- Healthfirst (NY)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- The Cigna Group (Bloomfield, CT)
- …Growth and Change Lives?** EviCore, a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly technical systems role ... input correctly into the system per the specifications of the provider. The Claims System Configuration Senior Analyst will have in depth knowledge of the… more
- Centene Corporation (Jefferson City, MO)
- …for assigned function and implement process improvements. + This role will focus on claims configuration for the state of Georgia Behavioral Health. Amisys ... claims configuration , pricing, fee schedule set up,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… 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 ... works to provide application workflow and functional analysis, build and configuration , unit and integrated testing, and plans for transition to application… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other… more
- Kelsey-Seybold Clinic (TX)
- …for benefit issue resolution and Epic upgrade build/testing **Job Title: Tapestry Configuration Analyst -MC** **Location: Remote ** **Department:** **Health ... Required: Minimum 3 years' experience with healthcare applications, system design, configuration or support. Demonstrated knowledge of claims processing, vendor… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… more
- Centene Corporation (Baton Rouge, LA)
- …Must reside in Louisiana** **Position Purpose:** Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams. + Oversee the claims ... Serve as the subject matter expert in resolution of claims and configuration issues + Manage the...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- MyFlorida (Orlando, FL)
- Systems Project Analyst - 79010063 Date: Jan 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... No: 844950 Agency: Business and Professional Regulations Working Title: Systems Project Analyst - 79010063 Pay Plan: Career Service Position Number: 79010063 Salary:… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Sr Business Applications Analyst will identify business requirements and solutions related to the support of the specific business area for ... implementation of a packaged system software. Lead configuration and administration of the Packaged Software, and participating in process design, and system… more
- HealthEdge Software Inc (Columbus, OH)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...features Medicare and Medicaid content coupled with flexible contract configuration capabilities for Commercial lines of business. Payment Integrity… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- …incorporate shared governance artifacts and processes and manage a unified HIT system configuration and/or development approach on behalf of the VA and Department of ... issues related to the tracking of medical records and other information ( claims , billing and reimbursements, eligibility issues) and reporting results to appropriate… more