- Innova solutions (St. Louis, MO)
- …team Required Skills: Oracle SQL Jira CI/CD tools: GitLab Experience on Healthcare / Claims Processing Familiarity with reading code Optional- Familiarity with QA ... Innova Solutions is immediately hiring a Business Analyst Position type: Contract Duration: 12 Month Location:...program guidelines. ASK ME HOW. Thank you! Karthik Saraswathi Senior Manager PAY RANGE AND BENEFITS: Pay Range*: 82,500$… more
- Protective (Chesterfield, MO)
- …stakeholders on company initiatives, supporting the contact center, operations, and claims teams, conducting testing of processes and procedures, and monitoring ... operational changes. Provide support to the contact center, operations, and claims teams on compliance-related issues. Conduct testing of processes and procedures… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Grand Island, NE)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems ... product meets the intended functional and operational requirements. + Provide Level II claims support to internal teams and directly with providers as needed +… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- Molina Healthcare (Roswell, NM)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims ... 011250 CCA- Claims **_This position is available to remote employees...* 3-5 years Data Analysis * 3+ years of Healthcare experience * 3+ SQL Desired Experience (nice to… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare , you come first. HCA ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Senior Financial Analyst like you to be… more
- Cognizant (Cincinnati, OH)
- …any qualified applicant in the United States. Cognizant Technology Solutions is looking for a **" Senior QA Analyst - Healthcare Facets Testing"** to join in ... advisory and Digital Business Assurance in Gartner Magic Quadrant! ** Senior QA Analyst - Healthcare ...of its functionalities. . Have a strong background in healthcare domains particularly in Enrollment and Claims … more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...reports in support of the intake and management of healthcare data. The ideal candidate will be able to… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Stryker (Mahwah, NJ)
- **What you will do:** As a Senior Legal Analyst you will be responsible for scheduling and matter management; drafting and updating legal contracts, agreements ... assisting with legal presentations; and improving internal processes. The Senior Legal Analyst must prepare accurate and...purposes. + Billing Guideline Reviewer for EPL and Investigation claims . + Monitor CT Corporation mailbox for service of… more
- Elevance Health (Chicago, IL)
- …passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...leveraging claims , authorization, and membership data to tell a detailed… more
- ChenMed (Miami, FL)
- …leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the ... we need great people to join our team. The Senior Health Economics Analyst is responsible for...prioritize opportunities, and spot trends + Extensive knowledge of healthcare /medical economics data such as hospital/physician /ASC claims… more
- CVS Health (Richmond, VA)
- …Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and Availability ... with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for...& Availability monthly monitoring process. + Responsible for reviewing claims data in QNXT when provider's inquiry involves … more
- Insight Global (Burbank, CA)
- …service representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and answers calls from the ... implementing solutions; addressing unresolved problems - Review and research incoming healthcare claims by navigating multiple computer systems and platforms… more
- UGI Corporation (Denver, PA)
- …neighbors, friends, and families in providing best-in-class products and services! Job Summary The Senior Analyst - Finance is a business partner who develops an ... several Company business areas and presents risks, opportunities and recommendations. The Senior Analyst leads individual processes within the Company's overall… more
