- Molina Healthcare (Omaha, NE)
- …and conversion of new and existing health plans. + Must have experience in Contracts configuration in QNXT or Networx + Experience in DOFR (division of financial ... in defect resolution for assigned component + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure… more
- Molina Healthcare (Buffalo, NY)
- …for all assigned areas of responsibility. + Assists with development of configuration standards and best practices while suggesting improvement processes to ensure ... systems are working more efficiently and improve quality. + Assists in planning and coordination of the claim payment system upgrades and releases, including development and execution of some test plans. + Participates in the implementation and conversion of… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter expert on Medicaid… more