- Cambia Health Solutions, Inc (Renton, WA)
- …billing and codingFacets/ claims systems in appeals, SIUClaims processing, claims configuration rolesUnderstanding of Medical and reimbursement policiesCPC ... 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
- Globe Life Inc. (Broadview Heights, OH)
- Product Forms & Filing Analyst II (Remote) Primary Duties & Responsibilities The Product Forms & Filing Analyst II (PF&A) will, at the direction of the Product ... Forms & Filings Process Manager, be responsible for configuration of the Family Heritage operating system (SOAR). This...system to issue policies and through benefit files, pay claims . The PF&A will help maintain accurate records of… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …health of our communities. About the Role:Job SummaryThe Revenue Cycle System Analyst II position is responsible for providing system-level support for various ... well as demonstrates project management skills. Support includes installation, configuration , maintenance, training, reporting and production support for revenue… more
- Medline Industries LP (Libertyville, IL)
- …Science, Information Systems, or related field. Strong hands-on SAP SD configuration experience, including experience in integration with other systems and modules. ... Distribution experience is preferred. Expertise in SAP and Vistex Pricing configuration and enhancement of complex pricing scenarios. Expertise in Agreements,… more
- The Cigna Group (Bloomfield, CT)
- …Growth and Change Lives? EviCore, a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst . For this crucial senior level role, ... implementations, internal integration/migration efforts, and large scope projects. The Claims Systems Configuration Senior Analyst ...and large scope projects. The Claims Systems Configuration Senior Analyst will be responsible for… 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 ... Job Summary This position is responsible for providing system configuration for the organization's managed care payment system (QNXT) and… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** Configuration Management Analyst (PEOC3T) Bowhead is seeking a Configuration Management (CM) Analyst for Aberdeen Proving Ground, MD. The ... Configuration Management Analyst will work with various groups, as well as...characteristics EOE/AA/M/F/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq.,… 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
- 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 ... **Rating/ Claims System Analyst ** **Location:** This position...+ May implement rates, rating formulas, product and benefit configuration /information and as directed by the appropriate business unit.… 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
- 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
- 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
- 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 ... 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 (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