- Molina Healthcare (OH)
- …areas as needed.. + Ability to write SQL queries + Experience with QNXT configuration + Experience with troubleshooting and analyzing issues. + Experience ... care operations. * Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration , provider information management,… more
- LA Care Health Plan (Los Angeles, CA)
- Core Systems Configuration Analyst III Job Category: Administrative, HR, Business Professionals Department: Enterprise Configuration Location: Los Angeles, ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....to achieve that purpose. Job Summary The Core Systems Configuration Analyst III is responsible for the… more
- Sharp HealthCare (San Diego, CA)
- …claims, provider , billing, capitation, financial and structural. The Systems Analyst -EDI Mgmt will work to streamline processes, create efficiencies and complete ... Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing,… more
- Molina Healthcare (UT)
- …aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. + Leads ... practices. + Where applicable, codifies the requirements for system configuration alignment and interpretation. + Provides support for requirement interpretation… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely reimbursements ... issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid (MassHealth), Medicare,… more