- Hartford HealthCare (Hartford, CT)
- …matters. And this is *your moment*. **Job:** **Legal / Compliance* **Organization:** **Hartford HealthCare Corp.* **Title:** * Claims Analyst / Claims ... a robust caseload, from inception to closure, of Hartford HealthCare 's claims and suits through HHC's Legal...knowledge of insurance coverage, medical and legal terminology and application . Builds a strong foundation for each claim in… 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 ... terminology and medical coding (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding… more
- Zelis (St. Petersburg, FL)
- …or advanced understanding of payment integrity, claim processing and/or revenue cycle for healthcare claims + Understanding of medical coding and medical ... Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR)...in accordance with Company policies. Zelis is modernizing the healthcare financial experience by providing a connected platform that… more
- Molina Healthcare (Covington, KY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes… more
- SSM Health (MO)
- …including building application tables and reports for Epic applications in analyst 's area of expertise. + May lead functional teams or projects with moderate ... MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team member with strong… more
- The Cigna Group (Bloomfield, CT)
- …work independently and as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ...._If you require reasonable accommodation in completing the online application process, please email:_ _###@cigna.com_ _for support. Do not… more
- The Cigna Group (Bloomfield, CT)
- …School Diploma or GED required, bachelor's degree preferred + **5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... a division of the Cigna Group is hiring a Claims System Configuration Senior Analyst . This highly..._If you require reasonable accommodation in completing the online application process, please email:_ _###@cigna.com_ _for support. Do not… more
- Randstad US (Duarte, CA)
- epic systems analyst - resolute pb/pb claims (remote). + duarte , california (remote) + posted 1 day ago **job details** summary + $65 - $85.02 per hour + ... is currently seeking a talented and accomplished Sr. Systems Analyst to support Resolute PB and PB Claims... opportunity! Minimum Qualifications and Experience: + 7+ years healthcare experience in a Revenue Cycle Systems Analyst… more
- The Cigna Group (Bloomfield, CT)
- …with all MS office products including PowerPoint - REQUIRED + 5+ years of healthcare claims life cycle experience, emphasis in claims system requirements ... a division of the Cigna Group is hiring a Claims System Configuration Lead Analyst . This highly..._If you require reasonable accommodation in completing the online application process, please email:_ _###@cigna.com_ _for support. Do not… more
- Hackensack Meridian Health (Edison, NJ)
- …any system modifications. + Documents all outcomes of testing. Reviews lower level Application Analyst ?s test plans and documented outcomes for consistency and ... keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change....serve as a leader of positive change. The **Applications Analyst III** gathers business requirements, conducts needs assessments, and… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Sep 22, 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
- Molina Healthcare (Starkville, MS)
- …analysis. + Interpret customer business needs and translate them into application and operational requirements + Communicate and collaborate with external and ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Insight Global (Philadelphia, PA)
- Job Description A large healthcare system is looking to hire a Lead Epic Claims Analyst in North Philadelphia. The role is hybrid - Monday and Friday WFH, ... assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ###@insightglobal.com . To… 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 ... reports. + Using a strong background of Default MI Claims and/or Loss Analysis identify gaps, trends and build...in a Project environment and have awareness of the application development lifecycle. + Ability to formulate complex and… more
- Insight Global (Fayetteville, AR)
- Job Description A local healthcare organization is seeking 11 skilled and detail-oriented Epic Systems Analysts to join their IT team. This team will be responsible ... assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ###@insightglobal.com . To… more
- Montrose Memorial Hospital (Montrose, CO)
- About Montrose Regional Health: + As the leading healthcare in the Uncompahgre Valley, MRH offers patients personalized and professional healthcare backed by the ... services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the employer of choice in our communities. Montrose Regional… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as aSr Business Intelligence Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...We are looking for a dedicated Sr Business Intelligence Analyst like you to be a part of our… more
- CVS Health (Atlanta, GA)
- …querying with SQL and/or other analysis tools. - Proven experience as a healthcare data analyst . - Advanced proficiency with data tools including Microsoft ... a value-based care environment. We're currently searching for an experienced business analyst who is highly detail-oriented, an expert communicator, and top-notch … more
- Sharp HealthCare (San Diego, CA)
- …systems. + Leadership experience. **Preferred Qualifications** + 5 Years in an application analyst role. + Previous project management experience. + Six ... business practices. **What You Will Do** The Lead Systems Analyst position provides leadership for the Application ...fit for you if you are EPIC Certified in Claims Administration and have experience with EPIC Tapestry in… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager, Director, and Other ... market financial review with senior management. + Trouble shoot claims issues for providers + Investigate member grievances within...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
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