- Omnicell, Inc. (Fort Worth, TX)
- Medical Billing Analyst (hybrid) The Medical Billing Analyst is a member of the team that provides Medical Billing services to Enliven Health ... application and the required knowledge necessary to successful assist clients with Medical Billing claims submissions. Principal Duties and Responsibilities: +… more
- AdventHealth (Maitland, FL)
- …at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial ... analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention to...of app provider types + Applies detailed understanding of medical coding systems affecting the adjudication of claims… more
- CareFirst (Baltimore, MD)
- …**PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, and develop ... and member contracts, and an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to ensure … more
- Prime Therapeutics (Columbus, OH)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description** Design, document, develop and ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and… more
- Healthfirst (New York, NY)
- …needs to produce results and deliver impactful business recommendations. As a Senior Medical Economics Analyst , you'll map out and construct detailed analyses, ... 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage...program savings. + Provide data driven analysis to Finance, Claims , Medical Management, Network, and other departments… more
- CVS Health (Hartford, CT)
- …analytics and consultative skills to positively impact our patients' health. As a Medical Economics Analyst , you will provide consultative support and medical ... sales, product development, network management) * Experience working with medical and pharmacy claims Education * High...* Experience working with medical and pharmacy claims Education * High school diploma/GED or equivalent experience… more
- CVS Health (Blue Bell, PA)
- …of managed care and how provider reimbursement policies relate to the control of medical claims costs. + Full comprehension of provider reimbursement logic + ... care more personal, convenient and affordable. CVS Health is seeking a Sr. Analyst , Medical Economics to join our team! The Sr. Analyst participates on… more
- Conduent (New York, NY)
- …is noticed and valued every day. **Job Description:** **About the Role** As a ** Medical Credit Balance Analyst ,** you will review and audit provider credit ... backlog sessions. **Requirements** + Have Healthcare related insurance billing and/or claims experience. + Have excellent analytical and communications skills. Be… more
- MyFlorida (Tallahassee, FL)
- 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Date: Feb 21, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For ... No: 823722 Agency: Agency for Health Care Administration Working Title: 68064828 - MEDICAL /HEALTH CARE PROGRAM ANALYST Pay Plan: Career Service Position Number:… more
- Keystone Lab (Asheville, NC)
- …excellent interpersonal and customer relationship skills for interacti ng with patients regarding medical claims and payments. + Must possess a positive, open, ... Inc. - Asheville, NC An exciting and challenging opportunity awaits a highly qualified Medical Insurance Billing & Reimbursement Analyst I in one of the most… more
- Trinity Health (Niskayuna, NY)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** Medical Billing Analyst - Cardiology Associates of Schenectady - Niskayuna, NY - Full ... to the efficient and service oriented operation of a medical practice. The Billing Analyst will perform...outstanding claims to contact to ensure all claims are billed timely + Review each claim… more
- Rush University Medical Center (Chicago, IL)
- …clinical, quality improvement, and business data analysis needs of Rush University Medical Center. The Analyst will assist clinical faculty and Principal ... **Job Description** **Location:** Chicago, IL **Hospital:** RUSH University Medical Center **Department:** ORA Administration **Work Type:** Full Time (Total FTE… more
- Amergis (Warwick, RI)
- HRIS Analyst Medical setting Schedule: MON-FRI 8:00 am - 4:30pm Where: Pawtucket, RI + Hybrid after training Person in role needs to be comfortable being ... independent and proactive. The Human Resources Information Systems (HRIS) Analyst prepares, analyzes and distributes a variety of management information reports and… more
- The Cigna Group (Chattanooga, TN)
- …conducting customer negotiations with other underwriting areas and Sales. + Evaluates medical claim experience and analyzes total case profitability. + Develops ... Finance, Accounting, Management, Mathematics, and/or Business + 2-5 years of medical underwriting experience required + Strong analytical and problem solving skills… more
- Apex Health Solutions (Houston, TX)
- Job Title: UM Analyst Department: Medical Management Supervisor (s): UM Supervisor or Manager of Medical Management Summary Utilization Management (UM) ... accuracy, and consistency of UM processes. The Utilization Management Analyst will maintain standard compliance and performance related utilization management… more
- CVS Health (Nashville, TN)
- …Qualifications + Minimum of three to five years industry experience with health care claims , claim processing, and claim platforms + Proficient in QuickBase ... actions within this program, including daily oversight and management of medical records inventory, ongoing monitoring, responding to program inquiries, trend… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Claim and Denial Coding Analyst role is a Certified Medical Coder who ensures clean claim submission ... documentation and queries, coding software tools and Insurance carrier medical and reimbursement policies during the claim ...with training new staff in all aspects of the Analyst role. PHYSICAL AND SE NSORY REQUIRE M ENTS:… more
- Travelers Insurance Company (St. Paul, MN)
- …accurate and timely indemnity, medical and expense payments for lifetime/long-term claims . Determine Value of Claim . + Complete required letters and state ... 1 **What Is the Opportunity?** Under moderate supervision, manage Workers' Compensation Claims with: Stable Lifetime Indemnity and/or Medical Benefits where the… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** Function as an Analyst , Claim Data Integrity for EDI rejections with Waystar client support, trading partners and intermediaries. ... Analyst must fully understand payer rejections, payer edits and...claim level acknowledgements for both rejected and accepted claims + Continuously encourage and evaluate the use of… more
- CVS Health (Tallahassee, FL)
- …in the US Required Qualifications + 3+ years of ACAS Medical /Hospital Claim Processing experience. + Experience with Claims /Policies & Procedures. + Strong ... REQUIRED FOR THIS ROLE: 3+ years of ACAS (Automated Claim Adjudication Systems) Medical /Hospital Claim ...claims or submit rework project requests for necessary claim remediation. + Research and respond to Behavioral Health… more