- Insight Global (Hartford, CT)
- …. Skills and Requirements 7+ years of experience as an IT Business Analyst Domain experience within Medicaid or healthcare claims provider Strong ... Job Description An employer is seeking an IT Business Analyst to join their team...vendors and has a background in the Medicaid or healthcare domain with experience in the claims … 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
- Elevance Health (Morristown, NJ)
- ** Business Analyst III** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles from one of ... and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Business Analyst III** is responsible for serving as the liaison… 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 ... III on our Digital Technology Services team** **!** **Our openings include:** **Applications Analyst III - Epic Resolute HB/PB Claims :** Candidates need to be… more
- Elevance Health (Columbus, OH)
- **Pharmacy Data Claims Analyst & Insights ( Business Analyst II)** _Location: This position will work a hybrid model (1-2 days/week in office). The ideal ... to deliver member-centered, lasting pharmacy care. The **Pharmacy Data Claims Analyst & Insights ( Business ...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… 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
- 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
- Carrington (Columbus, OH)
- **Come join our amazing team and work remote from home!** The Default Claims and Loss Analysis Business Analysts function as an expert resource which consults ... with the business , designs solutions, and...reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build data… 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
- Molina Healthcare (Owensboro, KY)
- …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 (Jersey City, NJ)
- 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
- Capgemini (Bridgewater, NJ)
- Healthcare Business Analyst Choosing Capgemini means choosing a company where you will be empowered to shape your career in the way you'd like, where you'll ... Newark, NJ** **Job Description** Capgemini is seeking a Senior Business system analyst with Healthcare ...Product, Data models & architecture (Preferred) or any other claims processing system like NASCO. + Experience with using… more
- HCA Healthcare (Nashville, TN)
- …fellows with that number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic questions, design and ... Summary and Qualifications** + Constructing and manipulating large electronic claims datasets, knowledge in domain modeling, relational database design, programming… more
- Staffing Solutions Organization (Albany, NY)
- Senior Healthcare Data Analyst One Commerce Plaza, Albany, 99 Washington Ave, Albany, New York, United States of America Req #437 Thursday, September 12, 2024 ... of our clients and the people they serve. **Senior Healthcare Data Analyst - Albany, NY** **Item...business context of various elements related to Medicaid claims . Related efforts will include the production of reports… more
- Atrius Health (Chelmsford, MA)
- …package. **Job:** **Accounting/Billing/Finance* **Organization:** **Finance* **Title:** *Medical Revenue Analyst - Healthcare Only* **Location:** *Chelmsford MA - ... Atrius Health, an innovative healthcare leader, delivers an effective system of connected...denial, and AR management support. Gathers, compiles and organizes claims and denial data. Researches clinical and payer informational… more
- Prime Therapeutics (Glen Allen, VA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization + ... It fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst **Job Description** The Business Systems Analyst … more
- Molina Healthcare (Louisville, KY)
- **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
- Molina Healthcare (Omaha, NE)
- **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
- Molina Healthcare (Louisville, KY)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **JOB DESCRIPTION** **Job Summary** Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Experience with industry… more
- Healthfirst (NY)
- …sum product, array formulas). + Knowledge of SQL, Medicaid/Medicare programs, Healthcare Claims and/or reimbursement preferred. Minimum Qualifications: + ... sum product, array formulas). + Knowledge of SQL, Medicaid/Medicare programs, Healthcare Claims and/or reimbursement preferred. Preferred Qualifications: +… more
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