- Mindlance (Atlanta, GA)
- …to determine system components and functional flow of components and data between components. Business System Analyst - Healthcare - Health Insurance - EDI, ... Job Title: Business System Analyst Job Location: Complete.... Healthcare / Health Insurance - EDI, HL7, Medicare / Medicaid . Healthcare claims … more
- Cambia Health Solutions, Inc (Renton, WA)
- …position.Normally to be proficient in the competencies listed belowPolicy and Implementation Analyst would have a Bachelor's degree in Business Administration or ... reside in ID, OR, UT or WAWHO WE NEEDThe Policy and Implementation Analyst uses Medical coding knowledge and experience and evaluates, recommends and implements… more
- Hired by Matrix (Sacramento County, CA)
- …Security and Logistics, Pharmaceutical / Biotech, Technology, Automotive, Engineering, and Healthcare . At-a-Glance: Are you ready to build your career by joining ... solutions? If so, our client is hiring a Finance Analyst . What You'll Do: Ensure clean and accurate record...process for the project. Manage the risks, contracts, and claims , ensuring compliance with LoA guidelines for commercial aspects.… more
- Hired by Matrix (Greer, SC)
- …Security and Logistics, Pharmaceutical / Biotech, Technology, Automotive, Engineering, and Healthcare .At-a-Glance: Are you ready to build your career by joining an ... international automotive company? If so, our client is hiring an Accounting Analyst !What You'll Do: Performs account analysis and monitors various accounts to ensure… more
- CornerStone Staffing (Fort Worth, TX)
- …Revenue Cycle Analyst is responsible for analysis and monitoring of claims audit data across multiple platforms. Performs various follow-up activities to ensure ... CornerStone Staffing is seeking a Claims Processor that has experience in processing hospital...are currently seeking candidates to work for an excellent Healthcare company in Fort Worth! JOB ID - 144922… more
- Medline Industries LP (Libertyville, IL)
- …enhancement of complex pricing scenarios. Expertise in Agreements, Contracts, Claims , Reconciliation functionality in Vistex Experience in Vistex Chargeback ... with Vendors Demonstrated experience in designing complex SAP SD/OTC/Vistex business processes and completing complex projects. Proven ability to research,… more
- MultiPlan (Atlanta, GA)
- …Generating and processing IQ batches with guidance for the Subrogation Business Analyst . 6. Obtaining information such as claims and plan documents from ... and inspire. Our employees do just that by helping healthcare payers manage the cost of care, improve competitiveness...Completing data entry and new case creation. 2. Reviewing claims . 3. Retrieving, imaging and prioritizing the daily incoming… more
- Nuvem (Melville, NY)
- …file transactions- EDI, HL7s, and Text files for review.Track daily claims processing, PO's, Invoices, Member, provider, Price files, etc. Analyze potential ... escalate both internal and external customer/vendor issues to the proper business partners and drive solutions to resolution.Monitor workflow, analyze processes, and… more
- Providence (Mission Hills, CA)
- …related to reporting and data analysis. + 1 year Experience compiling reports in a Healthcare related business , preferably in a health plan environment. + 1 year ... Degree + 2 years' Experience compiling reports in a Healthcare related business in a health plan...**Job Schedule:** Full time **Job Shift:** Day **Career Track:** Business Professional **Department:** 7520 CLAIMS COMPLIANCE CA… more
- Sanofi Group (Chattanooga, TN)
- **Customer Claims Support Analyst - Imaging** +...will help us shape the future of our Consumer Healthcare business and challenge our industry. At ... in the world._ **Our Team:** The Imaging - Customer Claims Support Analyst reports to the Ci2C...Agreements (SLAs) + Manage deduction support document for our Claims management process. + Work with our business… 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 ... in a healthcare data or regulatory environment; payment integrity and claims experience preferred. Effective oral and written communication skills. Knows how to… more
- Elevance Health (Atlanta, GA)
- …**Position Overview:** Responsible for handling high level pharmaceutical claim audits and reviewing claims issues from junior team to ensure claims are being ... Will Make an Impact:** + Reviews and Audits Pharmaceutical claims processed by vendors to ensure proper compliance +...+ Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, developing, and executing comprehensive ... test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals...validate new coding logic or system changes for complex business requirements + Work closely with IT on testing… more
- Amazon (Seattle, WA)
- …experienced Senior Risk Analyst to support Global Risk Management & Claims (GRMC). The ideal candidate will be innovative, team oriented, an effective ... for insurance programs. - Manage relationship with stakeholders (internal business groups, insurance/reinsurance providers, finance, accounting, actuary, administrator and… 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 ... stay on schedule while providing professional support for a large multi-facility healthcare organization. + Build and enhance effective working relationships with a… more
- Ebenezer (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... application area. Job functions include configuring applications by translating the business requirements into software specifications. This is a full time, 80hr… more
- Fairview Health Services (Minneapolis, MN)
- **Overview** M Health Fairview is a hiring a Sr Application Analyst in Professional Billing - Epic! This position is involved with building in Epic. This role will ... application area. Job functions include configuring applications by translating the business requirements into software specifications. This is a full time, 80hr… more
- Cleveland Clinic (Cleveland, OH)
- …team, where you will work alongside passionate caregivers and provide patient-first healthcare . Cleveland Clinic is a top ranked hospital in the United States. ... a rewarding career with one of the most respected healthcare organizations in the world. We are looking for...in the world. We are looking for a Systems Analyst III to join our team of devoted caregivers.… more
- Baptist Memorial (Memphis, TN)
- …optimization and support of Baptist OneCare (Epic). Perform workflow assessments, capture business needs and analyze internal business system to determine ... and end users to achieve application integration to meet clinical and/or business needs. Exercise discretion and judgment in the performance of original, creative,… more
- Molina Healthcare (New York, NY)
- … business hours **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... costs to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired… more
