- TEKsystems (Moorestown, NJ)
- …We are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on ... space. They specialize in claims processing, enrollment, compliance, and data -driven solutions that help clients navigate complex healthcare and insurance… 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
- 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
- Molina Healthcare (Racine, WI)
- …in California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based… 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
- Centene Corporation (Jefferson City, MO)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of… 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
- Sharp HealthCare (San Diego, CA)
- …inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, ... direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to...health care and/or health plan organization. + Experience with data communications standards, data processing, and system… more
- Catholic Health (Buffalo, NY)
- …Exempt from Overtime: Exempt: Yes Work Schedule: Days Hours: 8-4 Summary: The Healthcare Analyst III will be responsible for compiling, formatting, maintaining ... and analyzing health care electronic medical record and claims data in order to track and...and utilization objectives and NCQA accreditation requirements. Additionally, the Healthcare Analyst III will be responsible for… 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
- Elevance Health (Indianapolis, IN)
- **Senior Healthcare Economics Analyst ** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… 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)
- …that requires onsite occasionally at 150 E 42nd Street Corporate Offices** The Data Science Analyst II collaborates with stakeholders from across the ... sound strategic planning, decision-making, goal setting, and effective performance measurement. The Data Science Analyst II demonstrates sound and a more… more
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