- EssilorLuxottica (Mason, OH)
- …eyewear and eyecare industry. Discover more by following us on LinkedIn. GENERAL FUNCTION The Sr Analyst , Claims Testing is responsible for the complete ... implementations and system stability testing. The Sr Analyst with be the liaison to Claims ... & Payments and other internal customers to identify claims processing discrepancies due to system setup… more
- Innova solutions (St. Louis, MO)
- … ONR/IDR pricing and data entry The ideal candidate will have: Experience processing first time claims in Amisys Intermediate to advanced Excel knowledge: ... Innova Solutions is immediately hiring for a Claim Analyst II. Position type: Permanent Duration: Fulltime Location:...for the positions. Bulk and manual pricing of NSA/Non-par claims : In-patient, out-patient, FH BOT fallout, and COB pricing… more
- University Health (San Antonio, TX)
- …is required. Five years HMO/PPO claims experience are required. Amisys claims processing system experience is preferred. Knowledgeable of all benefit ... system issues that are beyond the scope of claim examiners and senior claim examiners that affect claims payment. Act as consultant to claims staff on… more
- Mount Sinai Hospital (New York, NY)
- …*Analyze contract language to ensure proper interpretation and application of terms during claims processing . *Ensure that all contract terms are being adhered ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing , and healthcare reimbursement models. ? Experience in… more
- iSoftTek Solutions Inc (Des Plaines, IL)
- Our client that is looking to add a Senior Business Analyst leads the analysis and optimization of claims processes within the health insurance industry. The ... and specifications including for Facets system configurations, ensuring efficient claims processing , compliance, and alignment with organizational goals.… more
- Portland General Electric (Portland, OR)
- …clean energy solutions that are also affordable and accessible to all. As a Senior Enterprise Risk Analyst , you will have the unique opportunity to lead ... or patterns across data sets; researches potential mitigation strategies and presents to senior management; reviews work of other team members and suggests new or… more
- IQVIA, Inc. (Durham, NC)
- Senior Data Analyst - HEOR (Oncology) Job Overview IQVIA is hiring to expand our dedicated Real World Evidence (RWE) FSP team, working fully within the ... environment of a prominent Pharma company. This senior data analyst role sits within our...Functions Lead development of analytic datasets through raw data processing and conduct data checks / cleaning using secondary… more
- Harbor, Inc. (Toledo, OH)
- …Maintain financial application(s) integrity, through daily/monthly/quarterly maintenance and processing of data loads, reconciliations, and structure maintenance. ... to develop understanding of revenue cycle process, data needs, and coding of claims . Monitor the collection of statistics to ensure receipt in a timely fashion.… more
- Mount Sinai Hospital (New York, NY)
- …properly understood, interpreted, and applied across the organization, especially within claims processing . 3. Escalation and Issue Resolution: *Identify, ... be responsible for managing a team of compliance analysts, including the Senior Contract Compliance Analyst , to ensure ongoing contract compliance monitoring,… more
- County of Los Angeles, CA (Los Angeles, CA)
- …legal terminology, legal procedures, and various legal forms and documents and their processing . They are responsible for providing a full range of legal clerical ... MINIMUM REQUIREMENTS Option I: One year of specialized office clerical experience as a Senior Typist-Clerk* in the service of Los Angeles County, - OR- Two years of… more
- Axis (Alpharetta, GA)
- …in the selection process. Part of AXIS Claims Shared Services, the Claims Operations Analyst is responsible for the performance, oversight, and ongoing ... improvement of Claims support activities performed within our North America ...inefficiencies in process through reporting, feedback, or hands on processing , and working through potential process and/or technology solutions… more
- TXNM Energy (Albuquerque, NM)
- Sr Risk Analyst Location: Albuquerque, NM,...utility industry codes or rules as they apply to claims processing Strong accounting and finance skills ... This position is posted until filled. **DEPARTMENT** Department: Insurance **JOB DESCRIPTION** ** Sr Risk Analyst ** Salary Grade: G06 Minimum Midpoint Maximum… more
- CVS Health (Wellesley, MA)
- …transactions, initiatives, and to support our store colleagues. The Retail Adjudication Products Sr Analyst will work cross functionally with both and external ... processes analysis. Facilitate effective solutions related to adjudication and processing of pharmacy and vaccine/medical claims , maintaining current services,… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The User Experience Analyst Sr . plays a critical role in leveraging data to drive strategic decision-making. This individual will be responsible ... communicate findings to both technical and non-technical audiences. The User Experience Analyst Sr . will work independently on complex projects and mentor… more
- CGI Technologies and Solutions, Inc. (Lafayette, LA)
- …with Healthcare IT, familiarity with Healthcare IT terminology and Healthcare claims processing , business functions and processes. Extensive QA/Software testing ... ** Sr . IBMi QA Analyst ** **Category:** Testing/Quality Assurance...of us starts with You! CGI is seeking a Senior IBMi QA Analyst resource who will work… more
- Norstella (Salem, OR)
- Sr . Medical Analyst Company: MMIT Location: Remote,...and support patients in need. We are seeking a Senior Medical Analyst to join our team and ... to extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records (EHRs). You… more
- Elevance Health (Woodbridge, NJ)
- **Clinical Quality Management Analyst Sr . Behavioral Health** **Location:** 111 Wood Ave. S, Iselin, NJ 08830 **Office Requirement:** This role requires ... workplace. Alternate locations may be considered. The **Behavioral Health Clinical Quality Analyst Sr .** is responsible for developing and conducting more… more
- AdventHealth (Maitland, FL)
- …strongly preferred. + Managed Care, Patient Financial services, health insurance claims processing , contract management, or medical economics required + ... days at the office (Altamonte Springs, FL)** **The role you'll contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating… more
- DXC Technology (Madison, WI)
- **Job Description:** ** Sr . Analyst Data Center Support - On site Milwaukee, WI** **Data Center Support Duties** + Consists of site-specific tasks necessary to ... Equipment Manufacturer (OEM) Third Party Supplier. Process warranty repair claims through OEM Third Party Supplier 's warranty ...claims through OEM Third Party Supplier 's warranty processing system if applicable, in DXC's discretion. Test for… more
- Parkview Health (Fort Wayne, IN)
- …co-workers. Working knowledge of clinical medical management, coding, billing, and claims processing . Strong verbal and written communication skills with ... variety of duties associated with payor contracting analytics. Acts as the senior lead analyst mentoring and guiding junior analyst co-workers. Develops and… more
