- Community Health Systems (Franklin, TN)
- **Job Summary** The User Experience Analyst Sr . plays a critical role in leveraging data to drive strategic decision-making. This individual will be responsible ... communicate findings to both technical and non-technical audiences. The User Experience Analyst Sr . will work independently on complex projects and mentor… more
- Point32Health (Canton, MA)
- …consulting resources on the team to achieve maximum system functionality. In addition, the Sr Analyst will play a key role in analyzing the requirements, ... Under the direction of the Manager of HealthRules Payor (HRP) Configuration, the Sr Configuration Analyst for HRP Configuration will provide deep analytical and… more
- Norstella (Salt Lake City, UT)
- Sr . Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Sep 10, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... and support patients in need. We are seeking a Senior Medical Analyst to join our team...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- University of Miami (Miami, FL)
- …of Miami Health System, "UHealth", IT Department has an exciting opportunity for a Full-time Epic Sr . Analyst - Quality and Population Health. The Epic Sr . ... and procedures and safeguards University assets. Department Specific Functions: As an Epic Analyst - Quality and Population Health, you will: + Build and maintain… more
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst , Indirect Date: Aug 23,...**_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with ... broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers...o Maintain appropriate documentation for audits 6. Support the Senior Tax Manager and Director of Tax as required… more
- Prime Therapeutics (Santa Fe, NM)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & ... Complaints Senior Compliance Analyst assists in the implementation...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- Zelis (Plano, TX)
- …and the personal interests that shape who you are. Position Overview The Sr . Medicaid Regulatory Pricer Analyst will collaborate with the Zelis Regulatory ... Proficient writing SQL queries + A good understanding of public and private healthcare payment systems, medical claims , standard claim coding, claim editing,… 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
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Epic Professional Billing Sr Application Analyst role will provide technical expertise and leadership, including configuring, documenting, ... problem resolution + Demonstrated working knowledge and expertise of healthcare processes and application system coordination + Demonstrated knowledge...role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal.… more
- Commonwealth Care Alliance (Boston, MA)
- …process improvement. As a senior individual contributor on the team, the Senior Analyst is expected to successfully lead projects of any size, scope, ... in order to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Waste and Abuse activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and ... Ready to help us transform healthcare ? Bring your true colors to blue. Position...problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and… more
- GuideOne Insurance (West Des Moines, IA)
- As the Senior Financial Analyst , FP&A (Financial Planning and Analysis), you will play a key role in supporting The Mutual Group (TMG) and its member ... in coordination with Data Hub. + Support functional expense analysis (Example: Claims , Finance, Legal, etc.). Works with leaders to understand and develop budgets… more
- Evolent (Helena, MT)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... public health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed care, or… more
- Henry Ford Health System (Troy, MI)
- …to regional averages, comparing to Government fee schedules and analyzing existing healthcare ( claims ) data and reimbursement terms and payment methodologies; ... or opportunities for revenue capture. 9. Develop queries and reports to extract claims and payor data from dbase reporting tool. 10.Perform other duties as assigned.… more
- 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 ... supplement our offerings. What you'll be working on: The Claims Analyst supports Saver's risk mitigation strategy...seek approval from management. This position reports to the Sr . Workers Compensation and Claims Manager. +… more
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk ... Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk… more
- Molina Healthcare (Grand Island, NE)
- **JOB DESCRIPTION** **Job Summary** This Sr . Analyst , Healthcare Analytics role will support Molina's Risk Adjustment Analytics team. The job ... data analysis. Performs research and deep-dive analysis of complex healthcare claims data, CMS return files, and...analytic support for finance, pricing and actuarial functions. + Healthcare Analyst I experience desired. + PowerBI,… more
- Molina Healthcare (Caldwell, ID)
- …pertaining to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr . Analyst works with health plans and operations departments to ... ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr . Analyst develops and performs audits and oversight functions involving… 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
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