- LA Care Health Plan (Los Angeles, CA)
- Core Systems Configuration Analyst III Job...Required: At least 5 years of experience in a Systems Configuration , Claims or other Operations ... required to achieve that purpose. Job Summary The Core Systems Configuration Analyst III is...Systems applications, and databases (eg, QNXT Migration Utility, Claims Workflow, Claims Test Pro, NetworX Pricer,… more
- Molina Healthcare (Rio Rancho, NM)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management...maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems .… more
- Molina Healthcare (St. Petersburg, FL)
- …maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply ... JOB DESCRIPTION Job Summary Provides senior level analyst support for configuration information management...maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems .… more
- Avera (Sioux Falls, SD)
- …of health plan processes, systems and regulations including claims processing, benefit configuration , enrollment and provider networks. Including ... patients. Work where you matter.** **A Brief Overview** The Avera Health Plan Configuration Analyst is responsible for the design, implementation, and support of… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring an Expert Senior Systems Analyst to join their highly accomplished team. This position is specifically for the Hospital Billing Claims Bridges ... less experienced team members. Communicate with the business/act as a Business Analyst . Ensure data governance is involved when necessary. End User Training:… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... conduct clinical applications analysis and/or programming of intermediate to complex systems , analysis of clinical workflows, and system adoption strategies. An… more
- CareFirst (Baltimore, MD)
- …membership configuration set-up and maintenance, setup of code sets used for configuration in benefits & pricing for claims processing, claims editing ... core care management and clinical appeals workflows. + Assesses how proposed configuration management changes may impact systems sustainment and supportability… more
- Huron Consulting Group (Chicago, IL)
- …growth, optimize internal processes and deliver better consumer outcomes. Health systems , hospitals and medical clinics are under immense pressure to improve ... and create your future. Huron is looking for a highly skilled NetworX Configuration SME to oversee the configuration , maintenance, and optimization of provider… more
- Molina Healthcare (San Antonio, TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... on Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …subject matter experts and end users + Responsible for development and configuration of application systems according to provided technical specifications, ... expertise to our customers. Job Summary: Conducts requirements analysis, configuration modification of AQS Policy Administration System to implement enhancements… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary...system manager for a complex application system, controlling system configuration such as data dictionaries, configuration options,… more
- Sharp HealthCare (San Diego, CA)
- …eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst -EDI Mgmt will work to streamline processes, create ... the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and...of knowledge of health plan operations, health plan software configuration , enrollment and claim file processing and trading partner… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... experience will not be considered for this position. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance … more
- SSM Health (MO)
- …MO-REMOTE **Worker Type:** Regular **Job Highlights:** Exciting Opportunity for an Epic Systems Analyst at SSM Health! Preferred certifications in Resolute HB, ... PB, and/or Claims . **Job Summary:** Acts as a broad subject matter...and works closely with stakeholders to define the technical systems and enhancements needed to deliver business results. Conducts… more
- State of Colorado (CO)
- …relevant professional state experience + Professional experience: + Working as a Systems Business Analyst , managing the SDLC methodology processes; eliciting and ... while ensuring requirements trace ability for quality results for large scale medical claims processing systems or medical information systems . + Working… more
- Health Care Service Corporation (Richardson, TX)
- …development. **Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. ... for designing enhancements and new business applications and/or information systems solutions through integration of technical and business requirements; serving… more
- The County of Los Angeles (Los Angeles, CA)
- INFORMATION TECHNOLOGY SECURITY ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4690295) Apply INFORMATION TECHNOLOGY SECURITY ... activities related to the development, implementation, and monitoring of information systems security standards, best practices, and architectures for a County… more
- Cleveland Clinic (Cleveland, OH)
- …a clinical role, every member of the Cleveland Clinic team is a caregiver. Serving as Systems Analyst IV, being a caregiver starts in the office, where you will ... resolving complex problems. + Participate in developing strategic plans for systems /applications development and modification within area of expertise. + Review… more
- University of Miami (Miami, FL)
- …stakeholders, end-users, and application team members to optimize the application's configuration , function, and access. The Epic Analyst facilitates day-to-day ... of Miami Health System IT Department has an opportunity for a full-time Epic Analyst - Hospital Billing. The Epic Analyst - Hospital Billing assists Associate Epic… more
- AmeriHealth Caritas (Manchester, NH)
- …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 responsible for maintaining current provider data and setting up provider reimbursement, as well… more