- Healthfirst (WV)
- …(PBM) + Monitors and analyzes key data and procedures for proper claims processing and adjudication system functionality + Performs Quality Control and Quality ... benefit + Provides timely support to other areas to verify and analyze claims processing cases, eligibility and other operational situations and/or issues as they… more
- Highmark Health (Charleston, WV)
- …thought leadership and subject matter expertise. + Supports Senior and Lead level analysts with consultative, technical, subject matter and business expertise ... 2 years of Coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 1 year of Project leadership in… more
- Elevance Health (Charleston, WV)
- …guidance to other data analysts. The position is part of the **Enterprise HEDIS Analyst Team** . It will be responsible for working with management and peers on ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Evolent (Charleston, WV)
- …engineer, stakeholder teams through Technical Domain Forums (bringing all Pos, Lead engineers, and stakeholders into a consistent forum to cross collaborate) ... related field is preferred + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR - based solutions in… more