- Molina Healthcare (Kenosha, WI)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior -level support for claims processing and claims research. ... Analyst , Claims Research serves as a senior -level subject matter expert in claims operations...position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Banner Health (Phoenix, AZ)
- …today, this could be the perfect opportunity for you. Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk ... identification, mitigation, transfer, and claims management to protect one of the nation's largest...management to protect one of the nation's largest non-profit healthcare systems. In this role you will be revieing… 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 ... claim status, reserves, legal expenses, and emerging risks for senior leadership and the Claims Director. +...experience. Skills: + 5+ years of claim experience, preferably healthcare liability or other professional liability claims .… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …legally protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota ... you are ready to make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… more
- Molina Healthcare (Miami, FL)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (Scottsdale, AZ)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...contract valuation and analysis to ensure access to quality healthcare services for people receiving government assistance. Strengthens access… more
- Molina Healthcare (Omaha, NE)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… 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
- AdventHealth (Maitland, FL)
- …FL hybrid (Monday, Wednesday, Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating ... care contracts and proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to detail and… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...+ 3+ Years of experience with predictive modeling in healthcare quality data. + 3+ Years of experience in… more
- Molina Healthcare (Syracuse, NY)
- …Experience working on SQL, PowerBI, databricks. + Experience on ETL , healthcare specifically claims is highly preferred. **JOB QUALIFICATIONS** **Required ... emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data… more
- Dana-Farber Cancer Institute (Boston, MA)
- … Business Intelligence Analyst . In partnership with Business Strategy, the Senior Business Intelligence Analyst builds claims -based analytical models, ... Information Officer. Given access to an extraordinary range of healthcare data (including medical and pharmacy claims ,...as quality, operations and most importantly, patient care. The Senior Clinical Operations Analyst will work with… more
- Ascension Health (Glendale, WI)
- …time of the offer._ **Responsibilities** **We Are Hiring** We are hiring a full-time Senior Analyst to join the Ascension Data Sciences Institute Center of ... of factors driving overall market performance and growth. The Senior Analyst will be responsible for: +...years of experience preferred. **Additional Preferences** + Experience with healthcare industry, healthcare claims data,… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- UPMC (Pittsburgh, PA)
- …efficiency in healthcare reimbursement? At UPMC Health Plan, we're looking for a Senior Payment Accuracy Analyst to play a critical role in shaping how ... of relevant experience OR equivalent combination of education & work within healthcare payers/ claims payment processing will be considered + Previous experience… more
- AmeriHealth Caritas (Manchester, NH)
- …Provider data maintenance knowledge. + Understanding of and experience with healthcare claims payment configuration processes/systems and their relevance/impact ... **Role Overview:** ;The Senior Provider Network Operations Analyst is...or Medicare experience preferred + 2 plus years of claims analysis experience in a healthcare environment… 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
- IQVIA (Durham, NC)
- …(RWE) FSP team, working fully within the environment of a prominent Pharma company. This senior data analyst role sits within our Real World Solutions team and ... to have prior experience in observational research utilizing EMR and claims data, a strong statistical programming skillset, and experience managing multiple… more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims … more
- HCA Healthcare (Nashville, TN)
- … Analyst establishes and maintains monthly utilization and financial reporting. The Analyst will interact with senior leadership teams as needed. **Major ... Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have...have an exciting opportunity for you to join HCA Healthcare which is part of the nation's leading provider… more
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