- Berkley (Trenton, NJ)
- …equal employment opportunity employer. Responsibilities We have an opportunity for a Stop Loss Claims Analyst to join our Berkley Accident and Health team! You ... claims experience Prior experience handling first dollar payer insurance (medical healthcare claims ) Experience with medical billing practices, CPT codes,… more
- RIT Solutions, Inc. (Atlanta, GA)
- Healthcare Data Analyst ( Claims , Pharmacy, SQL...following criteria - 8-10 years of proven experience as a Senior Data Analyst in the healthcare ... and perform advanced data transformations. -Exceptional knowledge of clients' claims , pharmacy, and member files. -Demonstrated expertise in creating… more
- Memorial Healthcare System (Hollywood, FL)
- …governance, documentation, policies and procedures.Maintains expertise with Memorial Healthcare System (MHS) and industry standards for reporting, analysis, ... MINING - ANALYSIS & REPORTING, EFFECTIVE COMMUNICATION, FINANCIAL ANALYSIS, HEALTHCARE INDUSTRY, HIPAA, PROBLEM SOLVING, REPORTING AND DASHBOARDING, RESPONDING TO… more
- IAT Insurance Group (Naperville, IL)
- …to accurately measure rate, retention, and new business growth. Collaborates with underwriting, claims , IT and senior management to develop plans for new ... and participate in E-Verify. IAT Recruiter: Steve Morley | Senior Recruiter ###@iatinsurance.com www.linkedin.com/in/stevemorley916 Compensation: Actuarial Analyst :… more
- Navvis (Madison, WI)
- As Senior VP, Finance Strategy & Performance, you will...payers as needed Utilize expertise in use of large healthcare claims data sets as well as ... our partners with increased value Use a variety of data and claims files, financial statements, patient encounter data, payer contracts, value-based payment and… more
- Torrance Memorial Medical Center (Torrance, CA)
- …direction of the Director, Revenue Cycle and guidance from the Denials Management Senior Analyst , the Denials Patient Account Rep is responsible for reviewing ... denied claims and carrying out the appeals process. Works to...and to the appeals process. Assists the Denials Management Senior Analyst with reports and provides ongoing… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Grand Island, NE)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems ... product meets the intended functional and operational requirements. + Provide Level II claims support to internal teams and directly with providers as needed +… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- Molina Healthcare (Roswell, NM)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims ... 011250 CCA- Claims **_This position is available to remote employees...* 3-5 years Data Analysis * 3+ years of Healthcare experience * 3+ SQL Desired Experience (nice to… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare , you come first. HCA ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Senior Financial Analyst like you to be… more
- Cognizant (Cincinnati, OH)
- …any qualified applicant in the United States. Cognizant Technology Solutions is looking for a **" Senior QA Analyst - Healthcare Facets Testing"** to join in ... advisory and Digital Business Assurance in Gartner Magic Quadrant! ** Senior QA Analyst - Healthcare ...of its functionalities. . Have a strong background in healthcare domains particularly in Enrollment and Claims … more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...reports in support of the intake and management of healthcare data. The ideal candidate will be able to… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina… more
- Stryker (Mahwah, NJ)
- **What you will do:** As a Senior Legal Analyst you will be responsible for scheduling and matter management; drafting and updating legal contracts, agreements ... assisting with legal presentations; and improving internal processes. The Senior Legal Analyst must prepare accurate and...purposes. + Billing Guideline Reviewer for EPL and Investigation claims . + Monitor CT Corporation mailbox for service of… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Elevance Health (Chicago, IL)
- …passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...leveraging claims , authorization, and membership data to tell a detailed… more
