Analyst

• Lead and support the Data and Analytics Support Desk function, providing both technical leadership and day-to-day guidance to analysts and team members
• Act as a player-coach, maintaining hands-on involvement in complex support cases while mentoring and developing the team
• Serve as a senior escalation point for advanced SQL, ETL/ELT, data warehouse, and BI-related issues
• Drive high-quality resolution of complex data platform issues, ensuring strong technical standards across all work
• Coach and mentor team members to deepen technical expertise, improve troubleshooting approaches, and grow professionally
• Own prioritization and triage of high-impact incidents, ensuring efficient routing and resolution
• Drive SLA adherence while maintaining a high bar for technical accuracy and quality
• Conduct root cause analysis (RCA) on recurring data defects and partner with Engineering and Product on structural improvements
• Ensure clear, proactive, and technically sound communication with clients throughout issue resolution
• Partner cross-functionally with Engineering, Product, and Customer Success to address systemic platform issues
• Identify trends, risks, and opportunities to improve platform performance, reliability, and scalability. Partner with the Head of Support Services to implement structural improvements and elevate service quality.
• Contribute to documentation, best practices, and knowledge sharing to reduce recurring issues
• Support operational tooling (PagerDuty, Jira, etc.) to ensure effective incident management and reporting
• Participate in hiring, onboarding, workforce planning, and performance management.
• Additional responsibilities as assigned.

Lead Analyst

• Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance
• Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs
• Identify operational, compliance, and claim quality risks and provide recommendations for improvement
• Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards

Commercial Claims Quality & Performance Analyst III

• Be a part of the team that is transforming the power industry of northern and eastern Maine
• The IT Analyst II is an intermediate technical position responsible for support, maintenance, design and development for assigned Versant Power Information Systems
• Supports the design, development and testing of new applications, application changes, and upgrades associated with the specified applications and related integration tools
• Provides technical support, maintenance, development, programming and troubleshooting for Customer Information System (CIS) and the integration with other systems
• Provides documentation/project tracking and management reporting to support the department's work plan
• Provides technical information for Disaster Recovery planning and participates in annual Technical Asset Review updates to help ensure asset life cycle management
• Actively participates in CIS Team meetings and contributes to the decision-making processes
• Participates in after-hours call out for application support
• Performs other related duties as assigned, including designated duties associated with System Restoration, (SEOP) System Emergency Operations Plan

IT Analyst II

• Design, build, and maintain dashboards and reports that support product insights, data quality, and financial performance.
• Query, clean, and analyze large datasets from veterinary practice management systems using SQL.
• Build and understand taxonomy development and consumption through various data pipelines.
• Perform data mapping using various product and patient demographic taxonomies.
• Partner with software engineers to translate clinical workflows into data requirements.
• Identify trends, anomalies, and opportunities in hospital performance data and communicate findings to both technical and non-technical audiences.
• Support data integrity initiatives, including data validation, reconciliation, and documentation of data pipelines.
• Develop a deep understanding of the veterinary business ecosystem, including how hospital data flows through scheduling, invoicing, medical records, and client communications.
• Collaborate cross-functionally on ad hoc analytical requests from operations, finance, product, and leadership teams.
• Advance AI tooling initiatives by providing QA for machine learning and normalization model outputs.
• Contribute to the development of KPIs, metrics frameworks, and data governance standards.

Taxonomy Analyst

• Responsible for development of analyses and business processes to provide senior management with accurate assessment of revenue requirements
• Help prepare various regulatory filings for Central Maine Power
• Provide support for rate case filings
• Perform financial analysis as required
• Prepare and maintain complex and sophisticated forecasting models
• Maintain historical data sets for various financial metrics
• Support regulatory research projects as required

Lead Analyst – Revenue Requirements

• Lead or support planning, analysis, and execution of QA activities across the Software Development Life Cycle (SDLC)
• Ensure that teams' work has clear acceptance criteria, developed/agreed on between members of the scrum teams
• Write, execute, and maintain manual test cases based on user stories, functional specs, and acceptance criteria
• Execute or interpret regression, performance, and validation testing; track and report defects
• Validate integrations with backend systems (e.g., eligibility engines, document uploads)
• Perform accessibility testing and ensure compliance with relevant policies
• Collaborate with product managers, project managers, designers, developers, and test automation engineers to maintain high-quality service delivery
• Log detailed, actionable bug reports with reproduction steps, screenshots, and expected vs. actual results

