- The Cigna Group (Bloomfield, CT)
- …line of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . For this **highly technical senior ... will have in depth knowledge of the eviCore claims systems and products. As the Subject...as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, … more
- The Cigna Group (Bloomfield, CT)
- …within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems ** role acts as the Subject Matter Expert ... (SME) for the Configuration of the eviCore Claims Systems and the suite of eviCore...products including PowerPoint - REQUIRED + 5+ years of healthcare claims life cycle experience, emphasis in… more
- The Cigna Group (Bloomfield, CT)
- …management? Then read on EviCore, a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this senior level role, ... Improve Lives? Do you have **advanced** **technology skills with Claims Systems Configuration,** SQL querying, MS Access,...School Diploma or GED Required + 5+ years of healthcare claims lifecycle; configuration design, editing, … more
- Molina Healthcare (UT)
- …+ years experience in a combination of applicable business and business systems **PREFERRED EXPERIENCE:** Medicare, Medicaid and Marketplace claims knowledge ... Interfaces with the customer in developing requirements for major complex claims testing projects within Medicare, Medicaid and Marketplace; prepares system test… more
- The Cigna Group (Bloomfield, CT)
- …a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role requires the review of our claims ... will have in depth knowledge of the eviCore claims systems and products. As the Subject...GED required, bachelor's degree preferred + **5+ years of healthcare claims lifecycle; configuration design, editing, … more
- Hackensack Meridian Health (Edison, NJ)
- …community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The **Applications Analyst ... Professional Billing Administration as well as Epic Resolute Hospital Billing Claims / Electronic Remittances and/or Resolute Professional Billing Claims … more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... formation, bonding, delay and dispute resolution. Experience in financial management systems , project management systems , and scheduling applications (Primavera… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 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
- Molina Healthcare (IA)
- …**Preferred Experience** + 1-3 years formal training in Business Analysis and/or Systems Analysis To all current Molina employees: If you are interested in ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … 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, ... https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Epic Hospital billing and claims billing experience in support and implementations Resolute Hospital… 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
- 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 ... knowledge of all systems , tools and processes.** **Primary duties may include, but...the identification and resolution of root causes involving configuration, claims and/or contracting activities. **Requirements:** + a BA/BS degree… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and contract data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (KY)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools ... **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Molina Healthcare (NM)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools ... during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- Sharp HealthCare (San Diego, CA)
- …eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst -EDI Mgmt will work to streamline processes, create ... the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and...ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s,… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Lead Systems Analyst position provides leadership for the Application Support, Enhancement, ... fit for you if you are EPIC Certified in Claims Administration and have experience with EPIC Tapestry in...contracts, and benefits.** **Required Qualifications** + Bachelor's Degree in healthcare , information systems , or related field or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …of project management practices. + Clinical knowledge and experience utilizing electronic healthcare data. **Business Systems Analyst IV** Education and ... our members achieve their best possible health and quality of life. Business Systems Analyst III Provides the interface between clinical business teams (Case… 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 ... operational, business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges of...as primary technical expert and principal designer of information systems for the managed healthcare business. Collaborates… more
- The Cigna Group (Franklin, TN)
- …experience with systems analysis, data analysis and requirements gathering in Healthcare Industry + Thorough understanding of how to interpret customer data and ... and/or Scala code in Azure + Strong X12 standard working experience within healthcare that includes ANSI 837 Claims (Institutional, Dental, Professional), 835… more