- Wolters Kluwer (Riverwoods, IL)
- …**Key Responsibilities:** + Research, analyze and interpret CMS rules and claims data to identify trends, issues, and changes. This ... Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… 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 ... and report outcome results on edits implemented. + Utilize data to examine large claims data...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Molina Healthcare (Long Beach, CA)
- …using advanced Excel or SQL. + Must be able to conduct root cause analysis in Healthcare Porvider claims data .. + Experienced in Healthcare domain ... Designs and implements processes and solutions associated with a wide variety of data sets used for data /text mining, analysis, modeling, and predicting to… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, consulting with users and ... for you if you had the following certification: Resolute Professional Billing Claims and Remittance Administration. An ideal candidate would have 3+ years'… 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
- 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
- Molina Healthcare (Savannah, GA)
- …DESCRIPTION** **Job Summary** Analyzes complex claim inquiries and reimbursement issues.using data from internal and external sources to expeditiously resolve claim ... Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans to modify or tailor existing claim… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Jan 6, 2025...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 18, 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
- UPMC (Pittsburgh, PA)
- **Purpose:** The function of the Associate Accounts Receivable Claims Analyst is to ensure all HRA, FSA , ASO & Stop Loss related reporting & reconciliation, ... HRA, FSA & ASO claims from our claims system and other data sources, to...related field preferred + Minimum of 1 year of healthcare , insurance, or other financial experience required + Demonstrate… more
- Robert Half Accountemps (Flint, MI)
- …healthcare organization based in Flint, Michigan, United States, currently seeking a Medical Claims Analyst . In this role, you will be responsible for tasks ... such as coding patient data , auditing patient records, and liaising with ...of experience in a similar role as a Medical Claims Analyst * Proficiency in using Cerner… more
- Molina Healthcare (Spokane, WA)
- …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
- VNS Health (Manhattan, NY)
- …and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees ... health plan value stream. Articulates business issues and designs data collection methodologies. + Provides data collection...state rates. + Acts as a liaison between the claims department, providers and other internal departments. + Manages… more
- Molina Healthcare (OH)
- **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 (Syracuse, NY)
- …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
- 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
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst - Albany, NY** **Item 1301** **Summary** The ** ... Data Analyst ** will work within the Division of ...reports in support of the intake and management of healthcare data . The ideal candidate will be… more
- Staffing Solutions Organization (Albany, NY)
- …a diverse workforce, which is a reflection of our clients and the people they serve. ** Healthcare Data Analyst - Albany, NY** **Office of Quality & Patient ... role has a 50% onsite work component.** **Summary** The Data Analyst will work within the Center...of study design and research methods. + Experience with healthcare claims data and electronic… more
- TEKsystems (Honolulu, HI)
- Description Serves as the entry level position for the Healthcare Service Analyst job family. Employees in this position will gain the necessary knowledge, ... strategic planning. * Learns to conduct cost/benefit analysis of claims processing. Extract and analyze data using...pend resolution updates. * With the guidance of the Healthcare service analyst II, learns how to… more
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