Quality Analyst

• Review current Behavioral strategies
• Develop formal behavioral support plans
• Conduct staff training and oversight
• Perform periodic reviews for efficacy

Board Certified Behavior Analyst, Virtual or In-person

• Provides support and functional supervision to programs within the Division of Quality Assurance and Regulation
• Conducting and tracking training for inspectors
• Reviewing daily inspection reports and inspector activities for completion and adequacy
• Administers the Maine Quality Trademark program; approves applications and processes renewals
• Issues Letters of Warning and makes Enforcement referrals to the Attorney General’s Office as needed
• Administers the Minimum Standards for Potato Seed Planting program
• Assists with sampling activities within the Dairy and Feed, Seed, Fertilizer programs as needed
• Integral to the programs providing food safety inspection and consumer protection

Inspection Process Analyst Coordinator

• Assist key stakeholders, such as customers, third-party vendors, and Mark43 engineering teams, through the different stages of technical implementation, including requirements gathering, solutioning, documentation, mapping, configuration, and user acceptance testing.
• Track technical project schedules with stakeholders, help identify schedule risks, and support Implementation Managers with mitigation strategies.
• Configure, schedule, and maintain containerized software across a multi-cloud environment.
• Update external-facing technical documentation to educate stakeholders on Mark43 technical solutions.
• Work towards a worthwhile mission with a team of friendly and intelligent coworkers.

Integrations Analyst

• Research, interpret, and apply coding, payer, and regulatory requirements to support accurate and compliant Professional and Hospital coding practices
• Develop, maintain, and update coding guidance, standard work, reference materials, and position statements to ensure enterprise consistency
• Coordinate and support coding quality audits by routing requests, maintaining records, and verifying documentation completeness and accuracy
• Analyze coding quality data and audit results to identify trends, risks, and opportunities for improvement
• Partner with Integrity Operations, coding leadership, clinicians, and education teams to improve documentation quality and coding accuracy

Integrity Analyst – Facility Coding Quality, Inpatient

• Facilitate daily treasury operations
• Provide accurate cash reporting
• Assist with bank structure management and risk management activities
• Prepare, verify, reconcile, and balance accounts
• Prepare complex financial analysis and routine reports
• Act as Treasury liaison with business units for banking matters
• Maintain positive banking relationships
• Maintain systems and data assets for financial areas
• Provide information for audits and monitor Treasury activities for compliance

Treasury Analyst

• Handling patient access queries using Epic software
• Managing referrals and scheduling
• Collaborating with healthcare team to improve access process

Patient Access Analyst

• Conduct in-depth industry and financial analysis of existing and potential borrowers
• Support Lending and Credit functions of the Bank
• Responsible for complex loans/industries/Customers
• Strong understanding of loan risk factors
• Train/mentor/coach junior analysts
• Research industry specific information
• Participate in customer meetings
• Integral part of loan origination process
• Prepare insightful and timely approval memorandums
• Analyze financial statements, management profiles, and cash flow ability
• Prepare complete written analysis with recommendations

Credit Analyst III – CRE & C&I

• Provide hands-on clinical support under BCBA supervision
• Assist RBTs with program implementation
• Conduct probes and program updates
• Participate in parent training
• Collaborate with school staff on goals

BCaBA – Board Certified Assistant Behavior Analyst, Full Time

• Support RBTs with implementation of BCBA-developed programs
• Assist with RBT onboarding and training
• Conduct probes and update programs under BCBA direction
• Review session data for BCBA

BCaBA, Part Time

• Review claims and interpret contracts
• Disperse reimbursement and ensure documentation supports Stop Loss claim determination
• Provide customer service and manage financial risk for assigned claims
• Develop, coordinate, and implement action plans for claims management

Stop Loss & Health Claim Analyst

• responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination
• responsible for customer service, and the financial risk associated with an assigned block of Stop Loss claims
• applying the appropriate contractual provisions
• plan specifications of the underlying plan document
• professional case management resources; and claims practices, procedures and protocols to the medical facts of each claim to decide on reimbursement or denial of a claim
• accountable for developing, coordinating and implementing a plan of action for each claim accepted to ensure it is managed effectively and all cost containment initiatives are implemented in conjunction with the clinical resources

