- Commonwealth Care Alliance (Boston, MA)
- …* Analyze, measure, manage, and report outcome results on edits implemented. * Utilize data to examine large claims data sets to provide analysis ... small to large Operations Management * Collaborate system and data configuration into CES ( Claims Editing System)...job. Required Experience (must have): * 7+ years of Healthcare experience, specific to Medicare and Medicaid * 7+… more
- Molina Healthcare (MI)
- …+ Locate and interpret regulatory and contractual requirements + Tailors existing reports or available data to meet the needs of the claims project + Evaluates ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Molina Healthcare (WA)
- …to ensure the claims teams and other departments have access to quality claims data through processes which are efficient, accurate, and timely to support ... **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- The Cigna Group (Bloomfield, CT)
- …work independently and as a team + Strongcommunicationskills + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system ... of business within The Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst ....RC3 systems required + 3+ years of experience with claims adjudication, claims data types… 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...RC3 systems Preferred + 3+ years of experience with claims adjudication, claims data types… 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 ... of business within The Cigna Group, is hiring a Claims System Configuration Lead Analyst . This **highly...presentation skills, strongly preferred + Knowledge of industry standard claims data types (837, 835, 277, 999)… more
- The Cigna Group (Bloomfield, CT)
- …to succeed:** + High School Diploma or GED Required + 5+ years of healthcare claims lifecycle; configuration design, editing, claims system requirements, and ... a division of The Cigna Group is hiring a ** Claims Systems Configuration Senior Analyst .** For this...systems required preferred + 3+ years of experience with claims adjudication, claims data types… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Nov 19, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
- Molina Healthcare (IA)
- …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… 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 ... Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance.… more
- Molina Healthcare (KY)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (NM)
- …must be able to work during EST hours **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst... Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data … more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and contract data regarding ... the job satisfactorily)** * Ability to manage various sources of information and large data sets including pharmacy, claims and encounter data * Proficiency… more
- Geisinger (Danville, PA)
- …Clarity models) required. Candidates who do not meet the required minimum qualifications for the Healthcare Data Analyst III may be considered at a lower ... from an electronic health record or health care claims in the area of health research or ...level as a Healthcare Data Analyst II* Job...level as a Healthcare Data Analyst II* Job Duties + Performs… 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, ... of our clients and the people they serve. **Senior Healthcare Data Analyst - Albany,...and business context of various elements related to Medicaid claims . Related efforts will include the production of reports… more
- Staffing Solutions Organization (Albany, NY)
- Healthcare Data Analyst Corning Tower,...of study design and research methods. + Experience with healthcare claims data and electronic health ... workforce, which is a reflection of our clients and the people they serve. ** Healthcare Data Analyst - Albany, NY** **Office of Quality & Patient Safety… more
- AssistRx (Orlando, FL)
- … data that will be presented to internal teams, clients and partners. The Data Analyst leads the onboarding of electronic data trading partners and ... The Data Quality Analyst is responsible for...Excel and SQL is a must + Experience with healthcare and/or pharmacy data is preferred +… more
- Centene Corporation (Lansing, MI)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Knowledge of… more
- HCA Healthcare (Nashville, TN)
- …and process documentation for both the department and for assigned projects. + Perform data analyst functions that generate knowledge via data mining, ... number growing to nearly 8,000 by 2028.** **The Research Analyst will assist in translating clinical needs into analytic...records, Medicare claims , or other health care claims data sets preferred. + SAS, RDBMS,… more
- The Cigna Group (Franklin, TN)
- …office; preferred. Requirements + 5 - 7+ years' experience with systems analysis, data analysis and requirements gathering in Healthcare Industry + Thorough ... understanding of how to interpret customer data and business needs and translate them into technical...in Azure + Strong X12 standard working experience within healthcare that includes ANSI 837 Claims (Institutional,… more
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