- Mercy (Maryland Heights, MO)
- Find your calling at Mercy! The Pharmacy Analyst oversees a range of tasks related to pharmacy data collection that could encompass data reporting and ... programs and providing training. Additionally, this role may engage in data querying for clinical and administrative reports, contribute to formulary management,… more
- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research. The Sr. ... and strategic coordination across multiple departments to resolve systemic claims processing issues. The Sr. Analyst provides...contractual requirements + Expertly tailors existing reports or available data to meet the needs of the claims… more
- Molina Healthcare (Tacoma, WA)
- JOB DESCRIPTION **Job Summary** Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... claims -related regulatory and contractual requirements. * Tailors existing reports and/or available data to meet the needs of claims projects. * Evaluates … more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in... Analysis & Loss Prevention:** + Track and analyze claims data to identify patterns, trends, and… more
- TEKsystems (Brookfield, WI)
- Now Hiring for a Medical Claims Analyst for a healthcare insurance organization in the state of Wisconsin!! This is a fully remote opportunity, but you must ... terminology, COB processing, subrogation. Description We are seeking a Claims Analyst II to examine and process... claims for payment up to $18,000.00. Reviews claims for re-pricing. Enters eligible claim data … more
- Molina Healthcare (Dallas, TX)
- …Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Banner Health (Phoenix, AZ)
- …more experienced staff. Familiar with RMIS databases, generating reports and analyzing claims data . PREFERRED QUALIFICATIONS ARM (Associate of Risk Management) ... Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk...department and assist with risk identification, mitigation, transfer, and claims management to protect one of the nation's largest… more
- Catholic Health Services (Melville, NY)
- …why Catholic Health was named Long Island's Top Workplace! Job Details The Claims Analyst is responsible for monitoring, analyzing, and reporting on professional ... supports the Risk Management team by maintaining oversight of active litigated claims , reconciling financial data provided by third-party administrators (TPAs),… more
- Robert Half Accountemps (Raleigh, NC)
- Description We are looking for a detail-oriented Medical Claims Analyst to join our team in Raleigh, North Carolina. This long-term contract position is ideal ... for someone with extensive experience in medical claims processing and a strong ability to manage repetitive...track progress effectively. * Perform clerical tasks such as data entry and filing with a focus on accuracy… more
- Carrington (Jackson, MS)
- …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
- Centene Corporation (Tallahassee, FL)
- …related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare . Project management experience ... and objectives for assigned function. + Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you want to join an organization that invests in you as a Data Analyst Lead? At HCA Healthcare , you come first. HCA ... make a difference. We are looking for a dedicated Data Analyst Lead like you to be...and maintains reports, dashboards and databases for analysis of claims data for hospitals and physicians. +… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... of information for quality initiatives, accreditation efforts, and regulatory mandates, and claims data coordination. + Manages small to large scale projects… more
- Molina Healthcare (Syracuse, NY)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, ... processes and solutions associated with a wide variety of data sets used for data /text mining, analysis,...on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have an exciting opportunity for ... you to join HCA Healthcare which is part of the nation's leading provider...Do you want to work as a Vendor Relations Analyst where your passion for creating positive patient interactions… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: ... join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to...Analyst is fast-paced, detail-oriented, and highly collaborative. The analyst begins by navigating complex data requests-balancing… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to claims /coding * ... Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan,...are implemented and integrated in all systems for accurate claims adjudication. This includes analysis of changes to medical… more
- CGI Technologies and Solutions, Inc. (Wilmington, DE)
- …. Familiarity with modern tools (Python, AWS, GitHub, CDC tools). . Proficiency in healthcare data formats (EDI, X12, JSON, XML). Domain Expertise . Deep ... ** Healthcare System Analyst ** **Category:** Business Analysis...understanding of healthcare claims processing, eligibility, and enrollment systems.… more
- Actalent (Maple Grove, MN)
- Job Title: Medical Device Real-World Evidence Data Analyst Job Description Join our Clinical Evidence Evaluation team as a Medical Device RWE Data Analyst ... crucial support for cardiovascular trials. Leverage your programming skills and expertise in claims and electronic health record (EHR) data to conduct insightful… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Supply Chain Analyst ( Data Science Analyst I) collaborates with stakeholders from across the organization to develop sophisticated ... performance measurement. This individual demonstrates sound understanding of the healthcare domain, technical data manipulation and analytic development… more
