- The Joint Commission (Oakbrook Terrace, IL)
- …such as EHRs, claims , or quality reporting metrics. + Knowledge of healthcare outcomes research principles and study design. + Meticulous attention to detail and ... **Overview** Joint Commission seeks a highly skilled and motivated Sr Healthcare Data Analyst to support a growing portfolio of research and analytics … more
- Commonwealth Care Alliance (Boston, MA)
- …role is responsible for cultivating high-impact relationships with key healthcare providers, optimizing network performance, and ensuring compliance with regulatory ... partnerships, provider services, contracting, quality, compliance, medical management, and analytics teams to advance provider network operations, education, and… more
- Somatus (Mclean, VA)
- … to create impact among Somatus' clients and leadership by analyzing Somatus' healthcare claims and care management data. This position will work collaboratively ... the best version of themselves, including: + Subsidized, personal healthcare coverage (medical, dental vision) + Flexible Paid Time...with the Operations, Customer Success, and Analytics teams to support our Clinical, Operational, and Finance… more
- Stony Brook University (St. James, NY)
- …systems, including insurance eligibility verification, claim scrubbing, electronic claims submission and remittance, encoder tools, financial analytics ... Revenue Cycle Applications IT serves as a strategic leader charged with managing and enhancing the technology by supporting the organization's revenue cycle… more
- Staffing Solutions Organization (Albany, NY)
- …+ 8 years of professional experience required + Experience working with healthcare data, particularly claims , member, and provider domains required + ... Analyst - Data Quality in Albany, NY** **Division of Data Services & Analytics (DDSA)** **Data Quality Team** **Item 1302** The **Business Analyst** will work within… more
- CSL Behring (Waltham, MA)
- …driving early product strategy, Target Product Profiles (TPPs), Target Product Claims (TPCs), Stage-Gate Preparation, and Life Cycle Management (LCM) Planning and ... Collaborate with functional and regional partners (eg, Market Access, Insights and Analytics , US and International) to present a unified commercial voice in PSTs,… more
- Commonwealth Care Alliance (Boston, MA)
- …to key business units within Clinical Operations, including reports and analytics to ensure continuous process improvement. As a senior individual contributor ... is for an independent self-driven contributor who will lead delivery of projects/reports/ analytics and may work independently or in matrixed cross functional team.… more
- Molina Healthcare (AZ)
- …platforms such as Salesforce (case management, integrations), QNXT (or similar core claims ), RPA/automation, and analytics /reporting (eg, SQL/Excel, BI tools). + ... PMO standards, stage gates, and financial controls. + **Operational & Regulatory Acumen ( Healthcare / Claims )** + Deep understanding of claims lifecycle, EDI… more
- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- Molina Healthcare (TX)
- **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...assess business impacts, and make recommendations through use of healthcare analytics , predictive modeling, etc. + Analysis… more
- Centene Corporation (Austin, TX)
- …must live in Eastern or Central Time Zone. **Position Purpose:** The Manager, Healthcare Analytics drives the execution of analytics strategy through ... or related field. Master's degree preferred. 4+ years of experience in healthcare analytics , large databases, data verification, data management, table creation… more
- Centene Corporation (Tallahassee, FL)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** The Manager, Healthcare Analytics drives the execution of analytics strategy ... or related field. Master's degree preferred. 4+ years of experience in healthcare analytics , large databases, data verification, data management, table creation… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Working under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will ... based on State and Federal requirements, host meetings, and managing projects to completion + Define business requests received,...and experience in Healhcare Revenue Integrity, Payment Integrity, and Analytics + 5+ years of Facets Claims … more
- The Cigna Group (Bloomfield, CT)
- …Science, or Data Science + At least 5+ years of experience in related healthcare analytics or value-based care research + Experience technical skills required to ... manage annual reconciliation for pilot programs. + Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and… more
- Evolent (Carson City, NV)
- …research, mathematics, economics) + At least 3-5 years of professional experience in claims -based healthcare analytics with a payer, provider, clinical ... and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding...vendor, managed care, or related healthcare consulting entity + Experience with managing … more
- Genentech (Los Angeles, CA)
- …Data Science, Statistics, or a related field. + 12+ years experience in healthcare analytics , population health measurement, or related sectors. + 8+ years ... Health. + Experience with data governance, privacy, and compliance considerations in healthcare analytics . + Strong financial acumen and the skillset to… more
- The Cigna Group (Denver, CO)
- …program expertise required to support Pay-for-performance strategy; * Experience conducting healthcare analytics or value-based care research; * Experience ... manage annual reconciliation for pilot programs; * Derive actionable insights from healthcare data ( claims , clinical, pharmacy, externally sourced) to engage and… more
- Option Care Health (Bannockburn, IL)
- … analytics techniques to analyze large datasets, such as related to healthcare operations, billing, claims , and patient information to support Compliance ... that attracts, hires and retains the best and brightest talent in healthcare . **Job Description Summary:** The Analyst, Compliance Auditing, Monitoring and … more
- Evolent (Hagatna, GU)
- …public health, biology) + At least 5 years of professional experience in claims -based healthcare analytics with a payer, provider, vendor, managed ... or related healthcare consulting entity + Extensive knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- Nestle (Bridgewater, NJ)
- …and nutrition for patients and consumers. **POSITION OVERVIEW:** The Customer Solutions and Claims Specialist serves as the primary point of contact for the customer ... order management duties, this role is responsible for efficiently and effectively managing the end-to-end Order to Cash process flow, from intake of customer… more
