- Ewings Associates (Baltimore, MD)
- …state contracting structures. - Perform scenario testing and contribute to model quality assurance . - Document assumptions, update model templates, and manage ... Health Insurance Payer Contract Modeling & Benchmark Analyst ...Cycle Operations, Director of Revenue Cycle, Managed Care Contract Analyst , Healthcare Financial Analyst , Provider… more
- Cognizant (St. Louis, MO)
- ** QA Analyst Healthcare Domain - Payer...team. This role is ideal for someone passionate about quality assurance and automation, with a strong ... seeking a highly skilled and motivated ** QA Analyst Healthcare Domain - Payer ...assurance testing focusing on the Claims Provider and Payer domains. Implement best practices in testing methodologies continuously… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Health Plan administration experience of ... product. The ideal candidate will have worked in-depth in healthcare payer domain within Group, member, Benefits...document based on product and solution requirements. + Support Quality Assurance ( QA ) Testing by… more
- LA Care Health Plan (Los Angeles, CA)
- …may be considered. Education Preferred Experience Required: Minimum of 5 years of Analyst experience. Prior healthcare insurance payer experience. Hands on ... Technical Analyst III Job Category: Information Technology Department: IT...Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role The Director of Application Support and Quality Assurance will oversee initiatives that align with the strategic goals of the ASG department. This ... assure data and processing accuracy. Leads and oversees the QA function, ensuring products and services meet quality...related filed with minimum of 7 years' experience in Healthcare Payer or TPA setting. + Extensive… more
- Convey Health Solutions (Chicago, IL)
- …+ Proficient in SQL for creating and updating stored procedures. + Familiarity with healthcare payer /provider claims, clinical, or quality data. + Risk ... be vital to success. Collaborating within a team, the analyst will engage with engineers, QA , Data...and regulations affecting Pareto. + Responsible for participating in quality assurance , compliance and in-service and continuing… more
- UnityPoint Health (Madison, WI)
- …query and DRG reconciliation processes). + Meets the minimum productivity and quality assurance standards established by the CDI department. Relationship ... recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment...skills + Knowledge of reimbursement systems, federal, state, and payer specific regulations and policies pertaining to documentation and… more
- Commonwealth Care Alliance (Boston, MA)
- …considered at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance , the Claims Sr. Analyst plays a critical ... the direction of the Director of Claims Operations and Quality Assurance , this role is responsible for...- including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on Medicaid… more