• Supports the development and maintenance of Medicaid Fee-for-Service pharmacy pricing and modeling aligned with the company’s mission, strategies, products, and services.
• Oversee core analytical work related to SOW requirements, including, Medicaid MAC pricing analysis, and 340B program impacts and compliance considerations.
• Develop, maintain, and enhance cost analysis and predictive trending models to support Medicaid FFS programs, segmented by SOW, pricing methodology, or program initiative.
• Lead and manage the capture, ingestion, and maintenance of external pricing files (e.g., NADAC, state MAC files, other benchmarks), including, performing data quality checks and validation, identifying and correcting anomalies or errors, conducting timely market research to support pricing accuracy and responsiveness, and resolve or escalate discrepancies, variance, or other anomalies.
• Create and maintain a formal Tier 2 inquiry process for MAC-related issues, including tracking inquiry volume, documenting resolution and outcomes, assessing financial and operational impact, and supporting trend analysis and escalation.
• Collaborate with other leaders to interpret and apply Medicaid regulations, state-specific requirements, and program initiatives to analytical models, pricing strategies, and reporting outputs.
• Collaborate with internal stakeholders (e.g., Client Services, Contracting, Operations, Compliance) to evaluate the financial and contractual impact of Medicaid pricing and program decisions.
• Interact with external stakeholders and vendors, building collaborative relationships to support pricing accuracy, data transparency, and program execution.
• Support leadership with ad hoc analysis, forecasting, and scenario modeling related to Medicaid FFS pricing, program changes, and regulatory developments.
• Assist leadership in supporting new Medicaid program initiatives, enhancements to pricing methodologies, and expansion of analytical capabilities.
• Contribute to the development of client- or state-facing materials and presentations, as needed, to explain pricing methodology, cost drivers, and program impacts.
• Periodic and detailed reporting of activities and opportunities to leadership.
• Other duties as assigned.

Senior Analyst, Government Pricing

• Maintain and administer Medicaid fee for service drug pricing methodologies in accordance with federal and state Medicaid requirements.
• Monitor and incorporate National Average Drug Acquisition Cost (NADAC) updates and related CMS guidance into pricing models and operational systems.
• Evaluate and apply HRSA 340B ceiling price considerations and exclusions as applicable to Medicaid reimbursement models.
• Ensure pricing methodologies align with state specific Medicaid reimbursement rules and contractual requirements.
• Accountable to cross-walk FDB to Medispan or visa versa to ensure compliance with State Medicaid Prescription Drug List and ensure ongoing reconciliation and updates.
• Support compliance with federal and state audit, reporting, and transparency expectations related to Medicaid drug pricing.
• Maintain and manage industry pricing and reference sources, including but not limited to Medi Span multisource and product codes (e.g., MONY indicators), NADAC pricing files, and HRSA 340B ceiling price date.
• Validate integrity, completeness, and timeliness of reference data used in pricing and modeling and resolve or escalate discrepancies.
• Assess industry changes that may impact Medicaid pricing assumptions or reimbursement outcomes.
• Maintain, and update financial models supporting Statements of Work (SOWs) for Medicaid fee for service pricing arrangements.
• Perform detailed pricing impact analyses to support SOW development, amendments, and renewals.
• Manipulate and analyze large data sets specific to SOW requirements, pricing guarantees, and reimbursement terms.
• Partner with internal stakeholders to ensure SOW pricing assumptions are accurate, documented, and supportable.
• Other duties as assigned.

See all jobs on JobTailor

Lead Analyst

Commercial Claims Quality & Performance Analyst III

IT Analyst II

Taxonomy Analyst

Lead Analyst – Revenue Requirements

Quality Analyst

Board Certified Behavior Analyst, Virtual or In-person

Inspection Process Analyst Coordinator

Integrations Analyst

Integrity Analyst – Facility Coding Quality, Inpatient

Treasury Analyst

Patient Access Analyst

Credit Analyst III – CRE & C&I

BCaBA – Board Certified Assistant Behavior Analyst, Full Time

BCaBA, Part Time

Stop Loss & Health Claim Analyst

Stop Loss & Health Claim Analyst

Senior Analyst, Government Pricing

Analyst, Government Pricing