- The Cigna Group (Bloomfield, CT)
- … Configuration Supervisor and Quality Assurance Associates + You'll work claims systems configuration tasks independently with configuration ... a division of The Cigna Group is hiring a Claims System Configuration Associate. For... Systems role, you'll manage simple to complex Claims Systems configuration within the… more
- The Cigna Group (Bloomfield, CT)
- …5+ years of healthcare claims lifecycle; ** Claims systems configuration ** design, editing, claims system requirements, and analysis - REQUIRED + ... a division of the Cigna Group is hiring a Claims Systems Configuration Senior Analyst....member, authorizations, claims , etc.), design solutions and system configuration . You'll create test/use cases, perform… more
- CareOregon (Portland, OR)
- …core vendor developed systems at an intermediate level. Ensures system configuration consistency across all core applications, including technical scoping, ... support the efficient administration and data integrity of multiple systems : + QNXT, including claims , utilization management,... system changes on the organization and interfacing systems . + Recommend software configuration that aligns… more
- LA Care Health Plan (Los Angeles, CA)
- …issues and resolution, etc. Duties Perform production controls and system configuration data codification. Support and maintain surround systems codes, etc. ... Required: At least 3 years of experience in a Systems Configuration , Claims or other...standard programming and logic to facilitate the maintenance of system configuration files and tables, along with… more
- Providence (CA)
- …qualifications for this position include:** + 1+ years of experience working in a System Configuration Analyst, Quality Control Analyst or another applicable ... empower them._** **Providence Health Plan is calling an Associate System Configuration Analyst who will:** + Be...+ Serve as a subject matter expert on Ayin's systems and implementations + Work in conjunction with Ayin… more
- EssilorLuxottica (Mason, OH)
- Manager - Operations (Business Configuration Quality ) Date: Apr 15, 2024 Brand: EyeMed Vision Care Location: Mason, OH, US, 45040 **Requisition ID:** 841482 ... leaders to implement best practices for the audit and quality control of configuration . + Perform daily...and provider reimbursements. + Experience with Facets platform using Claims , Provider, Network, Product Benefit Configuration +… more
- Elevance Health (Norfolk, VA)
- …PulsePoint locations listed here: Norfolk, VA preferred. The **Rating/ Claims System Analyst** is responsible for providing support, configuration , design, ... you for payment as part of consideration for employment. **Rating/ Claims System Analyst** + Job Family: IFT...processes with Information Technology and the vendor to ensure quality and timeliness of systems /project deliverables. +… more
- CDPHP (Albany, NY)
- …associated with management, configuration and maintenance of CDPHP's core claims systems and applications during their lifecycle, specifically with Facets ... is required: evaluation of business procedures and problems, feasibility studies, system configuration , configuration design, preparing detailed… more
- Baylor Scott & White Health (Temple, TX)
- …of all configuration management activities. Provides leadership in the configuration of information and transactional systems to achieve company goals ... team. + Configuration experience providing pricing and/or benefits and provider configuration help on payer system . + Broad operational managed care… more
- Prime Therapeutics (Columbus, OH)
- …design requirements. A successful Senior Analyst will ensure a high level of quality and accuracy through benefit configuration , test execution and validation ... drives every decision we make. **Job Posting Title** Senior Benefit Plan Configuration Analyst - Preferably Remote in the California market **Job Description… more
- SAIC (FL)
- **Description** SAIC has an opening for a Configuration Manager, to join our talented, dynamic team. The key responsibilities for this position include: + Work with ... of software releases. + Assist in documenting and tracking all aspects of system development and modifications. + Write and maintain documents such as … 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
- 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)
- …review all inbound claims for network and pricing accuracy. + Implement Quality Assurance measures to ensure contract configuration accuracy. + Work directly ... with occasional after-hours or weekend duties. Required Education and Experience + Understanding of claims processing systems + 2+ years of healthcare claims … more
- Elevance Health (Woburn, MA)
- …check, or ask you for payment as part of consideration for employment. **State of NH, Claims Manager** + Job Family: IFT > IT Bus Systems Solutions Planning + ... **Location:** + NH, MANCHESTER + MA, WOBURN **Description** **State of NH, Claims Manager** **Location** : Manchester, NH; Woburn, MA. This position will work… more
- Providence (CA)
- …root cause failures. + Understand and translate the business needs into system configuration and workflow validations. + Builds and participates in ... AK and or TX **Providence is seeking an Epic Applications Analyst - AP Claims , who will:** + Demonstrate full use and application of standard principles, theories,… more
- Fairview Health Services (Minneapolis, MN)
- …to the specification and design development process. Handle the creation of system and operating documentation. Support all issues that arise within the specific ... user data and business needs to assure user-orientation and efficient program/ system performance. + Proactively initiates and participates in IT workflow definition… more
- Corewell Health (Grand Rapids, MI)
- …configuration /maintenance, Group Administration configuration /maintenance, Enrollment maintenance, Claims + Healthcare payer business system vendor ... (Day to Day): Effectively leads the day-to-day running of configuration areas including turnaround times and quality ...+ 5 to 7 years of experience in FACETS system configuration and/or FACETS business architecture design… more
- Henry Ford Health System (Grand Rapids, MI)
- …of contract benchmarks and annual performance targets. + Prepares documentation to enable BCT configuration of the claims processing system . + Assures entry ... providers for managing the total cost of care (TCOC), quality (eg MA Stars), accurate data collection that results...market competition analyses. The SPCA will also audit current claims processing unit price configuration against the… more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- …local storage using partitions and logical volumes + Create and configure file systems and file system attributes, such as permissions, encryption, access ... team in Dahlgren, VA. The Linux Administrator (Red Hat) is responsible for system administration and customer support of servers and workstations in a Research,… more