- Hartford HealthCare (Hartford, CT)
- …matters. And this is *your moment*. **Job:** **Legal / Compliance* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst / Claims ... a robust caseload, from inception to closure, of Hartford HealthCare 's claims and suits through HHC's Legal...knowledge of insurance coverage, medical and legal terminology and application . Builds a strong foundation for each claim in… 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 ... terminology and medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise ... or problem resolution. . Demonstrated working knowledge and expertise of healthcare processes and application system coordination. . Demonstrated knowledge… more
- Hackensack Meridian Health (Edison, NJ)
- …any system modifications. + Documents all outcomes of testing. Reviews lower level Application Analyst ?s test plans and documented outcomes for consistency and ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Oct 21, 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
- Insight Global (Philadelphia, PA)
- Job Description A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia. The role is hybrid - Monday and Friday WFH, ... assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ###@insightglobal.com . To… more
- Elevance Health (Atlanta, GA)
- …analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues that span across multiple operational areas and requires expert ... Coordinate the identification and resolution of root causes involving configuration, claims and/or contracting activities. **Requirements:** + a BA/BS degree and 5… more
- HCA Healthcare (Brentwood, TN)
- …as a Billing Integrity Analyst RN? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...difference. We are looking for a dedicated Billing Integrity Analyst RN like you to be a part of… more
- Sharp HealthCare (San Diego, CA)
- …systems. + Leadership experience. **Preferred Qualifications** + 5 Years in an application analyst role. + Previous project management experience. + Six ... business practices. **What You Will Do** The Lead Systems Analyst position provides leadership for the Application ...fit for you if you are EPIC Certified in Claims Administration and have experience with EPIC Tapestry in… more
- Molina Healthcare (GA)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... efficiently and improve quality. + Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans.… more
- Molina Healthcare (FL)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect ...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- CVS Health (Montgomery, AL)
- …to make health care more personal, convenient and affordable. A Dental Healthcare Analyst supports and promotes dental health care strategies, policies, ... + Experience in reading or researching dental benefit language and claims **Preferred:** + CDA, RDA, RDH **Education/Experience:** + Associate degree with… more
- Molina Healthcare (WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... improve quality. + Assists in planning and coordination of application upgrades and releases, including development and execution of...+ Must have experience working on SQL. + Medicare claims experience is a huge plus + Medicare Fee… more
- Hackensack Meridian Health (Edison, NJ)
- …This is a hybrid role(50% in the Edison, NJ office and 50% remote). ** Application Analyst III-Epic Ambulatory:** Candidates need to be certified in EPIC ... level Application Analysts. **We have two openings for** **Applications Analyst III on our Digital Technology Services team** **!** **Our openings include:**… more
- CDPHP (Albany, NY)
- …is responsible for leading the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as modifying ... CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and alternatives that meet… more
- Molina Healthcare (Louisville, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... + Must have experience working on SQL. + Medicare claims experience is a huge plus + Medicare Fee...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (NM)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... Graduate Degree or equivalent experience **Preferred Experience** 10+ years Marketplace healthcare experience is preferred. To all current Molina employees: If you… more
- Zelis (Morristown, NJ)
- Position Overview: The Bill Review Operations Analyst will provide daily operational support to the Expert Claims Review team, including the itemized bill ... chart review, and document retrieval teams. Responsibilities include reporting, claims management, analysis, client savings identification, digitized records QA, and… more
- CDPHP (Albany, NY)
- …team's delivery of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as modifying ... CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental audit… more
- VNS Health (Manhattan, NY)
- OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand business ... to meet operational, business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges of knowledge and ideas, and mentors business… more