• Claims Business Analyst

    Molina Healthcare (Long Beach, CA)
    …used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables ... departments and with customers to define requirements and understand business problems. Uses advanced mathematical, statistical, querying, and reporting methods… more
    Molina Healthcare (05/07/25)
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  • Sr Configuration Analyst , QNXT

    Molina Healthcare (WI)
    …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...of new and existing health plans. + Must have QNXT configuration experience specifically in Benefits + Must have… more
    Molina Healthcare (04/20/25)
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  • Senior Analyst - Informatics - Encounters…

    CVS Health (Tallahassee, FL)
    …every day. **Position Summary** The Sr. Analyst Informatics (Encounter Technical Analyst ) is responsible to analyze and document business data and processes, ... + Strong collaboration skills within and across teams. **Preferred Qualifications** + Claims /Encounters experience. + QNXT or Edifecs experience. + Experience… more
    CVS Health (05/03/25)
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  • Payment Accuracy Concept Consultant

    Lyric (Frankfort, KY)
    …healthcare experience as a medical coder, medical claims adjuster, medical claims processor medical auditor, Clinical editing analyst , or payment or medical ... + Experience with other Clinical Editing vendors + Background working with different claims processing systems (NASCO, Facets QNXT ) as well as understanding of… more
    Lyric (03/21/25)
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