- Wolters Kluwer (Riverwoods, IL)
- …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
- Centene Corporation (Tallahassee, FL)
- …of business process or data analysis experience, preferably in healthcare . Project management experience preferred. Pay Range: $55,100.00 - $99,000.00 per year ... Available. **Position Purpose:** Perform various analysis and interpretation to link business needs and objectives for assigned function. + Support business… 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 (Columbus, OH)
- …cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans ... is a general role in which employees work with multiple types of business data. Will work cross functionally across multiple business areas.… more
- Sharp HealthCare (San Diego, CA)
- …Must have strong leadership skills and experience. Knowledge of clinical and business operations in a healthcare environment. Knowledge of hospital and ... marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** The Sr. Systems... practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis,… more
- Molina Healthcare (Columbus, OH)
- **Job Description** Job Summary Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (Columbus, OH)
- …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...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Guardian Life (Boston, MA)
- Join the dynamic team at Guardian Life as a ** Business Intelligence Analyst III** and be part of a data-driven environment. This role focuses on improving risk ... changes and IT projects. + Provide design support for the development of business intelligence solutions for Dental and Disability Claims , collaborating closely… more
- Centene Corporation (Jefferson City, MO)
- … process analysis, preferably in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Advanced ... implement process improvements. + This role will focus on claims configuration for the state of Georgia Behavioral Health....in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 22, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 59984 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... claims utilization billing, and employer group reimbursements are completed...High School diploma or GED + Bachelor's Degree in Business Administration- Accounting, Finance or related field preferred +… more
- VNS Health (Manhattan, NY)
- …Public Administration or related field, preferred Work Experience: + Two years' experience with claims in a healthcare setting required + A year of experience ... OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Applications Systems Analyst for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth ... releases and system upgrades, and fixing system defects. Works collaboratively with business customers and other technology specialists to define and support … 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 and ... application area. Job functions include configuring applications by translating the business requirements into software specifications. This position is eligible for… more
- Catholic Health Services (Melville, NY)
- …are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island's Top Workplace! Job ... Details Under minimal supervision, formulates and defines Resolute Hospital Billing/ Claims scope and objectives through research and fact-finding to develop or… 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
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a HUB Sr Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed up ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...difference. We are looking for a dedicated HUB Sr Analyst like you to be a part of our… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Analysis and forecasting of trends in… more