- 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 ...the ability to write complex queries and perform advanced data transformations. -Exceptional knowledge of clients' claims ,… 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; ... information. Process intake backlog for Federal Independent Dispute Request (IDR) process. Data entering submissions into tracking log. NSA claims special… more
- Captive Resources (Itasca, IL)
- … healthcare regulations such as HIPAA. ESSENTIAL DUTIES AND RESPONSIBILITIES: Analyze healthcare claims data to identify cost drivers, potential savings, ... to healthcare benefits and cost containment efficiency. Analyzing and interpreting healthcare claims data (leveraging access to 3rd party data … more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …organization. This position is responsible for collecting, analyzing, and interpreting healthcare data , while collaborating with cross-functional teams to ... The Healthcare Quality Analyst - Population Health...visualization Strong background and knowledge of EMR, quality reports, claims data and reimbursement quality required. Strong… more
- Memorial Healthcare System (Hollywood, FL)
- …with SSRS, Tableau, or Pyramid.Preferred: Experience using EHR and/or payer claims data . Other Information: Additional Education Info: Bachelor's degree ... related field plus three (3) years of work experience in job offered or as Data Analyst . Working Conditions and Physical Requirements: Bending and Stooping = 0%… more
- Cambia Health Solutions (Portland, OR)
- …data mining and statistical analysis. Ability to pull, manage, organize, and analyze data , including health insurance claims data , and reconcile incorrect ... of the Planning and Implementation team, our APM Operations Analyst drives data quality and business operations...and with key business partners. Knowledge of health insurance claims processing and data systems, with experience… 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
- Apex Systems (Okemos, MI)
- …data (eg, CDT codes, utilization patterns, benefit design) Strong understanding of healthcare claims data structures and dental domain terminology ... Role: Data Analyst Location: Hybrid - 2...automation, and model development in support of utilization-based scoring, claims optimization, and policy evaluation initiatives. Primary Job Responsibilities:… more
- Blue Cross and Blue Shield of Minnesota (St. Paul, MN)
- …determine clinical appropriateness. Completes review of both medical documentation and claims data to assure appropriate resource utilization, identification of ... Reviews and identifies issues related to professional and facility provider claims data including determining appropriateness of code submission, analysis… 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 ... an annual budget exceeding $6.9 billion, DHS is dedicated to transforming healthcare and creating lasting change in our community. For additional information… more
- Torrance Memorial Medical Center (Torrance, CA)
- …the appeals process and to stay informed on best practices and policy reforms. Maintains data on the types of claims denied and root causes of denials, and ... Revenue Cycle and guidance from the Denials Management Senior Analyst , the Denials Patient Account Rep is responsible for...Denials Patient Account Rep is responsible for reviewing denied claims and carrying out the appeals process. Works to… 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
- 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 ... comprehend and complete Change of Status (COS) form and lay-off/ claims impact study with a Manager's assistance You will...and escalate as necessary You have experience in maintaining data and spreadsheets and the ability to pick up… 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 ... our partners with increased value Use a variety of data and claims files, financial statements, patient...the Society of Actuaries certification plus 8-10 years relevant healthcare experience required CPA or Master's degree in Business… 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 ... to support the department's goals. + Strong knowledge of provider data /processes/requirements related to provider contracting, credentialing, claims processing… more
- Molina Healthcare (Grand Island, NE)
- …practices, and procedures applicable to job-related subject areas to include Provider Data , Claims Configuration, Claims Adjudication and Encounters. ... Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems… 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...Masters Degree Required Experience (must have): * 3-5 years Data Analysis * 3+ years of Healthcare … more
- Panasonic North America (De Soto, KS)
- …join a team that's changing the world? Do you have a strong background as a Claims Analyst ? Then we're looking for you! Check out the job description and apply ... the future of energy and transportation. **Job Summary:** The Claims Analyst plays a key role in... Analysis & Loss Prevention:** + Track and analyze claims data to identify patterns, trends, and… more
- Molina Healthcare (Buffalo, NY)
- …of critical information on claims databases. Maintains critical information on claims databases. Synchronizes data among operational and claims systems ... business rules as they apply to each database. Validate data to be housed on databases and ensure adherence...position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina… more
- Kuehne+Nagel (Jersey City, NJ)
- …At Kuehne+Nagel, our work contributes to more than we imagine. **** As a Liability Claims Analyst , you will be an integral team member of the North America ... to over 30 countries worldwide since 1972. As Claim Analyst you will handle Marine Liability claims ...litigation management, and risk management solutions + Maintain the data quality of the financials, documentation and information of… more
