- RIT Solutions, Inc. (Atlanta, GA)
- Healthcare Data Analyst ( Claims , Pharmacy, SQL Data Visualization 100% remote Please ensure candidates meet the following criteria - 8-10 years of proven ... experience as a Senior Data Analyst in the healthcare industry -Strong SQL...and perform advanced data transformations. -Exceptional knowledge of clients' claims , pharmacy, and member files. -Demonstrated expertise in creating… more
- Pyramid Consulting, Inc. (Dallas, TX)
- Immediate need for a talented Claims Analyst /Data Analyst . This is a 06+months contract opportunity with long-term potential and is located in TX(Remote; ... bachelor's degree in business or related field preferred. Preferred: Claims Processing Our client is a leading Healthcare... Claims Processing Our client is a leading Healthcare Industry, and we are currently interviewing to fill… more
- 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
- TEKsystems (Avon, CT)
- We are seeking a detail-oriented, self-starting Revenue Cycle Business Analyst to join our Business Systems team. This role is ideal for someone with experience in ... healthcare information technology who thrives in a fast-paced environment...environment and is eager to learn and grow. The analyst will support the implementation and ongoing maintenance of… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- The Healthcare Quality Analyst - Population Health plays a key role in driving improvements in patient outcomes, quality performance, and operational ... This position is responsible for collecting, analyzing, and interpreting healthcare data, while collaborating with cross-functional teams to implement quality… more
- Captive Resources (Itasca, IL)
- …Excel, Access, SQL) and data visualization platforms (eg, Tableau). Understanding of healthcare claims processing and coding systems (CPT, ICD, etc). Familiarity ... healthcare regulations such as HIPAA. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyze healthcare claims data to identify cost drivers, potential savings, and… 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)
- IAT Insurance Group is seeking an Actuarial Analyst for a hybrid role based in Naperville, IL or Alpharetta, GA, or Cheshire, CT. We work from the office Monday ... to accurately measure rate, retention, and new business growth. Collaborates with underwriting, claims , IT and senior management to develop plans for new products or… more
- Cambia Health Solutions (Portland, OR)
- APM Operations Analyst Hybrid opportunity within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and ... As a member of the Planning and Implementation team, our APM Operations Analyst drives data quality and business operations through data analysis and reporting,… more
- Peapod Digital Labs (Salisbury, NC)
- …Legal Job Requisition: 439819 Address: USA-NC-Salisbury-2110 Executive Drive Store Code: Claims Management (5157500) Ahold Delhaize USA, a division of global food ... the timely, good faith adjustment and disposition of self-administered casualty claims in multiple jurisdictions. Responsibility extends to all aspects and phases… more
- Apex Systems (Okemos, MI)
- …data (eg, CDT codes, utilization patterns, benefit design) Strong understanding of healthcare claims data structures and dental domain terminology Excellent ... Role: Data Analyst Location: Hybrid - 2 days/week onsite in...automation, and model development in support of utilization-based scoring, claims optimization, and policy evaluation initiatives. Primary Job Responsibilities:… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Los Angeles County Department of Health Services (DHS) is more than just a healthcare provider - we're a cornerstone of our community's health. As the second largest ... budget exceeding $6.9 billion, DHS is dedicated to transforming healthcare and creating lasting change in our community. For...of filing, or email the document/s to the exam analyst to within seven (7) calendar days from the… more
- Torrance Memorial Medical Center (Torrance, CA)
- …of the Director, Revenue Cycle and guidance from the Denials Management Senior Analyst , the Denials Patient Account Rep is responsible for reviewing denied claims ... to contracts and to the appeals process. Assists the Denials Management Senior Analyst with reports and provides ongoing support and maintenance to the Revenue Cycle… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …are looking for dedicated and motivated individuals who share our vision of transforming healthcare . As a Blue Cross associate, you are joining a culture that is ... also evaluate appropriateness of code submission on facility and professional claims and complete unspecified code and modifier code reviews. Your Responsibilities… more
- County of Los Angeles, CA (Los Angeles, CA)
- …Job Functions Receives and processes applications for credentialing from Behavioral Healthcare Practitioners and other behavioral healthcare specialist and ... collects credentials, education, employment history, licensure, hospital affiliations and liability claims history by performing on-line queries from a variety of… more
- County of Los Angeles, CA (Los Angeles, CA)
- …the management** of a facilities operations and building crafts program in a healthcare setting implementing Title 22 requirements and The Joint Commission on the ... Accreditation of Healthcare Organizations (JCAHO)standards, and all other pertinent local, state,...application submission, you may email them to the exam analyst at within 7 calendar days of filing online.… more
- Equifax, Inc. (Columbus, OH)
- …agencies requires excellent verbal and written communication skills. In addition, the Analyst is responsible for the accuracy of client account information on ... Ability to comprehend and complete Change of Status (COS) form and lay-off/ claims impact study with a Manager's assistance You will accurately complete unemployment… more
- Navvis (Madison, WI)
- …clients in seeking corrections from payers as needed Utilize expertise in use of large healthcare claims data sets as well as additional clinical data sets such ... 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
- 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
- Cognizant (St. Louis, MO)
- **QA Analyst Healthcare Domain - Payer & Claims Testing** This is a remote position open to any qualified applicant in the United States. We are seeking a ... highly skilled and motivated **QA Analyst Healthcare Domain - Payer & Claims Testing** to join our dynamic team. This role is ideal for someone passionate… more
