- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Healthcare Analyst Manager Exemption Status Exempt Department Informatics & Evaluation ... tailored to the customer needs and specifications. + Collaborate with department manager and staff in planning, designing, and implementing new data systems. +… more
- Mount Sinai Health System (New York, NY)
- …Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, ... + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** ,… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible ... of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python,… more
- Robert Half Technology (Lexington, MA)
- Description Data Analyst Manager (2) Roles & Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of the ... healthcare data compliance, including HIPAA, GDPR, and HITECH Act. Claims & Billing Data - Experience analyzing claims... Claims & Billing Data - Experience analyzing claims from Medicare, Medicaid, and private insurers. HEDIS Quality… more
- Robert Half Technology (Golden Valley, MN)
- Description Job Overview: We are searching for an experienced Sr. Business Analyst /Project Manager (BA / PM) for our Corporate & Operations Applications team. ... and 5+ years of experience working as a Business Analyst in ERP with Finance or a similar role,...Testing, Agile Scrum, Business Process Functions, Business Requirement Document, Claim Administration, SAP, SAP Finance and Controlling, Supply Chain… more
- CVS Health (Roanoke, VA)
- …to travel 70-75% of the time to meet with members face to face. Case Manager Analyst is responsible for face to face and telephonically assessing, planning, ... we do it all with heart, each and every day. **Position Summary** This Analyst , Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team… more
- CVS Health (Columbus, OH)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Prime Therapeutics (Eagan, MN)
- …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... requirements for requested software changes + Actively engage in Claim systems solutioning discussions with project teams to ensure...within project + Educate and advance business systems analyst practice within the Claims IT team… more
- System One (Lake Mary, FL)
- …The Contract Manager is a key member of each project's Claim Management team that includes project management, construction & commissioning management, EPC ... Services Representative, Project Scheduler, EPC Schedule Analyst , Project Financial Analyst , and Contract Manager . + Ensure the project team clearly… more
- UIC Government Services and the Bowhead Family of Companies (Corona, CA)
- …office for NSWC Corona - Corona Division in Norco, California. The Junior Management Analyst will work directly for the Program Manager and Senior Management ... combat systems' performance, readiness, quality, and supportability. The Junior Management Analyst will support the Program Manager and Senior Management… more
- City of Boca Raton (Boca Raton, FL)
- …COBRA and retiree coverage. Under the administrative direction of the Benefits Manager , the Benefits Analyst applies professional expertise to analyze business ... Benefits Analyst Print (https://www.governmentjobs.com/careers/bocaratonfl/jobs/newprint/4923618) Apply Benefits Analyst...FL Job Type Full-Time Job Number 4258 Department City Manager - Admin, IT, MS Division Human Resources 04/02201… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …Word, Access, Excel, PowerPoint; as well as Epic EMR. + Working knowledge of claims data and analysis, with experience working in the MD Audit tool preferred. + ... Knowledge of healthcare financial management principles/practices. + Ability to work in highly matrixed environments. + Ability to be flexible and adapt to change **Additional Details** Emory is an equal opportunity employer, and qualified applicants will… more
- Hartford HealthCare (Farmington, CT)
- …new analysts. *_Working Relationships:_* *This Job Reports To (Job Title):* Manager , Revenue Integrity Analyst ** *Education* Minimum:**Bachelor's Degree or ... and other common practices across the system. *_Position Summary:_* The Revenue Integrity Analyst - Level 2 serves as an integral part of both revenue optimization… more
- Bosch (Watertown, MA)
- …+ 2+ years of work or internship experience in a sales support, project manager , administrative, coordinator or analyst role + 2+ years of experience required ... business. You will support and act as proxy to the inside sales manager in critical sales analytics and controlling responsibilities and requires solid analytic… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 2025...to get Medicaid Summary invoice, summary data file and Claim Level Invoice each quarter and review to ensure ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Netflix (Los Angeles, CA)
- …, including workers' compensation, return to work, auto liability, and general liability claims . This role reports to a Senior Manager within Risk Management ... designated authority levels, escalating high-risk cases to the Senior Manager as necessary. + Review and analyze claims... management guidelines, claim reviews, reserve reconciliations, claim audits, and other key claims management… more
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... Analyst reviews and recommends approval of construction change orders, analyzes claims , and participates in the negotiation of claim settlements on complex… more
- Walmart (Bentonville, AR)
- …reside within commuting distance of the primary job location** + Leads claim investigations by conducting ongoing medical and legal reviews; commissioning field ... investigators, reconstructionists, and cause and origin specialists to determine claim origination; managing media exposure during investigations; synthesizing information… more
- Lowe's (Mooresville, NC)
- **Your Impact** The primary purpose of this role is to serve as a high-risk claims analyst for the Legal department, handling high risks/high value cases and ... laws, legal principles, and the litigation process to resolve claim , as well as a deep understanding of store...and implementing ways to address improvement opportunities + Assist Claims Manager with hiring, training, and development… more