Analyst

• Responsible for accurate and prompt credentialing for health plans and pharmacy benefit managers (PBM).
• Acts as a troubleshooter in resolving payor departmental issues related to credentialing.
• Manages and maintains pharmacy license tracking tool to advise pharmacy sites and pharmacists of license renewals.
• Maintains confidentiality of all pertinent pharmacy and provider information.
• Administers credentialing and re-credentialing to ensure compliance with regulatory, accreditation and various managed care plan policies and protocols, standards, and requirements.
• Develops and fosters collaborative relationships with managed care plans, state agencies and PBM’s to facilitate timely credentialing and re-credentialing of applications.
• Tracks credentialing and re-credentialing to ensure compliance with time sensitive materials.
• Maintains all pharmacy site credentialing and re-credentialing files, electronic and paper.
• Effectively communicates with admission, billing, and clinical teams in a professional manner.
• Reviews all credentialing policies and procedures for accuracy and completeness.
• Suggests revisions of policies and procedures when necessary.
• Completes new Medicaid applications and renewals or revalidations.
• Manages PBM credentialing requests and maintenance.
• Medicare (PECOS) processing for all pharmacy sites.
• Maintains NCPDP profile for all pharmacy sites.
• Certificate of Insurance requests and dissemination to plans or CMS.
• NPI profile updates (NPPES).
• URAC, ACHC, NABP support during accreditation renewals.
• Fraud, Waste and Abuse annual attestation submission to health plans.
• Manage pharmacy Continuing Education Units for RFP’s.

Credentialing Analyst – Infusion Clinics

• Manage and develop LTL Carrier Scorecards encompassing operational & financial metrics.
• Leverage scorecards to drive positive change both internally & externally with carrier partners
• Contribute to customer onboardings & implementations, partnering with LTL carriers to successfully align on operational strategies and customer requirements as a result of Procurement events for new and/or existing customers
• Establish key relationships internally to learn how the Redwood Operations, Freight Audit & Pay and Procurement teams operate.
• Represent these departments in a carrier facing role to drive improvements to critical processes that drive the Redwood business
• Manage escalations from within the business and drive corrective action within the LTL carrier network.
• Develop relationships with key stakeholders representing Redwood processes
• Assist in carrier aging management and resolution, driving improvements from rate discrepancies and disputes, and ultimately deploying new processes internally and externally to increase percentage of Freight Bills paid within terms
• Learn all Redwood systems & Transportation Management Systems and become an expert of data management from the system in order to quantify carrier performance
• Manage internal communications that represent changes in LTL industry including weather or other events causing disruption in LTL carrier industry
• Travel to LTL carrier offices & local terminals to represent Redwood and our customers.
• Build out carrier contacts spanning Pricing, Operations, Collections & Technology departments
• Travel to prospective customers to collect information on their product and operations to facilitate Redwood offering best LTL solution

Analyst, LTL Carrier Relations

• Designing and executing test plans to validate new feature releases and system changes in billing systems
• Identifying and implementing test strategies to support comprehensive testing across Amdocs CES Billing
• Collaborating with Product Development teams to identify release requirements and new feature functionality
• Reviewing and verifying new release design specifications affecting billing systems functionality
• Managing regression testing procedures and automated test suites
• Validating end-to-end flows from order through fulfillment into billing
• Supporting and driving billing release management activities
• Performing root cause analysis and troubleshooting issues

Senior Analyst, Biller Release Testing

• Works with users and leadership to develop and/or modify procedures because of workflow process changes related to Epic clinical and business application use
• Effectively explains the functioning of the assigned Epic applications and related systems to the users
• Assists users with using the full functionality of the applications
• Prepares input for the requirements definition including user procedures, flowcharts and preliminary report and screen definition
• Assists in the development of effective unit, integration, system, and end-user acceptance testing through execution of the tests and tracking of problem reports
• Works with users and team members to set priority for user requests and reviews and clarifies user requests
• Assists with impact analysis
• Documents current workflows, specifications, user manuals, procedures, and other relevant information
• Completes all change and quality control documentation using department standards
• Participates in testing, user training and results evaluation
• Tracks standardized projects, with appropriate assistance from team/technical staff, for the Epic application areas involved and keeps users and management informed on progress and potential delays
• Monitors and documents post-implementation problems and revision requests
• Identifies ongoing application system issues for all assigned applications and communicate patterns to Sr./Lead Application Product Analyst
• Maintains product documentation including requirements, functional specifications, installation instructions, product test procedures, troubleshooting guidelines
• Assists in the appropriate completion of all change and quality control documentation using department standards
• Assists in communicating project status and upgrades to clinic users, including any potential delays/downtime related to applications
• Develops and maintains a thorough knowledge of the clinical/laboratory and/or business operations for their supported Epic applications
• Assists with the scheduling and managing application version upgrades for assigned systems
• Participates in the maintenance, enhancement, and interface of assigned applications
• Troubleshoots and resolves user problems

