- Molina Healthcare (Albany, NY)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- The Cigna Group (Bloomfield, CT)
- …issues escalated by more junior team members. **POSITION SUMMARY** The Senior Analyst , Provider Claims Support is responsible for supporting both Network ... Providers and Internal Business Partners across all aspects of provider-submitted claims . This role assists with claim-related issues identified or reported… more
- Center For Health Information And Analysis (Boston, MA)
- …at CHIA and be a driving force in health policy impact! We are seeking a Research Analyst to contribute to our growing research projects within the dynamic ... environment, offering a hybrid model that balances in-person and remote work. Our hybrid approach allows you to work...Strategy and Research team. The Research Analyst will work closely with… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Clinical Auditor/ Analyst Intermediate! The Clinical Auditor/ Analyst Intermediate is an integral part of the ... and revises better best practice within the department. The Clinical Auditor/ Analyst Intermediate creates, maintains and analyzes auditing reports related to their… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
- Community Health Systems (Franklin, TN)
- …and accounts receivable workflows. + Excellent problem-solving and analytical skills to research and resolve outstanding claims . + Effective verbal and written ... **Job Summary** The Self-Pay Integrity Analyst is responsible for performing collection follow-up on...all policies and standards. + This is a fully remote position **Qualifications** + HS Diploma or GED required… more
- Beth Israel Lahey Health (Charlestown, MA)
- …**Essential Responsibilities:** Responsible for prioritizing and managing to resolution denied claims with third party payers. Research , develop and maintain ... a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective...with coordinating the analysis and effective resolution of denied claims with the purpose of reducing overall denials and… more
- Molina Healthcare (Kenosha, WI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Molina Healthcare (New York, NY)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. + Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (NM)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more
- Molina Healthcare (OH)
- **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 ... and Quality/HEDIS for Medicaid, Marketplace and Medicare/MMP. Assists with research , development, and completion of special performance improvement projects… more
- Insight Global (Bloomington, MN)
- Job Description Insight Global is hiring a Sr. Data Analyst for a payer/provider. Data analysts are responsible for driving adoption and use of data and analytic ... standards, while they handle sensitive administrative data (medical and pharmacy claims , clinical data, and other sensitive organizational data assets). We are… more
- Molina Healthcare (NE)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...techniques to determine significance and relevance + Assist with research , development and completion of special projects as requested… more
- Commonwealth Care Alliance (Boston, MA)
- …of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for developing prospective ... 011250 CCA- Claims Hiring for One Year Term **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will… more
- Public Consulting Group (St. Paul, MN)
- …claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with ... claim issue research . Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist with… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to ... Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About… more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST /DATA ENGINEERING Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5162220) Apply GEOGRAPHIC INFORMATION ... SYSTEMS ANALYST /DATA ENGINEERING Salary $92,175.36 - $117,649.20 Annually Location Los...other values. Uses Excel Pivot tables and SQL to research existing, published reports to compare data extracts for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & ... make a difference, join us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the strategic needs of the… more
- Aegon Asset Management (Baltimore, MD)
- …agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force ... information, visit transamerica.com . Job Description Summary The Corporate Insurance Analyst will assist in managing corporate non-life insurance programs for the… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy services financial performance across the delivery system through ... financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison… more