- Health eCareers (Orange, CA)
- …transaction inconsistencies, as well as implementation of controls and changes to systems and policies that support claims adjudication, thereby minimizing ... incorrect claims payment. Manages activities/service requests with Facets configuration , IT and EDI teams to scope, prioritize, and implement requirement… more
- Insight Global (Cleveland, OH)
- …This candidate is responsible to write epics and features to be passed off to a systems analyst who will write the user stories for the developers to code from. ... diagrams, story boards, Visio flowcharts, prototyping) rather than working at the systems level (SQL querying, testing, configuration ) Fearless and sharp… more
- The Cigna Group (Nashville, TN)
- The Business Project Analyst is a key role working closely with the claims systems and configuration team, project management, and stakeholder SME's to ... develop, improve, monitor, and maintain EviCore Claims Systems . The work will be a...performance management, or process improvement. **A fundamental understanding of claims processing, configuration , and adjudication is required… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …NavigationEmployee Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | ... to talk! LRS Consulting Services is seeking a Business Analyst for a long-term, hybrid onsite contract opportunity with...to support configuration of Facets and related claims adjudication systems . + Collaborate with IT… more
- Intermountain Health (Denver, CO)
- **Job Description:** At SelectHealth, the Business Systems Configuration Analyst I is responsible to analyze, design, configure, test, implement and support ... models + Ability to design basic SQL queries + Experience in a configuration analyst role **Physical Requirements:** **Location:** SelectHealth - Murray **Work… more
- Molina Healthcare (Ann Arbor, MI)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Identifies the interdependencies… more
- Molina Healthcare (TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component...+ Must have strong experience with Benefits and contracts configuration in QNXT + Must have claims … more
- Molina Healthcare (Covington, KY)
- …+ Interact with various departments including; IT, Contracting, Corporate Services, Claims , Utilization Management. Configuration and Payment Integrity to ... and ancillary providers. + Implement and use software and systems to support the department's goals. + Strong knowledge...+ Ability to interpret,communicate, and suggest revisions to core claims operation and data configuration SOP's, BRDs,… more
- Molina Healthcare (Buffalo, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...system manager for a complex application system, controlling system configuration such as data dictionaries, configuration options,… more
- St. Luke's Health System (Boise, ID)
- …**Position Summary:** The Epic Tapestry Analyst - Health Plan AP Claims is responsible for supporting the build, configuration , maintenance, and optimization ... Tapestry module, with a specialized focus on the Health Plan Accounts Payable (AP) Claims functionality. This role ensures the integrity and efficiency of claims … more
- Amazon (New York, NY)
- …management through innovative software solutions. We're seeking an experienced application analyst to lead the architecture, configuration , and management of ... to 25+ insurance and risk programs. As a system analyst , you will drive architectural, configuration , and...programs. The solutions developed and maintained by the Application Analyst cover the full claims lifecycle, encompassing… more
- Prime Therapeutics (Indianapolis, IN)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business ... Systems Analyst is responsible for solving moderately...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… more
- LogixHealth (Dania, FL)
- Location: On-site in Dania, Florida This Role: The Senior Systems Support Analyst 's role is to ensure consistent deployment and stable operation of the corporate ... systems , network, and security posture. This involves supporting, planning,...hybrid identity with Entra ID, including group policy, Intune configuration profiles, user management, and directory services + Experience… more
- Commonwealth Care Alliance (Boston, MA)
- …or configuration updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance with audit standards and ... Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant,… more
- Sharp HealthCare (San Diego, CA)
- …in a health insurance product implementation, benefit/coverage policy development, benefit configuration , or claims role. **Other Qualification Requirements** + ... policies (ie, Certificates of Coverage) into detailed requirements for benefit configuration . Develops and documents workflows, systems requirements, process… more
- Robert Half Technology (Tampa, FL)
- …and testing, and managing project priorities. Additionally, the Claims Business Analyst will be responsible for UI based configuration changes, demos of ... & Casualty Insurance experience + Guidewire Software's ClaimsCenter platform Summary: The Claims Business Analyst will work with stakeholders across the… more
- Robert Half Technology (Clearwater, FL)
- …will collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering ... Description We are looking for an experienced IT Business Analyst to join our team in the Tampa, FL...* Gather and document detailed business requirements to support claims administration systems . * Create and maintain… more
- UIC Government Services and the Bowhead Family of Companies (Vicksburg, MS)
- **Overview** Bowhead is seeking a Cybersecurity Intrusion Detection Analyst to join our team in Vicksburg, MS. The Cybersecurity Intrusion Detection Analyst ... alongside Warning Intelligence Analysts and Engineers. The Cybersecurity Intrusion Detection Analyst will work in the Attack Sensing and Warning (AS&W) division… more