EPIC Applications Analyst Associate – Inpatient Orders

• Drive strategic growth and ignite innovation for clients
• Enable change necessary for clients to own their future
• Enhance analytical skills working as part of a team
• Get hands-on experience in building effective relationships
• Create solutions for clients as independent and in group settings

Senior Digital Consulting Analyst, Oracle Cloud ERP

• Develop and maintain CPM logic based, quantity-loaded project schedules used to manage workflow across the project life cycle in Primavera P6, using company standard project templates and input from the Project Management Team.
• Interpret contract documents and apply scheduling obligations and specifications to deliverables.
• Attend and co-lead recurring internal and client project meetings to collect project status information, provide schedule updates, and support schedule coordination and planning changes.
• Update project schedules on a weekly to bi-weekly basis, ensuring accuracy and integrity in schedule logic, activity sequencing, durations, and constraints.
• Coordinate with internal departments and external organizations to obtain and communicate project schedule information.
• Support the development and maintenance of work breakdown structures (WBS) and activity coding frameworks aligned with project standards. Identify and track critical path, near-critical path, and schedule deviations.
• Develop and maintain schedule status reports, metrics, dashboards, and executive summaries used to evaluate and measure schedule, project and program performance, for both internal and client audiences.
• Monitor progress against approved baselines and key project milestones to identify variances and support schedule revisions as needed.
• Assist in conducting what-if scenarios and time impact analysis (TIA) to support schedule risk evaluation and decision-making.
• Analyze float paths, observe scheduling trends, and identify potential impacts to project delivery. Participate in process improvement initiatives and contribute to the development and maintenance of detailed scheduling and project controls process guides.
• Apply feedback from senior schedulers to improve schedule logic, modeling accuracy, and reporting clarity.
• Learn and apply earned value management (EVM) principles in schedule assessments.
• Other duties as assigned.

Schedule Analyst

• Perform research and deep-dive analyses on complex healthcare claims data, CMS return files, financial cost, revenue, and vendor data
• Work with large and small datasets: join, transform, engineer, and extract meaningful insights
• Interpret statistical analyses and translate findings into clear, actionable recommendations for technical and non-technical stakeholders
• Build and automate reports and dashboards using SQL, Excel, Power BI, and similar tools
• Partner with Finance, Actuarial, Population Health, IT, and external vendors to support enterprise reporting and analytic initiatives
• Document analytic logic, assumptions, and methodology so work is reproducible and auditable
• Identify opportunities to improve processes, data quality, and reporting efficiency

Senior Medical Economic Analyst

• Serve as the primary functional owner of Workday Benefits for the U.S. employee population.
• Configure, maintain, and enhance benefit plans, eligibility rules, enrollment events, rates.
• Lead the annual Open Enrollment process end-to-end.
• Partner closely with Benefits, Payroll, HR Operations, and external vendors to implement plan changes.
• Design, build, and maintain Workday Discovery Boards, Dashboards, Matrix Reports.

