- CareOregon (Portland, OR)
- …Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title ... Job Summary This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and… more
- TEKsystems (Bakersfield, CA)
- TEKsystems is seeking a configuration analyst for a long term remote contract with our client in the Healthcare industry. This candidate MUST have experience ... with Jiva Integrations. Must Haves: Healthcare experience Claims Operations or application vendor experience: 3 + years....and configuration within the core systems. The Configuration Analyst III elicits complex business requirements… more
- Providence (Beaverton, OR)
- …Configuration Analyst , who will:** + Be responsible for healthcare configuration solutions within PHP's core claims processing products (Facets, Networx, ... **Description** **NOTE** this is NOT an IT role and it will be configuring our Facets claims payment operating platform** **Providence is seeking a Facets … more
- LA Care Health Plan (Los Angeles, CA)
- Surround Systems Configuration Analyst I Job Category: Information Technology Department: IT Enterprise Data Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Surround Systems Systems Configuration Analyst I performs baseline technical and...At least 3 years of experience in a Systems Configuration , Claims or other Operations department. Preferred:… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Preferably Remote in the California market **Job Description ... and complex level benefit design requirements. A successful Senior Analyst will ensure a high level of quality and...a high level of quality and accuracy through benefit configuration , test execution and validation efforts while serving as… more
- Providence (CA)
- …we must empower them._** **Providence Health Plan is calling an Associate System Configuration Analyst who will:** + Be responsible for handling service ... for this position include:** + 1+ years of experience working in a System Configuration Analyst , Quality Control Analyst or another applicable Information… more
- Elevance Health (Norfolk, VA)
- …locations listed here: Norfolk, VA preferred. The **Rating/ Claims System Analyst ** is responsible for providing support, configuration , design, testing and ... you a check, or ask you for payment as part of consideration for employment. **Rating/ Claims System Analyst ** + Job Family: IFT > IT Bus Systems Solutions… more
- Magellan Health Services (Hodge, LA)
- …which would provide an equivalent background may be considered. General Job Information Title Claims Analyst Grade 21 Work Experience - Required Claims Work ... The Claims Internal Resolution Analyst is responsible...processes involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Identifies the… 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 ... the timely and accurate adjudication of all provider disputes (reconsiderations) or claims for Centers Plan for Healthy Living (CPHL) products. Reviews and resolves… 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
- Centene Corporation (Jefferson City, MO)
- …interpretation to link business needs and objectives for assigned function. + Claims configuration testing + Support business initiatives through data analysis, ... Access preferred. Project management experience preferred. **Benefits and Payment Configuration :** **Compliance Coding/Prepay Compliance (Payment Integrity):** Bachelor's degree in… more
- Geisinger (Danville, PA)
- Job Summary Reviews and resolves complex claims issues, using established state and federal guidelines, departmental policies and procedures to ensure that work is ... departments and facilitates the exchange of information between the grievances, claims processing and provider relations systems. Follows up with providers, internal… more
- Health Plans, Inc. (Dallas, TX)
- …care. Role and Responsibilities This role will be responsible for claims administration, roster management, and appeal resolution within the Network Operations ... Department. + Maintain and review all inbound claims for network and pricing accuracy. + Implement Quality...accuracy. + Implement Quality Assurance measures to ensure contract configuration accuracy. + Work directly with TPA's and clients… 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 ... cause failures. + Understand and translate the business needs into system configuration and workflow validations. + Builds and participates in test plan development.… 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 ... works to provide application workflow and functional analysis, build and configuration , unit and coordinated testing, and plans for transition to application… 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
- 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...& Biller Direct for Premium Billing. Responsible for the configuration tasks of FS-CD this requires close collaboration with… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Carle (Urbana, IL)
- …ADT or PB/HB, RWB - Admin and Writing. Technical: Data Courier, Hyperspace Configuration , Identity, Scanning.Weight 4 - Access: Prelude/ADT. Claims : Resolute HB ... Sr Revenue Cycle Analyst - Cadence + Department: Revenue Cycle - CFH_10_19...Save Save Apply Now Position Summary: Revenue Cycle Systems Analyst Senior is a qualified/certified analyst in… 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