- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to help us transform healthcare ? Bring your true colors to blue. The Senior Claims Testing Analyst is responsible for reviewing business requirements, ... developing, and executing comprehensive test plans, analysis of reporting, performing claims quality review, mentoring associates and ensuring department goals are… more
- System One (Owings Mills, MD)
- HEALTHCARE CLAIMS ANALYST - NASCO, Mainframe Billing or Enrollment 100% Remote $42/hr. W2 Benefits available ALTA IT Services has a 100% remote, 12 month + ... contract opening for a Healthcare Claims Analyst with NASCO,...(functional/non-functional) requirements. Under the direction of a Lead or Senior Business Analyst , participates in the creation… 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 ... process development or problem resolution. + Understanding and expertise of healthcare processes and application system coordination. + Knowledge of database… 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
- Healthfirst (New York, NY)
- …our office 3 days per week located at 100 Church Street, NYC. + As a Senior Healthcare Analyst within Medical Economics, you will manage projects from ... it needs to produce results and deliver impactful business recommendations. As a Senior Medical Economics Analyst , you'll map out and construct detailed… more
- AdventHealth (Maitland, FL)
- …3 days at the office (Altamonte Springs,FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating ... proposals, analyze fee schedules, and determine contract compliance. The Senior Medical Economics analyst must have attention...knowledge of healthcare managed care contracts and healthcare administrative claims data + Employs existing… more
- University of Michigan (Ann Arbor, MI)
- Population Health Senior Analyst Apply Now **Summary** This position focuses on providing a combination of strategic and analytic support for the Michigan ... care payer + Understanding of and experience working with healthcare claims data (Commercial, Medicare, Medicaid) **Desired...Detail** **Job Opening ID** 242824 **Working Title** Population Health Senior Analyst **Job Title** Bus Systems … more
- St. Mary's Healthcare (Amsterdam, NY)
- …law. Responsibilities: * Interpret and analyze data from multiple sources including claims , provider, patient, and encounters data. Identify and assess the business ... of high financial risk and make resolution recommendations to senior management. * Perform trend analysis and key performance...for education * Three (3) years' experience in a healthcare setting preferred * Experience developing end user reports… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR ... can: Be part of a project team or provide expertise in healthcare information systems analysis, including the definition of user requirements, feasibility studies,… more
- VHC Health (Arlington, VA)
- Senior Epic Resolute Hospital Billing Analyst II Job Description Purpose & Scope: This position is responsible for leading, coordinating, and supporting the ... hardware upgrade needs; and overall coordination of team activities. The Senior Resolute Hospital Billing Analyst provides deep application understanding… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- About the Role We are seeking a passionate, results-oriented Senior Enterprise Business Analyst who can collaborate effectively with internal and external ... implementation. Essential Qualifications + Minimum 6-7 years of experience as a business analyst in healthcare payer industry. + Expertise and experience in… more
- Idaho Division of Human Resources (ID)
- Research Analyst Senior - Medicaid Posting Begin...The data that will be analyzed will include Medicaid claims data, including claims for healthcare ... The Division of Medicaid is looking for a Research Analyst Senior to support our value-based care...+ Demonstrated experience analyzing health-related data such as medical claims data, Rx data, hospital discharge data, public health… more
- Center For Health Information And Analysis (Boston, MA)
- …at CHIA and be a driving force in health policy impact! We seek a Senior Health Policy Analyst to lead projects, share content expertise, and provide technical ... our dynamic Health Informatics and Reporting team. As a Senior Health Policy Analyst at CHIA, you...and quality data, including our newly enhanced Massachusetts All-Payer Claims Database. You will be at the forefront of… more
- CVS Health (Irving, TX)
- …to make health care more personal, convenient and affordable. Position Summary As a Senior Analyst , you will be part of Medicare Benefit Client Services Testing ... then become part of our "go-to team". As a Senior Analyst , you will own following responsibilities:...working towards reduced service warranty payments to clients. Your healthcare industry knowledge in the areas of Formulary Management,… more
- Elevance Health (Norfolk, VA)
- …or ask you for payment as part of consideration for employment. **Business Information Analyst Senior ** + Job Family: RDA > Business/Health Info + Type: Full ... JR111389 **Location:** + VA, NORFOLK + VA, RICHMOND **Description** **Business Information Analyst Senior ** **Location:** This position will work a hybrid model… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Financial Modeling Analyst - Remote **Job Description** The Senior ... 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field +...focus **Reporting Structure** + Reports to Manager, Director, or Senior Director in the Network Management or Pricing Planning… more
- Intermountain Health (Murray, UT)
- …of processes, vendor relationships, and trading partner exchanges. This position for Business Analyst -Technical- Senior is on the Encounter Data team in the Risk ... and processes impacted by data and systems. The business analyst serves as the central point for interface changes...responsible for understanding and overseeing the processes that extract claims data, transform it into a specified encounter data… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** In collaboration with the Medical Director, the Senior Medical Policy Analyst will research, analyze, evaluate, revise, ... provider and member contracts, and an accepted standard of medical practice. The Senior Medical Policy Analyst will work closely with organizational teams to… more
- SSM Health (Jefferson City, MO)
- …organization? We are a growing team looking for a results driven and intellectually curious Senior Epic Systems Analyst with a passion to make a difference. This ... someone with an HIM background who enjoys: communicating with healthcare operations and subject matter experts, problem solving, and...Charge Router - Epic Health Systems + Or + Claims Graduate Program Certification - Epic Health Systems +… more
- Blue Cross and Blue Shield of Louisiana (Baton Rouge, LA)
- …new and existing, complex reimbursement programs. Designs system specifications that support claims payment and criteria for data bases that support analysis as well ... of a Master's degree in Business, Information System and Decision Sciences, Healthcare Administration or Public Health. + Four years of related experience can… more