- Prime Therapeutics (Columbus, OH)
- …Senior Claims Technical Analyst is responsible for serving as the claims analysis resource for assigned operations teams. This role is responsible for ... and drives every decision we make. **Job Posting Title** Claims Technical Analyst , Sr. **Job Description** The...efforts for department level applications. **Responsibilities** + Serve as lead Analyst for complex and/or escalated analysis… 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 ... strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Data Claims Analyst & Insights (Business Analyst II)** is… more
- The Institute for Family Health (New York, NY)
- HIT ANALYST - Claims / Professional Billing Job...in EPIC products that are used to conduct clinical operations . The Epic Analyst will be responsible for ... PA, TN or VA SUMMARY: The position of Epic Analyst requires an individual that possesses functional knowledge and...and revise project plans. + Possess proven ability to lead projects and project teams, including training and monitoring… more
- Sevita (Sarasota, FL)
- …other. Join us, and experience a career well lived. The AR Credit Balance Analyst is responsible for the review, analysis and resolution of credit balances within ... the Revenue Cycle. Analyst responsibilities include oversight of credit balances on the...* Identify root causes, trends and process deficiencies that lead to credit balances and assist with development of… more
- CommonSpirit Health (Englewood, CO)
- …Epic applications. Understands system options and configurations completely and can suggest and lead teams through decisions on the best way to configure and utilize ... the system. The Epic Application Analyst acts as a subject matter expert in design,...the system and how it fits or not with operations ; The ability to troubleshoot basic problems and recommend… more
- UIC Government Services and the Bowhead Family of Companies (Fort Belvoir, VA)
- **Overview** PROGRAM OPERATIONS ANALYST LEAD (ARDAP): Bowhead is seeking a Program Operations Analyst Lead for the upcommingArmy Data and ... technicians assigned for the duration of a project or may function as ongoing lead within a group of engineers associated with one or more technical areas within… more
- The Cigna Group (Denver, CO)
- …Medicare Strategic Analytics. Reporting to the Manager of Care Management Analytics, the lead analyst will analyze healthcare claims and clinical outcomes ... **Summary** The Business Analytics Lead Analyst will be responsible for...multiple business areas, partnering with clinical leadership, care management operations , vendor clinical programs, and other departments as needed… more
- AIG (Charlotte, NC)
- …multichannel distribution network. How you will create an impact As a Data Standards Lead Business Analyst , the role will be responsible for enhancing and ... Data Standards Lead Business AnalystWho we are American International Group,...Data Ingestion Strategy. The data standards support the underwriting, claims , finance and reinsurance business processes for the insurance… more
- The Cigna Group (Franklin, TN)
- **Summary** The Data Scientist Lead Analyst will contribute to the Medicare Clinical and Customer strategy, performing research and analysis within the Clinical, ... strategic insights, and collaboration with our internal partners. The Data Scientist Lead analyst will interface across multiple business areas, including, but… more
- The Cigna Group (Houston, TX)
- This Financial Analysis Lead Analyst role will be responsible for supporting the financial analysis through data analytics for the Tennessee Medicare market ... Finance. The analyst will focus on the analysis of medical claims , revenue and related financial information to make recommendations based on relevant findings.… more
- Tractor Supply Company (Brentwood, TN)
- Analyst , OC Operations **Overall Job Summary** The Omni Channel Analyst is responsible for managing all aspects of either fulfillment or the returns ... Pickup in Store, Ship from Store, Ship from DC, Return to Vendor (RTV), Claims process, In store returns and 3rd Party Liquidators/Vendors. + Maintain tight control… more
- The Cigna Group (Mclean, VA)
- …work in the office or visit Providers 3 days per week The **Provider Contracting Lead Analyst ** serves as an integral member of the Provider Contracting Team and ... reports to the Contracting Manager or Market Lead . This role assists and supports the day to...communication with matrix partners including but not limited to, Claims Operations , Medical Management. Credentialing, Legal, Medical… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Lead Business Analyst -REMOTE **Job Description Summary** Serves as liaison between ... departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis. Supports… more
- AIG (Atlanta, GA)
- …Americas Fraud and Recovery TPA Analyst will work closely with the Global F&R TPA Lead as well as the NAM Claims TPA Governance team. The role will develop, ... risk. Join us as a Fraud & Recovery TPA Analyst to play your part in that transformation. It's...a focus on collaboration across the whole of the operations team and wider claims team. .… 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 ... claims function. Make your mark in Claims ...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- Monro Muffler/Brake (Rochester, NY)
- … claims with secondary backup functions at inputting Workers' Compensation claims . The Liability Analyst will maintain strong relationships with Monro ... our many brands, in field management, and in store operations at our Store Support Center in Rochester, New...Analyst will understand and professionally input and communicate claims to the Risk Management and Monro Inc. leadership… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst /Health Care Fiscal Analyst Trainee - 2 Positions, Central Office ... for appointment under the NY HELPS Program:Health Care Fiscal Analyst Trainee 1 (starting salary $52,198): A bachelor's degree...in the review and analysis of fiscal and cost operations and/or billing systems of a hospital or healthcare… more
- CDPHP (Albany, NY)
- …to; Federal, State, ASO, Internal and other audits as they relate to claims operations departmental processes. This role will be primarily responsible for ... CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental audit… 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
- Medical Mutual of Ohio (OH)
- …maintain and enhance knowledge, skills, and abilities. . Performs other duties as assigned. Lead Employer Group Consulting Analyst Lead the design and ... development and execution of new deliverables and enhancements to existing deliverables. Lead Employer Group Consulting Analyst . Bachelor's Degree in… more
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