- Molina Healthcare (Cleveland, OH)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... claims -related regulatory and contractual requirements. Tailors existing reports and/or available data to meet the needs of claims projects. Evaluates … more
- TEKsystems (Moorestown, NJ)
- …We are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on ... space. They specialize in claims processing, enrollment, compliance, and data -driven solutions that help clients navigate complex healthcare and insurance… more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. Works with… more
- Carrington (Madison, WI)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
- Molina Healthcare (Cincinnati, OH)
- …uses current and emerging technologies. KNOWLEDGE/SKILLS/ABILITIES With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...working on SQL, PowerBI, databricks. Experience on ETL , healthcare specifically claims is highly preferred. JOB… more
- BJC HealthCare (St. Louis, MO)
- …job qualifications and relevant work experience) Additional Information About the Role BJC HealthCare is seeking a Patient Accounts Analyst ! who will be writing ... language. If you have experience writing denial appeals, apply today! Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United… more
- IQVIA (Durham, NC)
- …FSP team, working fully within the environment of a prominent Pharma company. This senior data analyst role sits within our Real World Solutions team and will be ... individual to have prior experience in observational research utilizing EMR and claims data , a strong statistical programming skillset, and experience managing… more
- Molina Healthcare (Chandler, AZ)
- …better health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to ... Job Description Job Summary Sr. Analyst , Network Strategy, Pricing & Analytics guides the...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- The Cigna Group (Bloomfield, CT)
- …Conduct in-depth clinical summary reviews, including analysis of medical records and claims data . Summarize and compile findings to support Market Medical ... Position Summary: The Program Management Lead Analyst plays a key role within the Clinical...vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to… more
- Molina Healthcare (Tampa, FL)
- …for Medicaid, Marketplace and Medicare/MMP. Analysis and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. Assist ... Job Description Job Summary The Analyst , Quality Analytics and Performance Improvement role will...Hadoop. 3+ Years of experience with predictive modeling in healthcare quality data . 3+ Years of experience… more
- Molina Healthcare (Augusta, GA)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …years of experience in healthcare , including familiarity with hospital systems, diverse healthcare data sets ( claims , EHR, clinical data , structured ... It's Work That Matters. Overview Purpose Statement/Position Summary: The Data Science Analyst II, under the direction...II exhibits a strong and advanced understanding of the healthcare domain, along with expertise in technical data… more
- AmeriHealth Caritas (Newtown Square, PA)
- …tools are preferred (eg Data Bricks, Python). . Strong understanding of healthcare data structures ( claims , eligibility, etc.). . Familiarity with CMS ... Role Overview:; The Senior Data Analyst - HEDIS Reporting is...HEDIS Reporting is responsible for managing, analyzing, and interpreting healthcare data to support HEDIS reporting and… more
- University of Pennsylvania (Philadelphia, PA)
- …The University offers a competitive benefits package that includes excellent healthcare and tuition benefits for employees and their families, generous retirement ... and wellness programs and resources, and much more. Posted Job Title Statistical Analyst A/B (Department of General Internal Medicine) Job Profile Title Statistical … more
- Sedgwick (Salt Lake City, UT)
- …billing guidelines, industry standards, and customary legal practices specific to healthcare litigation. The Analyst contributes to cost containment efforts ... Best Workplaces in Financial Services & Insurance Bill Review Analyst | Professional Liability | Remote PRIMARY PURPOSE :...plays a critical role in supporting the medical malpractice claims team by ensuring legal invoice accuracy, compliance, and… more
- Prime Therapeutics (Hartford, CT)
- …5 years of relevant Healthcare experience including: analyzing and using healthcare claims data , clinical research study design, and/or epidemiology ... organization Serves as the lead analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and… more
- Public Consulting Group (Hartford, CT)
- …To learn more, visit www.publicconsultinggroup.com . The Contract Support and RCM Analyst will support both the contractual administrative tasks and the entire claim ... process. The independent contractor will provide contract support through data entry, report extract and analysis, and client support through claim issue research.… more
- Molina Healthcare (Lexington, KY)
- …care or payer environment. In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. Strong understanding of ... large and complex requirements. Ability to organize and maintain regulatory data including real-time policy changes. Self-motivated and ability to take initiative,… more
- Fairview Health Services (St. Paul, MN)
- …Job Overview: Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. Participates in… more
- Prime Therapeutics (Indianapolis, IN)
- …assists with high-complexity pricing analyses. Responsibilities Analyze and produce pharmacy claims data reporting of varying complexity to assess ... data extraction, storage, manipulation, processing and analysis Analyze claims data of varying complexity to identify...1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field Must… more
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