- LA Care Health Plan (Los Angeles, CA)
- Surround Systems Configuration Analyst I Job...Required: At least 3 years of experience in a Systems Configuration , Claims or other Operations ... the safety net required to achieve that purpose. Job Summary The Surround Systems Systems Configuration Analyst I performs baseline technical and… 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
- 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
- Elevance Health (Norfolk, VA)
- …for providing support, configuration , design, testing and implementation for ratings or claims systems . **How you will make an impact:** + Works with ... you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT...field of study and a minimum of 2 years systems analyst or business analyst … 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
- Geisinger (Danville, PA)
- …Plan departments and facilitates the exchange of information between the grievances, claims processing and provider relations systems . Follows up with providers, ... Job Summary Reviews and resolves complex claims issues, using established state and federal guidelines,...information from provider calls. + Provides feedback to the configuration team to ensure payment terms are set-up correctly.… more
- Centene Corporation (Jefferson City, MO)
- …interpretation to link business needs and objectives for assigned function. + Claims configuration testing + Support business initiatives through data analysis, ... systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured… 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 (CA)
- …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
- SSM Health (Jefferson City, MO)
- …are a growing team looking for a results driven and intellectually curious Senior Epic Systems Analyst with a passion to make a difference. This individual will ... 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
- Molina Healthcare (Columbus, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… 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
- 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