Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. Knowledge/Skills/Abilities Develops, implements and uses software and systems

Senior Data Scientist Job Locations US WI ID 2024 2067 Category Clinical Services Type Regular Full Time Overview Quartz is seeking a data subject matter expert to join our newly created Clinical Informatics Team as a Senior Data Scientist. The Senior Data Scientist will be responsible for identifying, developing, and implementing tools and processes that enable key busin

IT is different here. Our work as technology specialists pushes the boundaries of what's possible in health care. You will build solutions that make a real difference in people's lives. Driven by the importance of their work, our team members innovate to elevate. We're encouraged to be curious, collaborate, and turn ideas into solutions that can make health care better fo

Putting People First in Pharmacy Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. W

The Search & Personalization Editor is responsible for the creation of data driven, authoritative content to support business objectives for Sentry brands. This role will oversee search engine optimization and personalization editorial workflows and manage a team of Search & Personalization content writers in the creation of concise, precisely optimized content that serves

The Digital Media Specialist works across multiple aspects of the paid media program for Sentry paid media campaigns and serves as the internal subject matter expert on paid media campaigns with a focus on programmatic, affiliate and display advertising campaigns. This role supports day to day details of advertising campaigns and serves as a liaison between our agency part

The successful candidate will be responsible for the following Program manage divisional efforts for developing a baseline of Process, Risk & Control deliverables for assigned business/divisional functions through workshop sessions or other methods of data collection and verification. Lead and direct an offshore team of process, risk and control analysts to support the cr

Who We Are is a leading not for profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active du

Translate business objectives into viable spend category sourcing strategies that will drive vendor related cost and/or quality improvements Analyze current operations and processes to identify efficiencies, develop and implement recommendations to align to best practices Contribute to the selection and management of key suppliers through appropriate evaluation, selection

Under general supervision, researches, analyzes, evaluates, and administers employee benefits programs including Health, Dental and Life Insurance, Flexible Spending Accounts, Short and Long Term Disability Insurance, Employee Assistance Program, COBRA and 401(k) plans. Monitors benefit trends and stays abreast of applicable benefits legislation ensuring plan provisions a

Perform a wide variety of duties and assume a leadership role in providing High Performance Doors (HPD) parts support and training to internal client's resource teams along with distributors and their service departments and technicians. Act as the HPD Parts subject matter expert for all areas of the aftermarket business unit. Responsibilities Act as a Product Specialist/

Develop and implement machine learning models to drive innovations in fraud detection, pricing strategies, and claim processing, ensuring QBE's competitive edge in tech driven insurance solutions. Collaborate closely with business analysts and data scientists to transform complex business needs into technical specifications, thereby driving actionable insights and enhanci

Duties WHAT IS THE OFFICE OF THE CHIEF PROCUREMENT OFFICER THE DIVISION? A description of the business units can be found at MAJOR DUTIES The following are the duties of this position at the full working level of GS 13 BU Negotiates settlements of disputes, proposals, and executes modifications. Requests changes or exceptions to federal procurement regulations. Prepares r