- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Senior Configuration Management (CM) Analyst (ECM-2024-21289) Bowhead is seeking to network with multiple highly experienced and qualified Senior ... Configuration Management (CM) Analysts for an upcoming proposal effort....context of US Government and Department of Defense (DoD) systems . This role requires a strong background in system… more
- Avera (Sioux Falls, SD)
- …our patients. Work where you matter.** **A Brief Overview** The Payment Configuration Analyst is responsible for maintaining and updating diagnosis-related group ... payment errors. + Collaborate with internal teams (eg, Claims , Configuration , IT) to support system updates...+ Solid understanding of CMS inpatient and outpatient payment systems , including IPPS, OPPS, and Medicare severity DRGs (MS-DRGs).… more
- Magellan Health Services (Albuquerque, NM)
- The Claims Internal Resolution Analyst is responsible for coordinating the resolution of claims issues locally at the health plan by actively researching and ... and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Identifies the interdependencies… more
- Molina Healthcare (TX)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component...+ Must have strong experience with Benefits and contracts configuration in QNXT + Must have claims … more
- Molina Healthcare (Covington, KY)
- …+ Interact with various departments including; IT, Contracting, Corporate Services, Claims , Utilization Management. Configuration and Payment Integrity to ... and ancillary providers. + Implement and use software and systems to support the department's goals. + Strong knowledge...+ Ability to interpret,communicate, and suggest revisions to core claims operation and data configuration SOP's, BRDs,… more
- Molina Healthcare (Layton, UT)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... that provider information is loaded accurately to allow for proper claims processing, outbound reporting and directory processes. **JOB QUALIFICATIONS** **Required… more
- Molina Healthcare (Grand Island, NE)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** + Trains staff on configuration functionality, enhancements, and updates. + Works with internal and… 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
- St. Luke's Health System (Boise, ID)
- …**Position Summary:** The Epic Tapestry Analyst - Health Plan AP Claims is responsible for supporting the build, configuration , maintenance, and optimization ... Tapestry module, with a specialized focus on the Health Plan Accounts Payable (AP) Claims functionality. This role ensures the integrity and efficiency of claims … more
- Amazon (New York, NY)
- …management through innovative software solutions. We're seeking an experienced application analyst to lead the architecture, configuration , and management of ... to 25+ insurance and risk programs. As a system analyst , you will drive architectural, configuration , and...programs. The solutions developed and maintained by the Application Analyst cover the full claims lifecycle, encompassing… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Enterprise Configuration Management Proposal Landing Page (ECM-2024-21346): Bowhead is seeking to network with individuals to join our team for our ... proposal effort toprovide support in Configuration Management (CM) as it applies to hardware and software systems ; combat systems ; system of systems ;… more
- WelbeHealth (CA)
- **Senior Applications Analyst - TPA Systems & Claims Processing** WelbeHealth is a value-based healthcare organization that's transforming the future of ... including: + Minimum of five (5) years of experience managing claims processing system functionality (eg, design, configuration , testing, optimization,… more
- LogixHealth (Dania, FL)
- Location: On-site in Dania, Florida This Role: The Senior Systems Support Analyst 's role is to ensure consistent deployment and stable operation of the corporate ... systems , network, and security posture. This involves supporting, planning,...hybrid identity with Entra ID, including group policy, Intune configuration profiles, user management, and directory services + Experience… more
- Sharp HealthCare (San Diego, CA)
- …in a health insurance product implementation, benefit/coverage policy development, benefit configuration , or claims role. **Other Qualification Requirements** + ... policies (ie, Certificates of Coverage) into detailed requirements for benefit configuration . Develops and documents workflows, systems requirements, process… more
- Commonwealth Care Alliance (Boston, MA)
- …or configuration updates. + Document all research, findings, and outcomes in claims systems (eg, Salesforce, Facets) in compliance with audit standards and ... Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant,… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** Procurement Analyst : Bowhead is seeking a Procurement Analyst to support the PEO C3N contract located at Aberdeen Proving Ground, MD. The ... Procurement Analyst will work within multiple groups and the PMs...and matrix support + Assist in developing and maintaining configuration management and support agreement databases, ensuring data integrity.… more
- UIC Government Services and the Bowhead Family of Companies (Vicksburg, MS)
- **Overview** Bowhead is seeking a Cybersecurity Intrusion Detection Analyst to join our team in Vicksburg, MS. The Cybersecurity Intrusion Detection Analyst ... alongside Warning Intelligence Analysts and Engineers. The Cybersecurity Intrusion Detection Analyst will work in the Attack Sensing and Warning (AS&W) division… more
- System One (Dayton, OH)
- …databases and systems used for provider contracting. The Provider Network Analyst I will collaborate with the contracting team to resolve technical issues and ... Job Title: Provider Network Analyst Type: Contract Compensation: Contractor Work Model: Remote...databases, ensuring data accuracy, consistency, and integrity across all systems + Assist in the setup, configuration ,… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11998 ... net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement activities by producing… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more