- Medical Mutual of Ohio (OH)
- …assist with determining appropriate rates for provider contracts. + Updates and provides quality assurance of provider rate loading. + Prepares monthly contract ... a focus on improvement of financial and/or clinical outcomes. + Updates and provides quality assurance of provider rate loading. + Analyzes payer value based… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …questions, and provide clarifications throughout the development process. + **Testing and Quality Assurance :** Collaborate with product owners and quality ... help our members achieve their best possible health and quality of life. Ideal Agile Business Analyst candidates will have the follow experiences: + **Manage the… more
- UCLA Health (Los Angeles, CA)
- …and for assigned Epic applications and/or business lines. * Performs highly-complex quality assurance testing, designs and runs SQL (Structured Query Language) ... Description The Health Informatics Analyst is responsible for leading the development of...solutions, and delivering them to stakeholders. The Health Informatics Analyst will provide analytical support for health management, including… more
- AIG (Lenexa, KS)
- …Managers, F&R Performance as well as Claims, Risk, Legal, Underwriting, and Global Quality Assurance . + This role will be responsible for data management, ... GI Claims Fraud & Recovery Reporting Analyst At AIG, we are reimagining the way...insights to executive leadership and business stakeholders. + Manage quality control process of data for Fraud and Recovery,… more
- AIG (Alpharetta, GA)
- …+ You will also contribute to continuous improvement in Claims by supporting Quality Assurance / Regional Audit processes, ensuring mitigation of indemnity and ... Senior Claims Analyst Join us as a Senior Claims Analyst to take on key responsibilities within a world-class claims function. Make your mark in Claims Our… more
- CareOregon (Portland, OR)
- …upgrades that supports the organization's strategic goals. + Perform advanced quality assurance testing to validate configuration behavior against established ... Nevada, Texas, Montana, or Wisconsin. Job Title IS System Configuration Analyst II Exemption Status Exempt Department Operations Manager Title IS Development… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …for supporting the Business Continuity Program in the development, management, quality assurance , enhancement and training/exercising of continuity plans for ... all business units to keep the company functioning after disruptive events. This position will serve as a Business Continuity Program liaison with business, IT and administrative areas directly involved in the Incident Management, planning, continuity and… more
- Health Plans, Inc. (Dallas, TX)
- …and review all inbound claims for network and pricing accuracy. + Implement Quality Assurance measures to ensure contract configuration accuracy. + Work directly ... bring together employers and healthcare providers to collaborate and deliver high- quality , high-value care. Role and Responsibilities This role will be responsible… more