- Prime Therapeutics (Pierre, SD)
- …fuels our passion and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst - Remote **Job Description** The Recovery & ... Resolution Analyst is responsible for recovering inappropriate pharmacy payments related...an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team with ... great chemistry, APPLY NOW! Hybrid work environment, but predominately remote . One week per month we have mandatory meetings...meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished ... backgrounds and great chemistry, APPLY NOW! Hybrid, but predominately remote . One week per month we have mandatory meetings...as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose… more
- Alight (IN)
- …and provisions to resolve the participants' issues. We strive for first-call resolution while adhering to service level agreements, ensuring a positive participant ... through effective solutions and personal service. **Responsibilities** + Handling claims related to FMLA, disability (STD/LTD), parental leave, personal leave,… more
- Catholic Health (Buffalo, NY)
- …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... based, professional based and homecare based. Performs problem diagnostics, resolution , and documentation. Provides technical and functional analysis, system… more
- Prime Therapeutics (Baton Rouge, LA)
- …our passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst ... degree of ambiguity requiring the Lead to drive towards resolution + Lead work direction of analysts and/or business,...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (Dayton, OH)
- …Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting, ... by translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The main purpose of a data analyst is to find meaning in data as a thought leader so that the derived knowledge can be used to ... Risk Adjustment Analytics team is hiring a lead data analyst with deep experience in risk adjustment. This person...data questions and issues from stakeholders and driving to resolution . + Research and analyze data flow across complex… more
- Molina Healthcare (GA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... claim payment system and other applicable systems. + Participates in defect resolution for assigned component + Assists with development of configuration standards… more
- Molina Healthcare (NE)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... reports to facilitate and support Provider Services/Provider Problem Research & Resolution . + QNXT + SQL-Advanced + Python **JOB QUALIFICATIONS** **Required… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not be considered at this ... Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant,… more
- NTT DATA North America (Lincoln, NE)
- …join our team in Lincoln, Nebraska (US-NE), United States (US). **Position: Medical Claims Case Manager: Remote within the Continental United States** **Pay:** ... or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance… 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 ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- University of Michigan (Ann Arbor, MI)
- Managed Care Payer/Operations Analyst Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first ... patient specific most often involving Out of State Payers. The Managed Care Payer Analyst will report to the Manager, Managed Care Operations and will assist in… 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
- Norstella (Cheyenne, WY)
- Analyst II, RWD Delivery Support & Education Company: Norstella Location: Remote , United States Date Posted: Sep 22, 2025 Employment Type: Full Time Job ID: ... UK, The Netherlands, Japan, China and India. **The Role: Analyst II, RWD Delivery Support & Education** The ...technical teams and end users-supporting clients through education, issue resolution , and guidance to ensure the successful delivery and… more
- CTG (CA)
- …Billing Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** + Configure and maintain Epic Professional ... module for Ambulatory and Behavioral Health settings. + Design and build claims logic, charge capture workflows, fee schedules, charge routers, billing rules, and… more
- MyFlorida (Tallahassee, FL)
- 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Date: Oct 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... for Health Care Administration Working Title: 68064828 - MEDICAL/HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number: 68064828 Salary: $2,134.42 -… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business ... The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for contributing to and...affected areas, estimating the impact and contributing to the resolution . * Implements improvements to process, analysis, and research… more
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