- The Cigna Group (Bloomfield, CT)
- …a line of business within the Cigna Group is hiring a Claims System Senior Analyst . This highly technical systems role requires the review of our claims ... will have in depth knowledge of the eviCore claims systems and products. As the Subject...As the Subject Matter Expert, you'll partner with the Systems Configuration Associates, internal departments, external clients… 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
- Molina Healthcare (Ann Arbor, MI)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … 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 (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
- Prime Therapeutics (Indianapolis, IN)
- …fuels our passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - ScriptMed - Remote **Job Description** The IT Business ... Systems Analyst is responsible for solving moderately...of security implications of domain + Experience in Prime claims systems + Proficiency in Visio, Microsoft… 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 (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
- Robert Half Technology (Clearwater, FL)
- …will collaborate with stakeholders to deliver effective business solutions, focusing on claims systems and processes. Your work will involve gathering ... Description We are looking for an experienced IT Business Analyst to join our team in the Tampa, FL...* Gather and document detailed business requirements to support claims administration systems . * Create and maintain… 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
- DATAMAXIS (Northbrook, IL)
- …Vistex configuration experience, including experience in integration with other systems and modules. + Experience in Vistex Rebates, Billback or Chargeback ... our direct client for an experienced SAP SD/Vistex Business Analyst to join our SAP Pricing & Rebates team....per business-mandated deadlines. + Ensure the highest level of systems availability and demonstrate a sense of urgency to… 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
- Zurich NA (Atlanta, GA)
- Customer Information Services Analyst II 123803 Zurich North America is currently seeking a Customer Information Services Analyst II to join our team. This role ... internal business partners with consultation, strategic needs, and business performance of claims and exposure data + Responsible for the development, analysis, and… more