- Healthfirst (NY)
- …in a simple and easy to understand manner to other staff. As the SME, the Claims Configuration Analyst will need to effectively communicate with all levels ... Assist in the setup of code sets and defining pre-authorization guidelines used in claims configuration to drive application of medical policy and accurate … more
- CDPHP (Albany, NY)
- … of CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all ... you to be a part of that experience. This configuration analyst is a technical position that...Configuration team's delivery of the analysis, maintenance, and configuration of CDPHP's core claims systems and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Senior Configuration Management (CM) Analyst (ECM-2024-21289) Bowhead is seeking to network with multiple highly experienced and qualified Senior ... Configuration Management (CM) Analysts for an upcoming proposal effort....characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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 ... small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other PI partners,… more
- The Cigna Group (Bloomfield, CT)
- …we serve?** EviCore, a line of business within the Cigna Group is hiring a Claims System Senior Analyst . This highly technical systems role requires the review ... the system per the specifications of the provider. The Claims System Senior Analyst will have in...required, bachelor's degree preferred + 5+ years of healthcare claims lifecycle; configuration design, editing, claims… more
- HCA Healthcare (Nashville, TN)
- …to succeed in our organization. We are looking for an enthusiastic Senior EPIC PB Claims Analyst to help us reach our goals. Unlock your potential! **Job Summary ... member of the CereCore team, the Epic Senior PB Claims Analyst serves as a key Epic...and procedures, training, and best practices + Present system configuration changes at Change Management meetings + Conduct presentations… more
- UIC Government Services and the Bowhead Family of Companies (Patuxent River, MD)
- **Overview** Bowhead seeks a Configuration Management Analyst to support future efforts on PMA 268 at Patuxent River, MD. Incumbents are encouraged to apply. ... and interprets data relating to aircraft and product programs. * Maintains configuration control of acquisition products and data. * Tracks configuration … more
- Elevance Health (Waukesha, WI)
- …Atlanta, GA; Louisville, KY or Waukesha, WI. The **Rating/ Claims System Analyst ** is responsible for providing support, configuration , design, testing and ... **Rating/ Claims System Analyst ** **Locations:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one… more
- Kelsey-Seybold Clinic (TX)
- …benefit issue resolution and Epic upgrade build/testing **Job Title: Tapestry Configuration Analyst -MC** **Location: Remote** **Department:** **Health Plans ... Required: Minimum 3 years' experience with healthcare applications, system design, configuration or support. Demonstrated knowledge of claims processing, vendor… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** The Sr. Systems Analyst role within IT is responsible for systems analysis, consulting with users and ... for you if you had the following certification: Resolute Professional Billing Claims and Remittance Administration. An ideal candidate would have 3+ years'… more
- Healthfirst (FL)
- **Duties & Responsibilities** : + Conducts routine assessments of current claims edits and ensures comprehensive and defensible editing across all Healthfirst ... edits. + Monitors and reports on performance of current claims editing packages + Supports claims editing...as AMA guidelines, and compare to current payment policy configuration in order to resolve the providers payment discrepancy.… more
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking a Applications Systems Analyst for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth ... testing and creating testing plans. *Ideal candidate will Ihave experience in hospital claims , professional claims or Home Health and Hospice billing. **Must… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes...in research, review and audits for adjudication rates of claims + Must be able to work in cross… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** The Senior Application PB/HB Claims Analyst role with Epic Hospital and/or Professional billing (HB and/or PB) will provide technical expertise and ... works to provide application workflow and functional analysis, build and configuration , unit and integrated testing, and plans for transition to application… more
- Insight Global (Mason, OH)
- …contract, potential hire, hybrid opportunity. These consultants will serve as a Data Analyst on the clients Business Configuration team, responsible for provider ... the Mason, OH area is looking for 2 Data Analyst to join their team for roughly a 12...configurations into the Facets system. Validate agreement and network configuration utilizing claims testing, SQL queries and… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Enterprise Configuration Management Proposal Landing Page (ECM-2024-21346): Bowhead is seeking to network with individuals to join our team for our ... proposal effort toprovide support in Configuration Management (CM) as it applies to hardware and...+ Program Manager + Project Lead + Senior CM Analyst + Mid-Level CM Analyst + Senior… more
- AmeriHealth Caritas (Philadelphia, PA)
- …completed correctly. Review all associated documentation for completeness. Communicate with the configuration analyst , configuration team lead, tester, and ... The auditor will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all claims to ensure that all… more
- University of Michigan (Ann Arbor, MI)
- Business Systems Analyst Senior / Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as ... Medicine is seeking a candidate to fulfill the role of Business Systems Analyst to support the Michigan Medicine Epic electronic medical record (EMR), known as… more
- Great River Health (West Burlington, IA)
- …and other corporate departments to facilitate system usage and acceptance. The analyst handles complex build and configuration tasks, resolves advanced issues, ... ensure reliable application system availability and performance. Additionally, the analyst designs, verifies, documents, and refactors software configurations, investigates… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III (ALD) Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... the safety net required to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for leading or assisting in vendor implementations and … more