- State Of California (Sacramento, CA)
- …our team, apply today! About this Role: The role of the Travel & Support Claims Analyst is to lead & independently perform & analyze the more difficult ... Code #: JC-483761 Position #(s): ###-XXX Working Title: Travel & Support Claims Analyst Classification: ASSOCIATE ACCOUNTING ANALYST $6,146.00 -… more
- Swinerton Incorporated (San Francisco, CA)
- … of detailed cause and effect claim presentations Supervise Scheduling/Cost Analyst Interns, Scheduling/Cost Analysts, Scheduling/ Claims Analysts Partner with ... (Cornerstone, Foundations, Structural) Develop baseline contract schedules with project team and support schedule updates Travel within California and the US to… more
- County of San Bernardino, CA (San Bernardino, CA)
- …Job The Office of Homeless Services (OHS) is recruiting for a Housing Grant Analyst I* who will work directly with local community providers to monitor, review, and ... (ESG) , and other state funding. This position will involve reviewing claims , providing technical assistance, and performing yearly program monitoring for assigned… more
- Abbott (Livermore, CA)
- …are helping address some of the World's greatest healthcare challenges. As a Business Analyst you will have the opportunity to build and maintain dashboards that ... support Acelis' internal operations and use advanced analytical tools...data analysis Experience working in Healthcare, analyzing operational and claims data Experience analyzing and working with Salesforce Physical… more
- Ventura County (Ventura, CA)
- Management Analyst I - Budget and Finance (Fixed Term) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4943395) Apply Management Analyst I ... Term) Salary $87,034.33 - $121,848.07 Annually Location Ventura and may require travel throughout Ventura County and neighboring counties, CA Job Type Fixed Term… more
- HUB International (Newport Beach, CA)
- …and Account Executive to manage an assigned book of business. The Benefit Analyst primarily provides technical support that requires a thorough understanding of ... role in supporting our clients with day-to-day account management, claims management, and underwriting services that ensure they have...of the industry's top talent to help guide and support our customer's needs and provide them with innovative… more
- Humana (Sacramento, CA)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... part of the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... the liaison between business units, external trading partners, IT teams and support teams + ensure functional and non-functional requirements are understood and… more
- UCLA Health (Los Angeles, CA)
- …operations, and driving system enhancements to improve efficiency and compliance. The analyst will also support testing, report generation, and documentation ... Description The Business Data Analyst plays a key role within the Medicare...+ Gather and define business and technical requirements to support electronic data exchanges and system enhancements + Collaborate… more
- Highmark Health (Sacramento, CA)
- …incumbent reviews significant amounts of information and analyzes processes to support business unit needs. May troubleshoot errors, conduct impact analyses, and/or ... planning/designing and facilitation of functional walk-throughs. May require additional support from more experienced team members. + Manage small...3 - 5 years of experience in a Business Analyst or Business Process Analyst role or… more
- Newegg Inc. (Diamond Bar, CA)
- …abuse, or policy violations, including but not limited to item not received (INR) claims , return fraud, product tampering, or false return claims . + Accurately ... investigation findings, ensuring detailed reporting in internal systems to support decision-making and potential escalations. + Determine appropriate disposition of… more
- Highmark Health (Sacramento, CA)
- …performance. + Designs basic scorecards and dashboards using analytic tools to support value based reimbursement arrangements with large strategic partners in the ... PCPs, specialists, facilities, post-acute providers, and ancillary providers. + Interprets raw claims , provider, quality, and member data to build data sets to be… more
- The County of Los Angeles (Los Angeles, CA)
- …the County of Los Angeles in the defense of workers' compensation claims before the California Workers' Compensation Board, the California Court of Appeals ... County of Los Angeles in defense of workers' compensation claims . Approves contract law firms request for payment of...to address the inequalities and disparities amongst races. We support the ARDI Strategic Plan and its goals by… more
- Highmark Health (Sacramento, CA)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... set the rates. Prepares a variety of reports and provides rationale and support to other areas within the organization, clients, and possibly producers regarding one… more
- The County of Los Angeles (Los Angeles, CA)
- …to plan, control, direct and evaluate the work of field inspectors and support personnel. Incumbents must have refined written and verbal communication skills, and ... of new departmental employees. + May be required to travel out of town to represent the Department at...to view correspondence. Los Angeles County will not consider claims of not viewing or receiving notification to be… more
- Astellas Pharma (San Francisco, CA)
- …decision making. The ideal candidate is a strategic thinker and hands-on analyst who is passionate about leveraging data to tell compelling stories, uncover ... segmentation and cohort analyses to understand diverse patient populations and support personalized interventions. + Data pipeline monitoring: Monitor data ingestion… more
- The County of Los Angeles (Los Angeles, CA)
- …the audit process. Interviews department personnel and gathers evidence to support and ensure audit results are appropriate and sufficient. Recommends improvements ... submit documentation from a qualified medical provider or other qualified professional to support your request for a testing accommodation. Please note, you will be… more
