- AdventHealth (Altamonte Springs, FL)
- …being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain ... data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data...to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders,… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... 011250 CCA- Claims **Position Summary:** Working under the direction of...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Molina Healthcare (Columbus, OH)
- **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 (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
- Acxiom (New York, NY)
- …the future of health marketing. We are seeking a highly analytical and detail-oriented ** Healthcare & Media Strategy Sr . Analyst ** to inform Acxiom Health ... internal meetings with data-driven insights and reports. **Our Ideal Candidate** The ideal Senior Analyst is passionate about working with diverse datasets and… more
- Prime Therapeutics (Eagan, MN)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Sr . Business Systems Analyst **Job Description** The Sr . Business Systems ... project team and various levels of management. With consistent Senior Leadership visibility, the Sr . BSA is...assignments within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare data, including… more
- Molina Healthcare (Columbus, OH)
- **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
- Molina Healthcare (Columbus, OH)
- …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
- Terumo Medical Corporation (Somerset, NJ)
- Sr . Tax Analyst , Indirect Date: Apr 29,...**_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
- AdventHealth (Maitland, FL)
- …days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention...knowledge of healthcare managed care contracts and healthcare administrative claims data + Employs existing… more
- Molina Healthcare (Columbus, OH)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... translate them into comprehensive business and functional specifications. + Analyze complex healthcare data sets to identify trends, patterns and insights that drive… more
- BayCare Health System (Clearwater, FL)
- …respect, responsibility and clinical excellence. **Responsibilities:** + The Managed Care Financial Analyst Sr . performs financial analyses of patient data for ... working remotely?Hybrid Equal Opportunity Employer Veterans/Disabled **Position** Mgd Care Financial Analyst Sr **Location** Clearwater:BayCare Sys Office West |… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Evolent (Columbus, OH)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations… more
- Evolent (Columbus, OH)
- …the mission. Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Elevance Health (Indianapolis, IN)
- **Provider Contract Cost of Care Analyst Senior ** **Location:** This role requires associates to be in-office **1 - 2** days per week, fostering collaboration ... may be considered. The **Provider Contract Cost of Care Analyst Senior ** will be responsible for analyzing...+ Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations… more
- Evolent (Columbus, OH)
- …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
- Elevance Health (Washington, DC)
- …procedures + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations of performance ... query tools (SQL, Excel, Snowflake) and statistical software is strongly preferred + Claims software experience (FACETS) strongly preferred + Claims and Billing… more
- Ascension Health (Indianapolis, IN)
- …Treasury transaction processing for incoming premium collections and outgoing benefit claims . + Review, maintenance and implementation of accounting policy and ... Ascension associates are key to our commitment of transforming healthcare and providing care to all, especially those most...of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision… more
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