- Savers | Value Village (Bellevue, WA)
- **Description** Job Title: Claims Analyst (Remote, USA) Pay Range: $52,014 - $73,860 Savers Benefits Geographic & job eligibility rules may apply Healthcare ... member across our organization - from new hires to senior executives. We develop around 90% of our training...supplement our offerings. What you'll be working on: The Claims Analyst supports Saver's risk mitigation strategy… more
- Molina Healthcare (NY)
- …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
- Molina Healthcare (Grand Island, NE)
- …advanced skills in data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and financial cost, revenue, and ... trends to provide analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI, Excel, Power Pivot, VBA,… more
- Molina Healthcare (Cincinnati, OH)
- **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Healthcare plays a critical role in supporting clinical and operational ... solutions. * Write advanced SQL queries to extract, validate, and analyze healthcare data, including claims , authorization, pharmacy, and lab datasets. *… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired +… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst (" Analyst ") exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and ... program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects...other scoring instrument, as defined per policy. + Performs claims matching and auditing, as required, identifying missing or… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota ... Business Intelligence The Impact You Will Have As a Senior Healthcare Analyst , you will...analytics. * Knowledge of managed care and health care claims preferred * Experience using SQL or Python for… more
- Evolent (Helena, MT)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify… more
- Molina Healthcare (KY)
- **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
- Elevance Health (Chicago, IL)
- ** Senior Healthcare Economics Analyst - Cost of Care** **Location:** Chicago, IL (preferred). This role requires associates to be in-office 1 - 2 days per ... This position is not eligible for current or future visa sponsorship._ The ** Senior Healthcare Economics Analyst ** creates statistical models to predict,… more
- Molina Healthcare (Caldwell, ID)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits and oversight functions involving business-critical… 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
- AdventHealth (Maitland, FL)
- …**Job Location** : Maitland, FL **The role you will contribute:** The Senior Compliance Analyst applies technical, analytical, and problem-solving skills to ... data to support executive decision-making regarding contract violations. The Senior Compliance Analyst will have expertise in...and experiences you'll need to succeed:** + 3 years Healthcare , Managed Care, Hospital or Ancillary claims … more
- The Cigna Group (Bloomfield, CT)
- …required, to develop and promote shared goals. The Quality Review and Audit Senior Analyst position recognizes experience in Risk Adjustment Data Validation ... + Risk Adjustment/CMS knowledge helpful + Understanding of medical claims submissions, helpful If you will be working at...programs, visit Life at Cigna Group . **About Cigna Healthcare ** Cigna Healthcare , a division of The… more
- Molina Healthcare (Spokane, WA)
- …emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data ... data manipulation and trend analysis for Provider, member and claims data + Prior experience working as a Business...experience working as a Business or Data or Systems Analyst is preferred. + Experience working on SQL, PowerBI,… 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
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... of high financial risk and make resolution recommendations to senior management. * Perform trend analysis and key performance...for education * Three (3) years' experience in a healthcare setting preferred * Experience developing end user reports… 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
- Elevance Health (VA)
- **Medical Review Analyst Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... granted as required by law._ The **Medical Review Analyst Senior ** will be responsible to provide...analysis of all complex Tier I post service medical claims . **How you will make an impact:** + Utilizes… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... focus on accuracy and compliance. **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and… more
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