- Harbor Health Services, Inc. (Mattapan, MA)
- …and leads improvement of processes, policies, protocols, clinical guidelines and aligned business practices related to the UM function. Ensures timely responses to ... understand provider experience and develops external partnerships with provider and healthcare organizations, including hospitals and SNFs. Serves as coach and… more
- Banner Health (Phoenix, AZ)
- …perfect opportunity for you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk identification, mitigation, transfer, ... and claims management to protect one of the nation's largest non-profit healthcare systems. In this role you will be revieing new claims , such as property or… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- …this role:** . 8-10 years of experience as a Business Analyst or Business Systems Analyst in the healthcare payer domain. . Strong understanding of ... **Senior Business System Analyst - Healthcare...APIs or payer modernization initiatives. . Working knowledge of healthcare payer systems and processes (benefits, claims ,… more
- HTC Global Services Inc (Berlin, NH)
- …analytics and process improvements. Key Responsibilities: + Min 7+ years of experience in healthcare business analyst role, especially in data profiling and ... Description: Client organizations hire healthcare business analysts to bridge ...processes. A typical description emphasizes collaboration with Enrollment teams, Claims and provider domains , and IT teams to… 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 … more
- COOLSOFT (Columbia, SC)
- BachelorS Degree In A Technical Or Business Field Healthcare Operations Analyst Requirement id 156351 Job title Analyst Job location in Columbia, SC ... DOE Status requirement Job interview type Email Recruiter:coolsoft Job Description Analyst : Business Processes, Azure DevOps, Atlassian JIRA, BachelorS Degree… more
- Robert Half Technology (Florham Park, NJ)
- Description A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role ... and tailored services to optimize patient outcomes and improve healthcare delivery. ** Qualified candidates should have experience with...8 years of experience as a Functional or Software Business Analyst . + Proven track record of… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: ... Data Analytics & Business Intelligence About Blue Cross and Blue Shield of...join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to ... Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan,...are implemented and integrated in all systems for accurate claims adjudication. This includes analysis of changes to medical… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... and Blue Shield of Minnesota is hiring a Principal Healthcare Analyst on our Risk Adjustment team...responses, and reporting. * Knowledge of managed care and healthcare claims preferred. * Bachelor's degree. Compensation… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare . **Benefits** HCA Healthcare offers a ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...location._** Come join our team as a Benefits Operations Analyst - Retirement Plans. We care for our community! Just… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Submissions Healthcare Data Analyst Location: Hybrid | Eagan, Minnesota Career Area: ... You Will Have Blue Cross and Blue Shield of Minnesota is hiring a Senior Submissions Healthcare Data Analyst in Eagan, MN. In this role, you will support the… more
- Elevance Health (Indianapolis, IN)
- **Senior Healthcare Economics Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
- HCA Healthcare (Richmond, VA)
- …population health, medical economics, bookkeeping, or operational data analysis in a healthcare setting + Expertise in business intelligence reporting platforms, ... **Description** **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in...156,000 hours volunteering in our communities. As a(an) Financial Analyst with Virginia Quality Care Partners you can be… more
- Sharp HealthCare (San Diego, CA)
- …on data quality concerns, specifically related to ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not ... internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** Under the direction of the… more
- Molina Healthcare (UT)
- …are aligned as well as work with operational leaders within the business to provide recommendations for process improvements and opportunities for cost savings. ... committee structure and timing with key partner organizations. Interpret customer business needs and translate them into application and operational requirements. +… more
- Molina Healthcare (Rochester, NY)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Experience with industry… more
- Molina Healthcare (NM)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. * Experience with industry… more
- Molina Healthcare (Madison, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- University of Miami (Miami, FL)
- …UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business ... strategies that enhance overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established… more
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