- The Cigna Group (Franklin, TN)
- …Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Quality Review Senior Analyst . This role requires the review ... input correctly per the specifications of the provider. The Claims Configuration Quality Review Senior Analyst... will have in depth knowledge of the eviCore claims systems and products. As the Subject… more
- LA Care Health Plan (Los Angeles, CA)
- Surround Systems Configuration Analyst III...Required: At least 5 years of experience in a Systems Configuration , Claims or other ... prior to proceeding with the recruitment process. Job Summary The Surround Systems Configuration Analyst III is responsible for the more complex technical… more
- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title ... organization's managed care payment system (QNXT) and other core vendor developed systems at an intermediate level. Ensures system configuration consistency… more
- Baylor Scott & White Health (Temple, TX)
- …+ Conducts audits of the configuration and Provider contracts and set-up in claims processing systems + Identifies payment issues and works to resolve ... **JOB SUMMARY** The Configuration Analyst 1 is accountable for...for the auditing and review of new and existing configuration for Provider set up and claims … more
- Providence (Beaverton, OR)
- …Configuration Analyst , who will:** + Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, ... IT role and it will be configuring our Facets claims payment operating platform** **Providence is seeking a Facets...+ Understand how these products integrate with other PHP systems such as Care Advance, TCS, UPP, PIMS etc.… more
- Providence (CA)
- …we must empower them._** **Providence Health Plan is calling an Associate System Configuration Analyst who will:** + Be responsible for handling service ... + Serve as a subject matter expert on Ayin's systems and implementations + Work in conjunction with Ayin...+ 1+ years of experience working in a System Configuration Analyst , Quality Control Analyst … more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Reconsideration Analyst 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #11868 Monday, March 4, 2024 Centers Plan for Healthy Living's goal is to ... Provides feedback on department workflows and identifies opportunities for redesign. Performs claims testing to ensure that systems are designed efficiently… more
- Apex Health Solutions (Houston, TX)
- Summary Claims Analyst is responsible for accurate and timely research of all providers claim inquiries according to policies, process instructions and system ... reporting, and acts as a liaison between internal stakeholders for associated claims processes. Candidate will respond to all incoming inquiries and coordinate with… more
- Health Plans, Inc. (Dallas, TX)
- …with occasional after-hours or weekend duties. Required Education and Experience + Understanding of claims processing systems + 2+ years of healthcare claims ... care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network Operations… more
- Providence (Renton, WA)
- …of WA, OR, MT, CA, AK and or TX **Providence is seeking an Epic Applications Analyst - AP Claims , who will:** + Demonstrate full use and application of standard ... requirements or procedures. + Analyze user requirements, develop and implement systems for moderately complex processes. + Coordinate activities of project team… more
- Carle (Urbana, IL)
- Revenue Cycle Systems Analyst + Department: Revenue Cycle - CFH_10_19 + Entity: + Job Category: + Employment Type: Not Indicated + Job ID: 38584 + Experience ... Email a Friend Save Save Apply Now Position Summary: The Revenue Cycle Systems Analyst position implements, modifies, tests and administers modules and … more
- SSM Health (Madison, WI)
- …a growing team searching for a results driven and intellectually curious experienced Epic Systems Analyst who shares our passion to make a difference. We're ... needs and translate into the technical enhancements necessary for configuration and business process changes. Develops proposals that outline... + Or + Charge Router - Epic Health Systems + Or + Claims Graduate Program… more
- UIC Government Services and the Bowhead Family of Companies (Washington, DC)
- **Overview** SENIOR PROGRAM MANAGEMENT ANALYST / SYSTEMS ANALYST (PMW220) Bowhead is seeking a Senior Program Management Analyst /Senior Functional ... applicable toData Solution Architect (S/4). + Design and lead S/4 systems from an application and database perspective. Primarily applicable toTechnical Architect… more
- Apex Health Solutions (Houston, TX)
- …high quality, affordable care in a modern, patient focused approach. The EDI Systems Analyst is responsible for ensuring EDI transmissions meet platform ... implement X12 EDI solutions for healthcare transactions such as claims , eligibility, and remittance advice (834, 835, & 837)....Minimum 3+ years of experience working as an EDI Systems Analyst in a technical environment with… more
- Fairview Health Services (St. Paul, MN)
- **Overview** The Performance Integrity Innovation Analyst (PI Innovation Analyst ) is responsible for a thorough understanding of software system configuration ... shoot, monitor and support improved utilization of the system. The PI Innovation Analyst will lead the development of requirements specific to changes and updates to… more
- Carle (Urbana, IL)
- …Requirements: occasionally Email a Friend Save Save Apply Now Position Summary: Revenue Cycle Systems Analyst Senior is a qualified/certified analyst in the ... module/ systems assigned and is proficient in the Revenue Cycle Systems Analyst role. Develops, implements, modifies, tests and administers more complex… more
- LA Care Health Plan (Los Angeles, CA)
- …Disbursement Analyst III Assigned area includes but is not limited to Claims and Capitation disbursements. The ERP Disbursement Analyst III is also ... Enterprise Resource Planning Analyst III Job Category: Accounting/Finance Department: Finance Services...case scenarios, task and workflow analysis. Identify all the systems , processes and users that are impacted by the… more
- Universal Health Services (Reno, NV)
- …patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Application Analyst Sr. position leads the support, configuration , testing, ... and audit configuration while following change control processes. The Application Analyst Sr. provides mentoring for others on the team and PHP employees. They… more
- UIC Government Services and the Bowhead Family of Companies (Dayton, OH)
- **Overview** Bowhead seeks a Cybersecurity Network Defense Analyst to join our team in Dayton, OH. The Cybersecurity Network Defense Analyst uses data collected ... alongside Warning Intelligence Analysts and Engineers. The Cybersecurity Network Defense Analyst will work in the Attack Sensing and Warning (AS&W) division… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11152 ... net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement activities by producing… more