• The George Washington University (Washington, DC)
    I. JOB OVERVIEW Job Description Summary: The Senior Financial Analyst , Clinical Research is the primary contact in the GWCC Clinical Trials Office responsible for ... Assist with monthly billing/invoicing for funded clinical trials verifying financial data for accuracy, completeness and conformance with clinical trial study… more
    JobGet (09/11/24)
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  • MultiPlan (Atlanta, GA)
    …transformational journey as we optimize the opportunity towards becoming a leading technology, data , and innovation voice in healthcare . Onward and upward This ... - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends...claims may be received either via EDI (Electronic Data Interchange) or via Web Services (near real time… more
    JobGet (09/08/24)
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  • Segal (Washington, DC)
    …contracting, and negotiating elements and processes.| In-depth knowledge of Pharmacy benefits claims data and RFP analysis.| Expert level proficiency with SQL, ... This opportunity may be for you!Our Senior Consultant, Pharmacy Benefits Financial Analyst creates and analyzes pharmacy benefits financial data , contributes… more
    JobGet (09/08/24)
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  • MultiPlan (Naperville, IL)
    …RESPONSIBILITIES:1. Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming mail (must be ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...processing IQ batches with guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims more
    JobGet (09/08/24)
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  • Sr Analyst , Tech Config Info Mgmt…

    Molina Healthcare (Nicholasville, KY)
    …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... root cause and extrapolate potential impact of issue. Validates data received on claims to identify billing...knowledge preferred + Edifecs knowledge preferred + Understanding of Healthcare EDI Claims transactions preferred + Understanding… more
    Molina Healthcare (08/11/24)
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  • Healthcare Medical Claims Coding Sr.…

    Commonwealth Care Alliance (Boston, MA)
    …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... and report outcome results on edits implemented. + Utilize data to examine large claims data...Degree Required Experience (must have): + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
    Commonwealth Care Alliance (07/18/24)
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  • Healthcare Claims Risk Adjustment…

    Fallon Health (Worcester, MA)
    …of the Risk Adjustment Analyst (RAA) will be to function as the Claims SME for the Risk Adjustment & Analytics Department. The RAAimplements data analytic ... Job Responsibilities:** + Analyze, prioritize & support resolution of Claims / Encounter data errors by triaging to...written skills + * Working knowledge of the provider-based healthcare industry, claims processing, provider billing or… more
    Fallon Health (09/07/24)
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  • Senior Analyst , Liability Claims

    Walgreens (Deerfield, IL)
    …Employer, including disability/veterans". **Job ID:** 1400298BR **Title:** Senior Analyst , Liability Claims **Company Indicator:** Walgreens **Employment ... is included in the US Retail Pharmacy and US Healthcare segments of Walgreens Boots Alliance, Inc. (Nasdaq: WBA),...claims system. + Experience with analyzing and reporting data in order to identify issues, trends, or exceptions… more
    Walgreens (09/10/24)
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  • Medical Claims Analyst

    Robert Half Accountemps (Plantation, FL)
    Description We are offering a long term contract employment opportunity for a Medical Claims Analyst to join our team in the insurance industry, located in ... guidance, training, and support to ensure productivity and quality of work. * Monitor claims data , generate reports, and analyze trends to identify areas for… more
    Robert Half Accountemps (09/10/24)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Aug 22, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57784 **Who we are** ... to make a difference with. **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
    Teva Pharmaceuticals (08/24/24)
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  • Medicaid Claims Analyst

    Teva Pharmaceuticals (Parsippany, NJ)
    Medicaid Claims Analyst Date: Aug 24, 2024 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 57268 **Who we are** Teva ... on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug...with assigned states to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and… more
    Teva Pharmaceuticals (07/27/24)
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  • Analyst , Business ( Claims )

    Molina Healthcare (Georgetown, KY)
    …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
    Molina Healthcare (08/30/24)
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  • Sr. Business Analyst ( Claims )…

    Molina Healthcare (Starkville, MS)
    …DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. ... Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis… more
    Molina Healthcare (09/11/24)
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  • Claims Recovery & Loss Analysis…

    Carrington (Columbus, OH)
    …amazing team and work remote from home! The Loss Claim Recovery Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans and ... external investors providing opportunity for investor rebuttals. Accountable for analyzing multiple data elements in order to apply the proper decision rationale and… more
    Carrington (09/04/24)
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  • Epic Resolute HB Claims Application…

    SSM Health (MO)
    …MO-REMOTE **Worker Type:** Regular **Job Highlights:** SSM Health's Epic Billing and Claims Support Team is seeking a technically skilled team member with strong ... team members. Applicants should have a passion to research and implement healthcare revenue cycle solutions leveraging known best practices for build and testing… more
    SSM Health (09/03/24)
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  • Applications Analyst II, PB Claims

    Tufts Medicine (Burlington, MA)
    …certifications within a reasonable timeline. 3. Four (4) years of healthcare business analyst /IT experience. **Preferred Qualifications:** 1. Master's degree ... or related technical field. 2. Six (6) years of healthcare business analyst /IT experience. 3. Experience with...and workflows. 14. Promotes and champions a technology enabled, data -driven operations across the health system; aims to establish… more
    Tufts Medicine (09/04/24)
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  • Claims Business Analyst II

    Centene Corporation (Tallahassee, FL)
    …of Microsoft Applications, including Excel and Access preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. ... and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of… more
    Centene Corporation (09/09/24)
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  • Healthcare Data Analyst III…

    Geisinger (Danville, PA)
    …Clarity models) required. Candidates who do not meet the required minimum qualifications for the Healthcare Data Analyst III may be considered at a lower ... from an electronic health record or health care claims in the area of health research or ...level as a Healthcare Data Analyst II* Job...level as a Healthcare Data Analyst II* Job Duties + Performs… more
    Geisinger (07/10/24)
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  • Senior Healthcare Data

    Staffing Solutions Organization (Albany, NY)
    Senior Healthcare Data Analyst Corning...of study design and research methods. + Experience with healthcare claims data and electronic ... which is a reflection of our clients and the people they serve. **Senior Healthcare Data Analyst - Albany, NY** **Office of Quality & Patient Safety (OQPS)**… more
    Staffing Solutions Organization (07/12/24)
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  • Healthcare Data Analyst

    AssistRx (Orlando, FL)
    data that will be presented to internal teams, clients and partners. The Data Analyst leads the onboarding of electronic data trading partners and ... The Data Quality Analyst is responsible for...Excel and SQL is a must + Experience with healthcare and/or pharmacy data is preferred +… more
    AssistRx (08/06/24)
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