- Molina Healthcare (KY)
- …potential health care fraud, waste, and abuse through the identification of aberrant coding and/or billing patterns. + Performs medical record audits in order to ... validate coding accuracy. + Performs, as required, non-medical record review...internal and/external use detailing audit findings. + Renders provider coding education as appropriate based on coding … more
- Elevance Health (Louisville, KY)
- **Business Analyst II** **Location:** This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance ... Health PulsePoint office locations. The **Business Analyst II** is responsible for configurating pharmacy benefits in...II** is responsible for configurating pharmacy benefits in our coding systems against business criteria. The primary focus is… more
- SMX (Frankfort, KY)
- Accounts Payable Analyst (4062)at SMX(View all jobs) (https://www.smxtech.com/careers/) United States SMX has an exciting opportunity for a talented Accounts Payable ... Analyst in a high growth environment. This position is...Perform accounts payable focused activities to include 3-way matching, coding , review, routing, and scanning, obtain approvals, as well… more
- Chewy (Louisville, KY)
- …We at Chewy seek a highly motivated, analytical, and enthusiastic **Financial Analyst ** to join our growing Pharmacy Vet Services team! This candidate will ... Pharmacy's growth, and achieve financial objectives. As a Financial Analyst , you will be located at the Vet Services...tables, etc.) and PowerPoint skills. + Experience with SQL coding , Hyperion Smartview, Tableau, and Oracle ERP is a… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Insight Global (Bowling Green, KY)
- Job Description The Integrations Business Analyst is responsible for the analysis, design, and testing of complex system integration processes. Participate in the ... . Skills and Requirements - Experience working with developers who were coding using .NET Core, C#, JAVA, JAVAscript, PHP, Angular, Symfony, ReactJS -… more
- PNC (Louisville, KY)
- …opportunity to contribute to the company's success. As a Middle Office Services Analyst Sr within PNC's Private Bank organization, you will be based in Pittsburgh, ... documentation for completeness and accuracy, and interprets information for correct coding and adherence to established policies and procedures. + Handles various… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** The Strategic Solutions Analyst will act as a liaison between Waystar and our most strategic clients and partners. This is accomplished by ... + Experience working in healthcare, whether it be medical billing, coding , administration, etc. is preferred + Experience building and managing relationships,… more
- Citigroup (Florence, KY)
- …+ Extensive experience working with: + Big Data environment with hands on coding experience within various traditional (SAS, SQL, etc.) and/or open source (ie ... Python, Impala, Hive, etc.) tools. + Traditional and advanced machine learning techniques and algorithms, such as Logistic Regression, Gradient Boosting, Random Forests, etc. + Data visualization tools, such as Tableau + Excellent quantitative and analytic… more
- Citigroup (Florence, KY)
- …modeling, or relevant area in a Big Data environment with hands on coding within various traditional (SAS, SQL, etc.) and/or open source (ie Python, Impala, ... Hive, etc.) tools. + Experience using traditional and advanced machine learning techniques and algorithms such as Logistic Regression, Gradient Boosting, Random Forests, etc. as well as Data visualization tools such as Tableau + Excellent quantitative and… more
- Citigroup (Florence, KY)
- …field. + Experience working with: + Big Data environment with hands on coding experience within various traditional (SAS, SQL, etc.) and/or open source (ie Python, ... Impala, Hive, etc.) tools. + Traditional and advanced machine learning techniques and algorithms, such as Logistic Regression, Gradient Boosting, Random Forests, etc. + Data visualization tools, such as Tableau + Excellent quantitative and analytic skills;… more
- Elevance Health (Louisville, KY)
- …applicable accreditation and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to conduct their ... management review activities that require the interpretation of clinical information. + The analyst may serve as a liaison between grievances & and appeals and /or… more