- 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
- 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
- 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 (MI)
- **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… more
- Molina Healthcare (Savannah, GA)
- …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
- Molina Healthcare (Spokane, WA)
- **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
- Guidehouse (Lewisville, TX)
- …experience in lieu of Diploma / GED. + 1-3+ year's experience in within business , operations, customer service or healthcare fields. **What Would Be Nice to ... **Clearance Required** **:** None **What You Will Do** **:** The **Billing Analyst ** is expected to perform specific billing processes, follow-up, account analysis… more
- Molina Healthcare (Long Beach, CA)
- …advanced Excel or SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data.. + Experienced in Healthcare domain specifically ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- The Cigna Group (Bloomfield, CT)
- …EviCore, a line of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly technical systems** role acts as the ... initiatives. You'll be the subject matter expert to the business and IT for eviCore claims product...products including PowerPoint - REQUIRED + 5+ years of healthcare claims life cycle experience, emphasis in… 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
- 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
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 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
- VNS Health (Manhattan, NY)
- OverviewWorks directly with management on highly visible projects to understand business needs and challenges of managed care payors and to develop innovative ... requirements, performs analysis, designs new or enhanced systems to meet operational, business , and clinical needs. Collaborates with Business Unit and/or… 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
- Molina Healthcare (OH)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
- Molina Healthcare (Syracuse, NY)
- …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
- 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
- TEKsystems (Honolulu, HI)
- Description Serves as the entry level position for the Healthcare Service Analyst job family. Employees in this position will gain the necessary knowledge, ... pend resolution updates. * With the guidance of the Healthcare service analyst II, learns how to...claims processing * Knowledge of CIRF, Aerial, Serena Business Mashups, MS SharePoint, Provider Resource Center, Documentum, claim… more
- Hartford HealthCare (Farmington, CT)
- …matters. And this is *your moment*. **Job:** **Information Technology* **Organization:** **Hartford HealthCare Corp.* **Title:** *ITS Application Analyst I / IS ... Work where*every moment*matters. Every day, approximately 38,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing… more
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