Senior HRIS Analyst

• Maintain the highest level of support for EDI infrastructure and processes
• Lead the design, development, deployment, and support of EDI solutions that support IT strategy and overall business objectives
• Lead the end-to-end development of trading partner integrations
• Ensure data accuracy and compliance with industry standards
• Partner closely with business and IT teams to maintain a stable, scalable EDI ecosystem
• Lead the end-to-end onboarding of new trading partners, including requirement gathering, mapping, testing and deployment
• Coordinate meetings with business stakeholders and trading partner leads
• Design, build, test, deploy and manage EDI maps, trading partner setups, and documentation for EDI transactions, APIs, and application interfaces
• Ensure compliance with partner requirements
• Participate in IT change management, release coordination, and regression testing
• Identify opportunities for automation and integration optimization within the Boomi environment

Senior EDI Analyst

• Provide quantitative support throughout the Risk or Finance divisions.
• Implementation, modeling, and validation of quantitative models including PD, LGD, ALM, CCAR, QRM, MRM and Economic Capital.
• Provide ongoing support to the development and implementation of quantitative and statistical models.
• Developing, maintaining, and back testing models to support respective LOBs.
• Responsibility for ad-hoc reporting requests for quantitative modeling.
• Incorporate Comerica and Fifth Third data and processes through integration period.

Senior Quant Analyst – CCAR/CECL

• Conduct Functional Behavior Assessments (FBAs) and comprehensive behavioral evaluations.
• Develop individualized Behavior Intervention Plans (BIPs).
• Design and oversee ABA treatment programs based on evidence-based practices.
• Analyze behavioral data and modify interventions based on client progress.
• Supervise Registered Behavior Technicians (RBTs) in accordance with BACB guidelines.
• Provide parent and caregiver coaching to support treatment goals across environments.
• Collaborate with physicians, schools, therapists, case managers, and community partners.
• Complete timely clinical documentation and maintain compliance with payer requirements.
• Ensure compliance with BACB Ethics Code and Illinois regulations.
• Participate in program development initiatives to support Maze of Life's Illinois ABA expansion.
• Assist with quality improvement efforts and best practices for clinical service delivery.

Board Certified Behavior Analyst, BCBA

• Supports the end-to-end procurement lifecycle in SAP, including sourcing, purchasing, supplier management, and integration to finance, while ensuring standardized and compliant processes across the enterprise.
• Works closely with global business and IT teams to support the design, testing, and rollout of SAP S/4HANA Source-to-Pay capabilities aligned to a global template.
• Executes functional testing, resolves defects, supports master data and supplier processes, and assists with cutover and hypercare activities during go-lives.
• Places strong emphasis on enabling consistent procurement processes while supporting regional adoption and change management during a global SAP rollout.

SAP Source-to-Pay IT Analyst

• Work with Litigation Technology Case Managers to develop technology solutions to ensure client expectations are met and exceeded.
• Assist Litigation Technology Case Managers with technical aspects of the overall planning and management of litigation/discovery projects.
• These projects include, but are not limited to: database creation and maintenance, processing of electronic discovery, data conversion/formatting, loading of various data types into document databases, preparing data for case team review, troubleshooting software issues, troubleshooting data received from outside sources and exports from internal databases, verifying data integrity, updating project tracking logs and complying with established standards for quality control and application use.
• Use of critical thinking and troubleshooting abilities to formulate cost effective solutions for time sensitive matters.
• Travel required as needed.
• Perform iPhone collections.
• Other duties as assigned.

Litigation Technology Analyst

• Develop and maintain statistically driven and consensus-based HW forecasts across NAM
• Incorporate multiple inputs including sales pipeline and deal probabilities, customer rollout schedules, historical sales trends and seasonality patterns
• Manage separate forecasting methodologies for Project-based hardware deployments & Recurring SaaS subscriptions
• Support and actively contribute to the monthly S&OP cycle including demand review preparation and facilitation
• Ensure forecast assumptions, risks, and opportunities are clearly documented and communicated.
• Drive continuous improvement in forecast accuracy and process maturity.
• Drive improvements in demand planning tools, systems, and data quality.
• Analyze forecast performance and identify root causes of variances.
• Provide actionable insights on demand trends and risks, seasonality impacts, customer-specific demand patterns
• Partner closely with Sales, Finance, Supply Chain, Customer Success teams

