- TEKsystems (Minneapolis, MN)
- …this role. Skills: Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit, support, analysis, workflow, claim, Healthcare, Medical ... Top Skills Details: Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit, support, analysis Additional Skills & Qualifications:… more
- TEKsystems (Minneapolis, MN)
- …analysis caused by errors coded into the RxClaim processing system, along with claims monitoring and data validation activities. The research and remediation ... information by employing analytics and data science techniques to research and validate errors, isolate impacted claims ,...to research and validate errors, isolate impacted claims , reprocess claims , and determine financial impact… more
- Zurich NA (Rocky Hill, CT)
- General Liability Claims Analyst 117471 At Zurich North America Claims we acknowledge that work life-balance and flexibility are a priority when it comes to ... our General Liability team. As a General Liability (GL) Claims Analyst , you will work with a...to GL claim assignments by Claim segmentation. + Conduct research , analysis, and interpretation of claim assignment information at… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... Medicaid regulations. The role will also be responsible for timely review and research , as necessary on all new and revised coding logic, related Medicare/Medicaid… more
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical ... Research Analyst works collaboratively within Prime's Health Outcomes ...of relevant Healthcare experience including: analyzing and using healthcare claims data, clinical research study design, and/or… more
- Geisinger (Danville, PA)
- …SAS required. Experience using data from an electronic health record or health care claims in the area of health research or healthcare analytics (preference for ... act as a strategic thought partner. Responsible for supporting investigator driven research from inception to closeout by providing feedback on study design, data… more
- The Cigna Group (St. Louis, MO)
- …access and patient support programs. **How you'll make a difference:** The Real World Data Analyst position is a key role to the enterprise and will be supporting a ... Generation functions at Pharma/Life Science. Responsibilities include leading Outcomes Research studies, Advanced Analytics, ML model development and general… more
- Stanford University (Stanford, CA)
- Research Data Analyst 3, S-SPIRE (US -...Warehouse is a plus. + Prior experience with medical claims and billing data is a plus. + Prior experience ... University is collaborating with the Palo Alto VA. The Research Data Analyst 3 will support this...Code: 4753** + **Employee Status: Regular** + **Grade: K** + **Requisition ID: 105099** + **Work Arrangement : Remote … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Senior Reimbursement-Chargemaster Analyst -Chargemaster/Projects - REMOTE ** The Senior Reimbursement and Chargemaster Analyst is ... maintaining competitive pricing. This individual is a senior level analyst who assumes a lead role and works closely...and reimbursement to ensure compliance with Federal and State claims submission regulations + Ensures the existence of accurate… more
- University of Rochester (Rochester, NY)
- Responsibilities **Location:** Rochester Tech Park (RTP), Gates, NY - Remote options available after in-person training. Occasional onsite meetings / work at RTP are ... required. Remote location must be within 2 hours of RTP...With latitude for initiative and independent judgment, the Data Analyst I is responsible for supporting the Payment Posting/Data… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Regulatory Compliance Analyst will conduct independent analysis for complicated, high level regulatory inquiries ... and process to regulators as needed and requested. Business Support + Research , resolve and respond to written inquiries forwarded from Congressional, Attorney… more
- Prime Therapeutics (Eagan, MN)
- …every decision we make. **Job Posting Title** Sr Financial Consultant - Data Analyst - Remote **Job Description** The Senior Financial Consultant provides ... **Additional Qualifications** + Advanced troubleshooting skills, including in-depth client data research , focusing on trend drivers + Subject matter expert in one… more
- The Cigna Group (Bloomfield, CT)
- The National Value-Based Partnerships Senior Analyst position is an integral member of the National Partnerships team and will be responsible for ensuring best in ... partners for contract oversight and issue resolution. Acts with urgency to research questions or procedural issues; identifies the right resources to resolve… more
- Insight Global (Mclean, VA)
- Job Description This person is responsible for performing research and requirement analysis, creation, and design of mapping documents, and presents findings to ... . Skills and Requirements 3+ years as a Data Analyst QNXT/Schema knowledge Experience working directly with healthcare providers provider… more
- Molina Healthcare (UT)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **JOB DESCRIPTION** **Job Summary** Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (KY)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... development of large, complex, critical configuration maintenance processes/solutions + Research and review new tools and techniques and provide...life cycle + Gains a deep understanding of Molina claims life cycle and all processes that affect … more
- Molina Healthcare (WA)
- …and provides training to subordinates/team members. + Leverages expertise to review, research , analyze and evaluate all data relating to specific area of expertise. ... + Actively leads in all stages of project development including research , design, programming, testing and implementation to ensures the released product meets the… more
- Medical Mutual of Ohio (OH)
- **_This is a remote opportunity. Note, quarterly/ad-hoc/situational on-site requirement in Brooklyn, Ohio._** **_Eastern & Central Time Zones preferred._** Founded ... Medicare Advantage, Medicare Supplement, and individual plans. **Responsibilities** **Provider Analyst II** Provides analytical support during contract negotiation process.… more
- University of Washington (Seattle, WA)
- …ocean physics and engineering, ocean and medical acoustics, polar science, environmental remote sensing, and signal processing. We conduct research and ... yourself at APL! The Applied Physics Laboratory is a research unit at the University of Washington. Our ...**APL has an outstanding opportunity for a Shared Services Analyst - Travel. This is a** **_Full-Time_** **,** **_Temporary_**… more