families with Medicaid benefits. We believe every child can achieve great things, and we are guided by family-centered principles that demonstrate dignity and respect. Our culture fosters manageable caseloads and professional career paths supported by a team of expert leaders. Our operations corporate support center and flagship clinics are in beautiful North Carolina - convenient to the mountains, beaches, professional sports teams, leading universities and world-class dining and entertainment. Why should you consider a BCBA position with Highlights? Flexible...

Position Title: Lead Financial Analyst Location: Baltimore, MD, US, 21220 Date: Thu, 12 Sep 24 06:04:17 CDT Company Name: STENAHCM20 Description: About Us: ST Engineering MRAS is a world-leading manufacturer of complex aerostructures including nacelle systems and specialized structural components of the airframe. It supplies and supports these products for engine makers, airplane manufacturers and aircraft operators. Located on Maryland's Chesapeake Bay near Baltimore, MRAS has a 1.4-million sq. ft. facility situated on 180 acres – where the company and its predecessors have designed, built, and equipped civil and military aircraft for over 95 years. In addition to MRAS' design, development and manufacturing capabilities, the company provides technical support, spares, and other services for its products. Job Summary Responsible to develop innovative solutions to deliver customer outcomes and drive growth while managing company risk/reward....

Please note, this is a hybrid position requiring 8 days per month on-site in Lakeland, FL. Welcome to Publix Technology, the award-winning technical group for Publix Super Markets, Inc., the largest employee-owned company in the nation. Our technology teams of 2100+ associates provide cutting-edge, modern solutions to nearly 1400 retail stores and 200,000+ internal team members across 8 states. We offer positions at all levels – summer internships, individual contributor roles, to technical leadership across a broad range of technical disciplines. So, whether you’re interested in IT security, platform engineering, architecture, software development, or infrastructure – we have a career path for you! See for yourself why Publix Super Markets, Inc. is a constant on Fortune Magazine’s Best Companies to Work list. Join the Publix Technology Team as a Lead Business Systems Analyst working on the Publix Connection team. You will play a key role interacting with enterprise...

Enterprise Products Partners L.P. is one of the largest publicly traded partnerships and a leading North American provider of midstream energy services to producers and consumers of natural gas, NGLs, crude oil, refined products, and petrochemicals. Our services include natural gas gathering, treating, processing, transportation, and storage; NGL transportation, fractionation, storage and import and export terminals; crude oil gathering, transportation, storage, and terminals; petrochemical and refined products transportation, storage, and terminals; and a marine transportation business that operates primarily on the United States inland and Intracoastal Waterway systems. The partnership's assets include approximately 50,000 miles of pipelines; 260 million barrels of storage capacity for NGLs, crude oil, refined products, and petrochemicals; and 14 billion cubic feet of natural gas storage capacity. We are seeking a Lead Systems Analyst for our EStream Engineering team. You will be...

MSA, The Safety Company Lead Financial Analyst/Senior Financial Analyst, Global FP&A US-PA-Cranberry Twp Requisition ID: 2024-8155 Type: Full-Time # of Openings: 1 Category: Finance Overview Are you someone who is passionate, motivated, and driven to make a difference? If so, MSA Safety is the perfect fit for your career. At MSA, SAFETY is who we are AND it is what we do. We are a purpose-driven company committed to deploying innovation and technology to deliver on our Mission to help protect people and assets all around the world. We continue to be relentless in our pursuit of solving our customers greatest problems so they can go home safe each and every day. Are you in? Read on for more details about this particular role. Responsibilities Leading the monthly and quarterly global marketing forecast process, which includes system input, variance analytics and providing insight to results and trends Partnering with the...