Claims Analyst jobs in San Jose, California (CA)

Manage the calculation, processing, and reconciliation of Price Protection claims and bill ups. Support the processing and review of Ship & Debit claims.

Develop deep customer understanding, particularly around how our customers use various digital channels, then identify new and innovative solutions to solve unmet or unsatisfied customer needs.

Drive analytics and strategy for customer activation and high-touch program measurement and reporting.

Use modeling, analysis and risk assessment to evaluate current and future membership sub-populations with respect to health condition, medical spending and likely health outcomes.

The platform will support 1000+ faculty members and 500+ million dollars in grants. The PM will need to use their expertise in research and technology trends to develop the product portfolio in collaboration with stakeholders.

Own the architecture and execution of the data warehousing and stream data processing platforms.

Developing and integrating cybersecurity metrics and reporting programs for key security, privacy, risk, compliance, and service continuity indicators.

Develops exception reporting and conduct drill?down analysis to proactively identify specific variances in practice patterns; maintains strong attention to details and prioritizes workload while meeting deliverables and expectations.