- Wolters Kluwer (Philadelphia, PA)
- …highly skilled Business Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate will have a strong understanding ... proficient in analyzing CMS rules as it relates to claims and processes. The candidate will be able to...participate in all stages of functional development: designing solutions, implementation , testing and documentation; as well as contribute to… more
- Healthfirst (PA)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- UPMC (Pittsburgh, PA)
- …system processes, and special projects as they relate to the identification, implementation , and maintenance of the claims transactional system for all ... UPMC Health Plan is seeking a full-time Operations Analyst , Associate to support the Medicare HCC Department. This position will support operations in Allegheny 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
- CVS Health (Blue Bell, PA)
- …health care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on ... development of provider fee schedules. + Responsible for the development and implementation of key medical economics business efforts eg medical cost initiatives,… more
- Prime Therapeutics (Harrisburg, PA)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... solution design; develop strategic partnerships with various levels of leadership and analyst teams within the organization + Support enterprise adoption of Tableau… more
- Baylor Scott & White Health (Harrisburg, PA)
- …analytics to support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation ... of data to support the development and implementation of cost saving initiatives. Partnering with their Manager...a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations… more