- 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 ... trial study budgets, includes accurate input of budget and payment milestones into tracking system, must be able to...negotiations of individual budgets with sponsors, able to challenge claims made by sponsors on what they feel is… more
- Zelis (St. Petersburg, FL)
- Position Overview: At Zelis, t he Business Analyst - Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ... criteria for Expert Claims Review initiatives centered around handling of medical pre- payment and post- payment claims for accurate claim payment … 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 ... (CPT, HCPCS, Modifiers) along with the application of Medicare/Massachusetts Medicaid claims ' processing policies, coding principals and payment methodologies +… more
- 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 ... healthier lives. Join us on our journey of growth! **The opportunity** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Commonwealth Care Alliance (Boston, MA)
- …the direction of the Sr. Director, TPA Management and Claims Compliance, the Payment Integrity (PI) Recovery Analyst will assist in the development of a ... drive incremental value year over year. The PI Recovery Analyst will employ use of analytics, trends, competitor benchmarking,...benefit and/or provider configuration, rate loads, rate assignments, COB, claims payment logic, etc. + Support the… more
- Amazon (Nashville, TN)
- …Global Risk Management and Claims team is seeking a Sr. Risk Analyst to assist with the development and management of Amazon's global insurance programs, ... review, and implementing risk management tools and techniques for new and existing business initiatives. Additionally, the Sr. Risk Analyst will manage the… more
- Integra Partners (Troy, MI)
- The Payment Analyst will work closely with the Claims Analyst and act as a key liaison between the Financial Operations, Network, Payer, and Operations ... business outcomes. Salary: $54,000/Annually JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Payment Analyst responsibilities include but are not limited… more
- LA Care Health Plan (Los Angeles, CA)
- Payment Integrity Analyst III Job Category: Claims Department: Claims Integrity Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ... net required to achieve that purpose. Job Summary The Payment Integrity Analyst III is responsible for...team lead on any issues identified during research or claims review. Serves as a subject matter expert and… more
- Sharp HealthCare (San Diego, CA)
- …internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** To ensure accurate posting of ... + 2 Years experience in a clinical or hospital Business Office. + 2 Years experience in the Healthcare...patient account when checks are received as a stop payment or insufficient funds from insurance companies. + Patient… more
- City of New York (New York, NY)
- …to the Director of Fiscal Management while working with a team of Payment Analysts. Job Duties and Responsibilities: - Perform internal audits, examination of ... expenditure claims to determine eligibility of costs reported. - Prepare...on budget and spending matters. - Review and certify payment requests independently to ensure the validity and accuracy… more
- Medical Mutual of Ohio (OH)
- …rate loading. . Performs other duties as assigned. **Qualifications** **Provider Reimbursement Analyst II** . Bachelor's degree in business or healthcare ... Works on various projects related to the analysis of claims , clinical and financial data, with a focus on...relational databases. . Knowledge of provider contracting. **Provider Reimbursement Analyst III** . Bachelor's degree in business … more
- WellSense (Boston, MA)
- …departments to automate claims encounters functions. + Understanding of how claims payment methodologies, adjudication processing and CMS and State encounter ... Business Encounter Data Analyst WellSense Health...salaries . Excellent benefits **Key** **Functions/Responsibilities:** + Understand the claims encounter data requirements in detail to ensure … more
- Medical Mutual of Ohio (OH)
- …and consumers. . Performs other duties as assigned. **Qualifications** **Provider Analyst II** **.** **Bachelor's degree in business administration, economics, ... as well as be comfortable with management exposure.** **Senior Provider Analyst ** **.** **Bachelor's degree in business administration, economics, statistics,… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as aSr Business Intelligence Analyst ? At HCA Healthcare, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Sr Business Intelligence Analyst like you to be...team) is responsible for the interpretation and understanding of claims data information. This individual will develop strategy for… more
- Komatsu (Milwaukee, WI)
- Lead SAP Business Analyst - OTC Date: Sep 21, 2024 Location: Milwaukee, WI, US, 53204-2941 Chicago, IL, US, 60631 Req ID: 30394 Onsite or Remote: Onsite Position ... We have an exciting opportunity for a Lead SAP Business Analyst - OTC to join our...Execution including transportation management. + Billing. + Credit and Claims Management. + Payment processing. + commercial… more
- State of Georgia (Fulton County, GA)
- Budget and Financial Analyst - Office of Medicaid Coordination and Health Systems Innovation (OMC/HSI) Georgia - Fulton - Atlanta ... located in downtown Atlanta. Job Description Job Title: Budget and Finance Analyst , Office of Medicaid Coordination and Health Systems Innovation (OMC/HSI) Pay… more
- Point32Health (Canton, MA)
- …activities associated with claims -related disbursements processes, weekly and monthly claims payment release, voids, invoice payment , and other ... Claims Disbursements, Provider Collections and Corporate Accounting Operations. The Analyst ensures timely and accurate completion of claims validation and… more
- LA Care Health Plan (Los Angeles, CA)
- … claims problems. Duties Performs high quality review of payable and post payment claims in a rapidly changing work environment. Perform random review of ... position serves as a liaison between partnering departments ie Payment Integrity and Claims Compliance. This position...including turn around time frames for all lines of business . Works with Claims Compliance Department to… more
- AIG (Stevens Point, WI)
- …Matching Grants Programs. About the role What you need to know: In this role, the Business Analyst supports the AIG Travel business and provides support to ... needs of the Americas region program of work. The Business Analyst will be responsible for analyzing,...and offshore resources and familiarity with complex integrated travel, payment and claims systems. + Exceptional analytical,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a passionate, results-oriented Sr. Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... and implementation. Essential Qualifications + Minimum 5 years of experience as a business analyst in healthcare payer in onboarding new self-funded clients or… more
