- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting on professional ... claim status, reserves, legal expenses, and emerging risks for senior leadership and the Claims Director. +...experience. Skills: + 5+ years of claim experience, preferably healthcare liability or other professional liability claims .… more
- Molina Healthcare (Macon, GA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota ... you are ready to make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… more
- CGI Technologies and Solutions, Inc. (Canton, MA)
- ** Senior Business System Analyst - Healthcare ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Massachusetts, ... as a Business Analyst or Business Systems Analyst in the healthcare payer domain. ....APIs or payer modernization initiatives. . Working knowledge of healthcare payer systems and processes (benefits, claims ,… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Submissions Healthcare Data Analyst Location: Hybrid | ... us. The Impact 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… more
- Molina Healthcare (St. Petersburg, FL)
- JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management activities. Responsible for accurate and timely ... implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules… 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 ... NOTE: This position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst … more
- HTC Global Services Inc (Berlin, NH)
- …and process improvements. Key Responsibilities: + Min 7+ years of experience in healthcare business analyst role, especially in data profiling and data ... Description: Client organizations hire healthcare business analysts to bridge business needs with...processes. A typical description emphasizes collaboration with Enrollment teams, Claims and provider domains , and IT teams to… more
- Molina Healthcare (New York, 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...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… 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...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...+ 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Dana-Farber Cancer Institute (Boston, MA)
- … Business Intelligence Analyst . In partnership with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, ... Information Officer. Given access to an extraordinary range of healthcare data (including medical and pharmacy claims ,...as quality, operations and most importantly, patient care. The Senior Clinical Operations Analyst will work with… 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
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... focus on accuracy and compliance. **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and… more
- AmeriHealth Caritas (Manchester, NH)
- …Provider data maintenance knowledge. + Understanding of and experience with healthcare claims payment configuration processes/systems and their relevance/impact ... **Role Overview:** The Senior Provider Network Operations Analyst is...or Medicare experience preferred + 2 plus years of claims analysis experience in a healthcare environment… more
- Cedars-Sinai (Beverly Hills, CA)
- …standard of patient care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, ... using CPT and ICD10 coding systems. Technical understanding of Healthcare Data systems is needed. Knowledge of electronic health...and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst (Managed Care) - Hybrid… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Submissions Business Analyst Location: Remote Career Area: Information ... resolvesubmission errors, and provide data-driven solutions. This position requiresexpertisein healthcare data-including claims , membership, and provider information-along… more
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