- CVS Health (Nashville, TN)
- …medical records inventory, ongoing monitoring, responding to program inquiries, trend research outcomes, and updating project documentation as needed. Identifies and ... + Minimum of three to five years industry experience with health care claims , claim processing, and claim platforms + Proficient in QuickBase + Ability to… more
- Point32Health (Boston, MA)
- …within Harvard Medical School's Department of Population Medicine (www.populationmedicine.org) as a Research Analyst . TIDE is the home of several large, complex, ... health plans, delivery systems, and public health agencies. The Research Analyst plays a crucial role in...research methods. + Knowledge of common electronic healthcare coding systems (eg, NDC, RxNorm CUI, LOINC, ICD-9-CM/ICD-10-CM, HCPCS).… more
- CareOregon (Portland, OR)
- …responsible experience in areas that integrate with configurations such as claims processing, coding , auditing, billing, or encounter data Preferred ... Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title...+ 2 years' experience in claims processing, coding , or auditing + 1… more
- AdventHealth (Maitland, FL)
- …the full spectrum of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims to include ICD-9/10 CPT, ... (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… 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
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST - 72004151 Date: Mar 28, 2024 Location: TALLAHASSEE, FL, US, 32301 TALLAHASSEE, FL, US, 32304 TALLAHASSEE, FL, US, 32317 TALLAHASSEE, ... No: 826110 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST - 72004151 Pay Plan: Career Service Position Number: 72004151 Salary:… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- … and provider reimbursement related system problems, including claims coding and processing issues, coordinates research , audit, and recommendations with ... new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research , analyze, evaluate, revise, and develop medical policies ... accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure... resources, as well as analyze quantitative and qualitative claims utilization data within the scope of research… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …+ Follow existing billing/collection protocols to ensure correct and prompt reimbursement. + Research denied / underpaid claims and send appeal promptly to ... Lakeshore Bone and Joint is seeking a full-time Accounts Receivable Analyst to work in our Spine Billing Department. As the region's dedicated experts in exceptional… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …determine business initiatives' success. With strong communication and organizational skills, the claims data analyst assists leadership and team in achieving ... Not a Remote Position-Only Local Applicants The Clinical Data Analyst is accountable to use their knowledge of data...and insights from the analysis of data from healthcare claims + Be responsible for standard and ad-hoc extracts/reports… more
- Idaho Division of Human Resources (Boise, ID)
- Medicaid Utilization Review Analyst - DMS Posting Begin Date: 2024/03/27 Posting End Date: 2024/04/25 Category: Accounting and Finance Sub Category: Medical Billing ... & Coding Work Type: Full Time Remote: Flexible Hybrid Location:...with community businesses. A positive and professional image, excellent research and analytical skills, and decisiveness with the ability… more
- Providence (CA)
- …them._** **Providence Health Plan is calling an Associate System Configuration Analyst who will:** + Be responsible for handling service requests, operational ... technology use within Ayin Operations + Receive business needs from customers, research issues, coordinate with impacted operational areas and convert all inputs… more
- Providence (Beaverton, OR)
- …this is NOT an IT role and it will be configuring our Facets claims payment operating platform** **Providence is seeking a Facets Configuration Analyst , who ... + Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, Optum Pricing, Optum CES). + Understand… more
- UCLA Health (Los Angeles, CA)
- …CPT coding initiatives, ICD-10 coding standards, and revenue/HCPCS coding * Extensive experience with claims encounter strategies and processes * ... you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with external trading… more
- SSM Health (Madison, WI)
- …growing team searching for a results driven and intellectually curious Senior Epic Systems Analyst who shares our passion to make a difference. If you're great at ... systems and enhancements with system goals to deliver business results. Leads research on possible solutions and makes recommendations based on findings. Develops… more
- UCLA Health (Los Angeles, CA)
- …designated timeframes * Research and respond to provider inquiries related to claims payments * Research reported issues; adjust claims and determine ... evaluating and responding to all provider disputes * Analyze complex post-paid healthcare claims * Apply in-depth research to determine accuracy and mitigate… more
- BrightSpring Health Services (Valdosta, GA)
- …assigned operations and follow up on all outstanding accounts. Provide proper coding and comments for all outstanding balances.* Provide any additional research ... accounts list, code and comment prior to monthly Critical Account call.* Rebill claims for any outstanding AR that is collectible. Provide detail comment in aging… more
- L'Oreal USA (Cranbury, NJ)
- …/ Job Search (https://careers.loreal.com/en\_US/jobs/SearchJobs) / 178237 Analyst - Deduct Resolution Cranbury, NJ, New ... Jersey Supply Chain Full - Time 16-Apr-2024 Job Title: Analyst - Deduct Resolution Division: Operations America, Consumer Products...improvement in the E2E supply chain and reduction of claims , by means of partnering with the appropriate internal… more
- UCLA Health (Los Angeles, CA)
- …or a related field * Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care environment required * Five or ... requirements * Experience managing vendors to contractual requirements * Ability to research and resolve encounter issues * Understanding of the healthcare model,… more
- CVS Health (Phoenix, AZ)
- … claims .-Working knowledge of reading and reviewing claim and coding types.-Excellent verbal and written communication skills.-MS Office (Word, Access DB ... care more personal, convenient and affordable. Position Summary: QNXT Configuration Analyst - Provides consultation on the design, testing and enhancement of… more