- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **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 relevant… more
- Providence (Renton, WA)
- …Directors and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims ... regulations pertaining to self-insured health care organizations. The Senior Quality Analyst is also responsible for maintaining a claims quality assurance… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- WelbeHealth (Phoenix, AZ)
- … claims + Must have experience working with CMS and Medicaid healthcare claims + Demonstrated skills within Microsoft Office Applications, including Excel ... ** Claims Audit Analyst ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the… more
- Commonwealth Care Alliance (Boston, MA)
- 011250 CCA- Claims Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims will provide ... to support network development goals * Support collaboration between PI/ Claims and other internal stakeholders related to the identification...* 3-5 years Data Analysis * 3+ years of Healthcare experience * 3+ SQL Desired Experience (nice to… more
- HCA Healthcare (Nashville, TN)
- …to join an organization that invests in you as a Senior Benefits Financial Analyst ? At HCA Healthcare , you come first. HCA Healthcare has committed up ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Senior Benefits Financial Analyst like you to… more
- Molina Healthcare (Augusta, GA)
- **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
- Guidehouse (Chicago, IL)
- …utilization and quality + Value-based care strategies + Strong understanding of healthcare claims (facility or payer) data and/or HIT applications including ... data that generate insights for our clients. The Healthcare Solution Analyst plays a key role...those used to manage patient, financial, clinical, claims and/or operational data, is a strong advantage +… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...reports in support of the intake and management of healthcare data. The ideal candidate will be able to… more
- WelbeHealth (CA)
- ** Senior Applications Analyst - TPA Systems & Claims Processing** WelbeHealth is a value-based healthcare organization that's transforming the future of ... care by providing an all-inclusive care option to our most vulnerable senior population. The Senior Applications Analyst oversees the implementation… more
- New York State Civil Service (Albany, NY)
- …or healthcare facility related to reimbursement rates, principles, and practices. Senior Health Care Fiscal Analyst (starting salary $66,951): Meets the ... NY HELP Yes Agency Mental Health, Office of Title Senior Health Care Fiscal Analyst / Health Care...CFR Provider training sessions.* Coordinate with the Contracts and Claims (C&C) Unit on the application of CFR data… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina… more
- Molina Healthcare (TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is required… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Elevance Health (Chicago, IL)
- …passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...leveraging claims , authorization, and membership data to tell a detailed… more
- Insight Global (Burbank, CA)
- …service representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and answers calls from the ... implementing solutions; addressing unresolved problems - Review and research incoming healthcare claims by navigating multiple computer systems and platforms… more
- UGI Corporation (Denver, PA)
- …neighbors, friends, and families in providing best-in-class products and services! Job Summary The Senior Analyst - Finance is a business partner who develops an ... several Company business areas and presents risks, opportunities and recommendations. The Senior Analyst leads individual processes within the Company's overall… more
- Mount Sinai Health System (New York, NY)
- …Facility and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a ** Senior Contract Manager Analyst ** will play a critical role in testing, ... focus on accuracy and compliance. **Preferred Skills:** + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and… more
- Evolent (Hagatna, GU)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team ... our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will...Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify… more
- Gentiva (Mooresville, NC)
- …years of relevant experienceproven ability working as an analyst in the healthcare industry with medical claims , membership, and provider data + Strong ... - and kindness is celebrated. **Overview** We are looking for a **Medical Economics Analyst Senior ** to join our team. This position will directly report to… more