Senior Demand Planning Analyst

• Design and implement end-to-end analytics solutions including data processing, automation, visualizations, training, and ongoing support
• Conduct comprehensive data analysis across familiar and unfamiliar datasets to identify patterns, trends, and insights
• Translate data findings into actionable recommendations through effective stakeholder communication
• Partner with Technology teams to design data integration from multiple systems into data warehouses and analytic models
• Document process requirements, flow maps, and technical design using JLL standard tools
• Ensure alignment between JLL system data and Client system data/reporting
• Collaborate with data stewards to identify and remediate critical data quality issues
• Maintain user permissions and access roles through the Technology Access Tool (TAT)
• Stay current with industry trends and emerging technologies in data analytics and AI

Senior Performance Analyst

• Communicate with new provider to obtain documentation necessary for credentialing & provider enrollment processes.
• Create/Update required credentialing/enrollment portals.
• Ensure active medical licensure respect to provider assigned regions.
• Assist in resolving claims issues that are provider enrollment related.

Credentialing & Enrollment Analyst I

• Support the National Accounts team by providing analytical support, generating sales insights, and solutions for BBG’s key retailers.
• Lead the effort to review and translate shopper and retail data (internal, customer POS, consumer panel, & syndicated) into actionable strategy and tactics.
• Leverage insights to focus on improving product assortment, placement, and promotions.
• Assist in the planning and forecasting process for key suppliers with core customers.
• Work with Business Intelligence team to leverage syndicated & shopper data.
• Perform analysis against the strategic priorities and goals for the National Accounts Team.
• Collaborate with BBG’s National Accounts Team and market-level leaders to align analysis efforts against National Accounts priorities and initiatives.
• Conduct descriptive and predictive analysis on velocity, price levels, promotional activities, distribution, and consumer trending for assigned accounts; and persuasively communicate business insights to key stakeholders along the National Accounts Value chain.
• Lead the effort to report BBG’s business results in assigned retail accounts, owning reporting dashboards, scorecards, and structured communications of business results to stakeholders.
• Utilize foundational analytical techniques to build a sales story and create high impact presentations.
• Build supporting analytic visuals and engaging presentation flow.
• Maintain internal account and product alignment, segmentation, and data accuracy for assigned customers.

Category Development Analyst

• Coordinate enterprise job scheduling and file transfer processes to support critical business applications and operations.
• Monitor system performance and resolve production issues through root cause analysis to improve reliability and prevent recurring incidents.
• Automate operational processes by developing scripts and identifying opportunities to reduce manual work and increase efficiency.
• Support data warehouse and data mart processing by managing batch jobs and file movement activities.
• Collaborate with business partners, IT teams, and vendors to implement system enhancements and maintain stable production environments.
• Develop and execute test plans while following change management and production control standards.
• Maintain accurate technical documentation, operational procedures, and knowledge base resources to support ongoing operations.
• Provide on-call support and assist with business continuity and disaster recovery activities for supported applications and systems.

Production Control Analyst

• Demonstrate advanced proficiency in initial mapping and QA processes across multiple code sets, adhering to nationally recognized coding guidelines.
• Support product release schedules, including resolving mapping issues and contributing to complex release-related tasks.
• Identify and implement improvements in mapping quality and efficiency.
• Manage complex customer inquiries and participate in cross-functional discussions.
• Provide mentorship and support to developing team members.
• Develop clear editorial content with appropriate examples and manage the editorial process.
• Participate in tool enhancement and redesign initiatives.
• Create and deliver interdepartmental presentations and training materials on mapping-related topics.
• Contribute to process documentation and quality assurance strategies.
• Act as a lead subject matter expert on revenue cycle and health information management matters on cross-functional team across IMO Health.

Staff Mapping Analyst

• Assign and maintain administrative code set mappings (ICD-10-CM, ICD-10-PCS, CPT4, HCPCS) for interface terminology in accordance with production and release schedules.
• Maintain content in accordance with code set updates and adhere to nationally recognized authoritative coding guidelines.
• Support product release schedules, including resolving identified mapping issues.
• Demonstrate advanced proficiency in initial mapping and QA processes across multiple code sets.
• Identify potential areas for map improvement and manage complex customer inquiries and related calls.
• Participate in tool testing and support complex release-related tasks.
• Provide mentorship and support to developing team members.
• Develop clear editorial content with appropriate examples and manage the editorial process.
• Act as a subject matter expert on revenue cycle and health information management matters on cross-functional team across IMO Health.

Analyst jobs in Illinois

See all jobs on JobTailor