- The Hartford (Penn, PA)
- Sr Claims Analyst FL - CV08DE We're determined...the experience This role can have a Hybrid or Remote work arrangement. Candidates who live near one of our ... claims made coverage to insureds. The Senior Claims Analyst will handle more complex primary...do not live near an office will have a remote work arrangement, with the expectation of coming into… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is looking for an Intermediate Clinical Auditor/ Analyst to join the Quality Assurance team! This role will work standard daylight hours, Monday - ... however, this role may work remotely. The Intermediate Clinical Auditor/ Analyst is an integral part of the Quality Assurance...procedural and diagnosis codes have been used appropriately on claims . This role also acts as a SME for… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research ... data output using eligibility data, medical and pharmacy administrative claims . The individual will support pharmaceutical manufacturer value-based contract… more
- Geisinger (Danville, PA)
- …required. Experience using data from an electronic health record or health care claims in the area of health research or healthcare analytics (preference for Epic's ... meet the required minimum qualifications for the Healthcare Data Analyst III may be considered at a lower level...work. Work is typically performed in an office or remote environment. Accountable for satisfying all job specific obligations… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst ... Programs, Compliance, Healthcare Reform, Legal, Networks, Clinical Operations, Paper Claims , Member Materials, IT, etc.) to ensure effective collaboration,… more
- Prime Therapeutics (Harrisburg, PA)
- …drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Remote Preferably in California **Job Description Summary** This ... application of advanced and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy through benefit… more
- Prime Therapeutics (Harrisburg, PA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** ... Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and… more
- Windstream Communications (Harrisburg, PA)
- …involves managing Third-Party Auto and General Liability Physical Damage and Bodily Injury Claims . The analyst will assist in internal investigations and support ... of infinite possibilities! ** ** The Risk Management Liability Analyst will act as a crucial liaison between Windstream...the TPA in bringing Third-Party claims to resolution. This is a full-time … more
- Healthfirst (PA)
- This position is Remote ** **Duties & Responsibilities** : + Conducts independent assessments of current claims edits to ensure comprehensive and defensible ... all Healthfirst product lines + Participate in special projects and advanced Claims Coding activities + Proactively identifies areas of opportunity with respect to… more
- Norstella (Harrisburg, PA)
- Senior Analyst - Health Informatics Company: Norstella Location: Remote , United States Date Posted: Sep 11, 2024 Employment Type: Full Time Job ID: R-541 ... and India. **Job Description** We are seeking a Senior Analyst to join our team and support our data-driven...industry, drug development lifecycle and experience querying healthcare databases ( claims , labs, billing codes & EHRs). **Key Duties and… more
- Guardian Life (Bethlehem, PA)
- …regulatory compliance support and monitoring of the Guardian Group Benefits Product, Claims and State Filing areas, with significant and specialized focus on support ... Leave (PFML), State Mandated Disability, Group Disability, Supplemental Health products and claims + State Filing for these products/services + Marketing + Client… more
- Intermountain Health (Harrisburg, PA)
- **Job Description:** The Physician Compensation Analyst provides compensation support and analysis for the Director of Physician Compensation, Manager of Physician ... Recruiting, Professional Staff Services, and other leaders. **This is a 100% remote position** **however, currently we are unable to consider candidates for … more
- HealthEdge Software Inc (Harrisburg, PA)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...Work across multiple time zones in a hybrid or remote work environment. + Long periods of time sitting… more
- HomeSafe Alliance (King Of Prussia, PA)
- **Title:** Lead IT Business Process Analyst (Deltek/Costpoint) **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... **_About the Role:_** As the Lead IT Business process analyst , you will work with a team of technical...Create Custom tables and views for non-native functionality (ie, Claims ) and develop custom logic in Costpoint + Integrate… more
- Penn State Health (Hershey, PA)
- …Contact:** Garrett C. Kieffer at ###@pennstatehealth.psu.edu (MAILTO://###@pennstatehealth.psu.edu) Remote Position **SUMMARY OF POSITION:** This position is ... (EHR and other clinical applications) and operational data sets (ex: claims , CMS/TJC, eCQMs, NSQIP, GWTG, etc.). Responsible for supporting clinical decision… more
- Centene Corporation (Harrisburg, PA)
- …to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. **Position Purpose:** Responsible for analytic data needs of the ... operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy,...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Humana (Harrisburg, PA)
- …Administration team is looking for a Business Intelligence Engineer 2 to join working remote anywhere in the US. This team and the Claims -Based Attribution ... process is a fundamental driver for clinical member and provider engagement, rewards, and network programs to influence and impact member care and outcomes, improve and obtain documentation required for accurate reimbursement, drive efficiencies in the health… more
- Penn Medicine (Philadelphia, PA)
- …role involves on-site presence for the first 6 months with the possibility of remote work after the introductory period is complete** ) **Data Scientist** As part of ... using data, the Data Scientist will provide statistical analysis of medical claims . This position will function to make significant contributions related to … more
- Robert Half Accountemps (Pittsburgh, PA)
- …of the Pittsburgh area on a remote basis. Schedule: The hours for the Lease Analyst are expected to be 40 hours per week, 8 hours per day during normal business ... Description Seeking a Lease Analyst to help perform complex Operating Expense and...including overseeing auditor relationships, resolving auditor findings and pursuing claims . * Acting as the main point of contact… more