- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ... or advanced understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical … more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... **Essential Duties & Responsibilities:** + Develop enhanced, customized prospective claims auditing and clinical coding and reimbursement policies and necessary… more
- Molina Healthcare (Nicholasville, KY)
- **JOB DESCRIPTION** **Job Summary** **Must have Claims Medical Exp** Analyzes complex business problems and issues using data from internal and external sources ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Starkville, MS)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- The Cigna Group (Bloomfield, CT)
- …work independently and as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- Walgreens (Deerfield, IL)
- …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... **Job Description:** **Job Summary** Responsible for supervising the Company's Liability claims including oversight of the 3rd party claims administrator and… more
- The Cigna Group (Bloomfield, CT)
- …School Diploma or GED required, bachelor's degree preferred + **5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly...and act as a subject matter expert (SME) to business and IT for eviCore claims product… more
- The Cigna Group (Bloomfield, CT)
- …with all MS office products including PowerPoint - REQUIRED + 5+ years of healthcare claims life cycle experience, emphasis in claims system requirements ... a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly...and process-improvement initiatives as the subject matter expert to business and IT for eviCore claims product… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Sep 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults ... with the business , designs solutions, and...reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build data… more
- Hackensack Meridian Health (Edison, NJ)
- …healthcare and serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and develops ... specifications and build to ensure that developed information technology solutions support business objectives. This level works with little or no supervision and… more
- SSM Health (MO)
- …MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team member with strong ... will serve as an IT liaison for Epic end-users, business partners and our supporting epic application team members....Applicants should have a passion to research and implement healthcare revenue cycle solutions leveraging known best practices for… more
- Centene Corporation (Tallahassee, FL)
- …experience. 2+ years of business process analysis (ie documenting business process, gathering requirements) experience in healthcare industry or 1+ ... in Florida. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business … more
- Molina Healthcare (Georgetown, KY)
- …work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as aSr Business Intelligence Analyst ? At HCA Healthcare , you come first. HCA ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...a difference. We are looking for a dedicated Sr Business Intelligence Analyst like you to be… more
- AIG (San Francisco, CA)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims Department… more
- CVS Health (Atlanta, GA)
- …in a value-based care environment. We're currently searching for an experienced business analyst who is highly detail-oriented, an expert communicator, and ... and affordable. **Position Summary** At CVS Accountable Care our business analysts are key drivers of our continued growth...and/or other analysis tools. - Proven experience as a healthcare data analyst . - Advanced proficiency with… more
- Zions Bancorporation (Midvale, UT)
- …a rapidly growing healthcare technology company, is seeking a self-motivated Business Analyst . This position leverages strong analytical skills to advance ... understanding the big picture and possess knowledge of pharmacy claims . Strong business awareness, superior communication skills,...days in office weekly in Midvale, UT. As a Business Analyst , you will: Lead our Client… more
- Molina Healthcare (Cleveland, OH)
- …and experience **Preferred Experience** + 6+ years experience working as a data or business analyst + Experienced in developing ad-hoc and standard reports using ... sharing recommendations, analyzing reports and other duties as specified. Analyzes complex business problems and issues using member, provider, claims , and… more