- Harbor Health Services, Inc. (Mattapan, MA)
- …Oversees the collection of quality measures and other data by the Quality Analyst for report to regulatory agencies, including CMS and MassHealth. Supports ... Compliance Committee (QICC) - a subcommittee of the Board. In collaboration with the Quality Analyst , oversees preparation of reports for the ESP QI Meeting,… more
- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... operating procedures (SOPs) and job aids to increase the quality and efficiency of claims processing. *...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Banner Health (Phoenix, AZ)
- …Name:** Risk Financing & Ins Programs **Work Shift:** Day **Job Category:** Risk, Quality and Safety Great careers are built at Banner Health. There's more to ... you. Banner Health is seeking a Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... high- quality results. Responsibilities: * Process and reconcile medical claims efficiently, ensuring all records are accurate and up-to-date. * Resubmit… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Dec 4, 2025 Location: Parsippany, United States, 07054 Company: Teva Pharmaceuticals Job Id: 64915 **Who we are** Together, we're ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...transactions. Document errors and perform research. + Conduct initial quality check on summary data on all claim submissions… more
- TEKsystems (Moorestown, NJ)
- …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 digging ... services in the Accident & Health space. They specialize in claims processing, enrollment, compliance, and data-driven solutions that help clients navigate… more
- Carrington (Jackson, MS)
- …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... Respond to and make all corrections identified during the Quality Review Process within 24 hours of receipt. +...to and including Loss Mitigation, Bankruptcy, Foreclosure, Conveyance and Claims in addition to mortgage servicing state, federal and… more
- AIG (Jersey City, NJ)
- …and efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") ... Claims Complex Director - Healthcare Professional...analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures… more
- HCA Healthcare (Nashville, TN)
- …the Service Center and other internal partners + Manage performance metrics of claims administrators to ensure quality delivery of outsourced services; analyze ... Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have...have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider… 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: ... ready to make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs… more
- Molina Healthcare (Columbus, OH)
- …Microsoft Azure, AWS, or Hadoop. + 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in Analysis related to ... **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement...Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality department with HEDIS measure deep dive to support… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Data Analyst Lead? At HCA Healthcare , you come first. HCA Healthcare has ... members over the course of three years. **Benefits** HCA Healthcare offers a total rewards package that supports the...a difference. We are looking for a dedicated Data Analyst Lead like you to be a part of… more
- HCA Healthcare (Richmond, VA)
- … colleagues invested over 156,000 hours volunteering in our communities. As a(an) Financial Analyst with Virginia Quality Care Partners you can be a part of ... organization that is devoted to giving back! **Benefits** Virginia Quality Care Partners offers a total rewards package that...+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… 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
- Elevance Health (Louisville, KY)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... accommodation is granted as required by law. The **Performance Quality Analyst II** is responsible for driving...claims and/or customer contact automated environment (preferably in healthcare or insurance sector), including a minimum of 1… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core ... portfolios- Claims , Provider, and Enrollment. In this role, you will...processes. You will play a key part in ensuring high- quality software delivery by validating business requirements, improving test… more
- Genesis Healthcare (Roosevelt, NY)
- …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... a related field. 2. Must hold and maintain BCBA certification from the Behavior Analyst Certification Board (BACB). 3. Must hold a Licensed Behavior Analyst … more
- Elevance Health (San Juan, PR)
- …information technology and business operations services for health plans. **Performance Quality Analyst I** **Location:** This role requires associates to ... may be necessary based on company needs. The **Performance Quality Analyst I** is responsible for driving...claims and/or customer contact automated environment (preferably in healthcare or insurance sector); or any combination of education… more
- Molina Healthcare (Milwaukee, WI)
- …* Knowledge of health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Knowledge of health care ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including...and manages information from large data sources. * Analyzes claims and other data sources to identify early signs… more
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