- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Molina Healthcare (Iowa City, IA)
- …claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on ... regarding updates/changes to member enrollment, provider contract, provider demographic information , claim processing guidelines and/or system configuration … more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Configuration Management Analyst (E30-2025-23833) Bowhead seeksan experiencedConfiguration Management Analystwith a strong background in ... Center Dahlgren Division (NSWCDD), E Department. **Responsibilities** TheConfiguration Management Analyst willprovide comprehensive configuration management (CM) support… more
- Geisinger (Danville, PA)
- …+ Develops appropriate communication methods and standards for dissemination of pricing configuration information for new, modified, enhanced or fixed pricing ... Pricing, Billing and Dunning, Consumer Driven, Provider set up, Claims and Workflow and other areas of configuration... Claims and Workflow and other areas of configuration and operations. Assists in the configuration … more
- Molina Healthcare (Macon, GA)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
- Molina Healthcare (Madison, WI)
- …DESCRIPTION** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare… more
- Molina Healthcare (GA)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...+ Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable… more
- Magellan Health Services (Albuquerque, NM)
- …and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing. + ... which would provide an equivalent background may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience - Required … more
- CTG (CA)
- **CTG is seeking to fill an Epic Hospital Billing Claims Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** ... Behavioral Health and Ambulatory services. + Design, build, and maintain Epic HB Claims configuration , including claim edit rules, claim definition rules, remit… more
- Molina Healthcare (ID)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
- Levi, Ray & Shoup, Inc. (Chicago, IL)
- …Login (http://www2.lrs.com) File Transfer Filters Careers Added Jul 21, 2025 Business Analyst - Claims Systems (26971) Chicago, IL | Contract Apply ... rates. + Gather and document business requirements to support configuration of Facets and related claims adjudication...manage backlogs, sprints, and work item tracking. + Gather information to prioritize user stories related to claims… more
- Molina Healthcare (NE)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical ... provider information on all claims and provider databases. Synchronizes data among multiple ...financial accuracy and provides documented feedback. + Assists in configuration issues and loading of provider information ,… more
- CTG (CA)
- …**System Configuration & Build:** Configure and maintain Epic PB Claims functionality, including claim edit rules, charge review workqueues, and payer-specific ... 18 months **Duties:** The Epic Program Director will oversee the build, configuration , testing, and support of Epic Professional Billing (PB) Claims … 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...system manager for a complex application system, controlling system configuration such as data dictionaries, configuration options,… more
- MetaOption, LLC (Hicksville, NY)
- …Physician Billing Analyst (also known as an Epic Professional Billing Analyst ) is responsible for the configuration , maintenance, and optimization of the ... Analyst , Epic's Professional Billing Module, Charge Router, Workqueue Configuration , Collection Agency Workflows, Statement Processing, Benefit Engine, Estimates,… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on… 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 ... and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System) with BPaaS vendor and other… more
- HTC Global Services Inc (Tampa, FL)
- …Insurance, and a variety of other perks. Cerner Soarian Financials Application Analyst Position Summary The Cerner Soarian Financials Application Analyst is ... receivable-are optimized to support operational efficiency and compliance. The analyst collaborates with clinical, financial, and IT stakeholders to maintain… more
- University of Miami (Miami, FL)
- …key stakeholders, end-users, and application team members to optimize the application's configuration , function, and access. The Epic Analyst 2 facilitates ... IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists...and document workflow design. + Performs the analysis of information technology in clinical work processes and validates the… more
- Stony Brook University (East Setauket, NY)
- …cash. + Document and validate business processes and business systems configuration , including: Patient Billing, Claims Scrubber, Contract Management and ... Revenue Cycle Analyst **Position Summary** At Stony Brook Medicine the...the following, but are not limited to:** + Analyze claims and remittance data and present findings to departmental… more