- AIG (New York, NY)
- Join us as a Claims Analyst III to grow your experience in handling complex claims . Make your mark in Claims Our Claims teams are the proven ... with empathy and efficiency. How you will create an impact As a Claims Analyst III , you will be responsible for handling Employment Practices Liability… more
- Elevance Health (Columbus, GA)
- **Performance Quality Analyst III ( Claims ** ) **Location** : This role requires associates to be in-office 1 days per week, fostering collaboration and ... and adaptable workplace. Alternate locations may be considered. The **Performance Quality Analyst III ( Claims ** ) is responsible for driving service quality… more
- Montrose Memorial Hospital (Montrose, CO)
- …Annual leave including vacation, sick and holiday pay. About Montrose Regional Health: + As the leading healthcare in the Uncompahgre Valley, MRH offers patients ... personalized and professional healthcare backed by the latest technology experience, and partnership, we continue to evolve and broaden our comprehensive services in 23-specialties and sub- specialties. We are the hospital, the healthcare resource, and the… more
- CDPHP (Albany, NY)
- …of CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental ... as the backbone of several critical business processes. Configuration Analyst III is responsible for oversight of...of the analysis, maintenance, and configuration of CDPHP's core claims systems and applications application systems, as well as… more
- AON (Fort Wayne, IN)
- Aon Is Looking For A Claims Professional III This is an exciting opportunity for a Claims Professional III , located in our Fort Wayne, IN office. Aon is ... conferences, or trials as required + Mentoring and Developing Claims Examiners & Litigation Analyst Education +...and policies. #LI-AM4 2562189 Aon Is Looking For A Claims Professional III This is an exciting… more
- The County of Los Angeles (Los Angeles, CA)
- HUMAN RESOURCES ANALYST III - ADVOCACY Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4925528) Apply HUMAN RESOURCES ANALYST III ... Commission. These matters include disciplinary appeals, discretionary examination appeals, and claims of violations of Civil Service Rule 25 (ie, discrimination and… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …area/out of network non-par claims . In the course of this work, the Analyst will be required to work closely with others to assemble and produce documentation ... with sound and ethical procedures, objectives and controls, a Network Services Analyst analyzes and evaluates the composition and characteristics of Health Plan… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III Job Category: Clinical Department: Care Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11998 ... to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and...the relationships between the field elements in encounters and claims , membership, and provider databases. This position supports the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …encourage you to apply! Job Description: Summary: The Reimbursement Configuration Analyst is responsible for utilizing system development methodologies to analyze, ... in response to high level business requirements. The Reimbursement Configuration Analyst is expected to understand requirements, develop work plans, translate the… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated ... goal setting, and effective performance measurement. The Data Science Analyst III demonstrates sound and a more...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- ICW Group (San Diego, CA)
- …about why you want to be here! **PURPOSE OF THE JOB** The purpose of the Business Analyst III (BA III ) is to support business and IT teams in implementing ... sound technology solutions that align with ICW's strategic goals. The BA III plays a dual role-combining strong analytical and domain expertise with hands-on… more
- UIC Government Services and the Bowhead Family of Companies (Quantico, VA)
- **Overview** SENIOR DATA ANALYST ENGINEER | TIER III (MIELS): Bowhead is seeking Senior Data Analyst Engineers to support a customer in Stafford, VA. Support ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …with internal departments that meet our cost and quality management needs. Level III (in addition to Level II Accountabilities) * Independently design, develop, and ... reports to support initiatives, and changes to process flows. * Reviews complex claims , financial models, test results, and trends with providers and hospital system… more
- UIC Government Services and the Bowhead Family of Companies (Charleston, SC)
- **Overview** MANAGEMENT ANALYST (BSAD) Bowhead seeks a Acquisition Management Specialist to join our team in supporting the upcoming Navy contract in Charleston, SC. ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- Cleveland Clinic (Cleveland, OH)
- …healthcare organizations in the world. As an Epic Billing Systems Analyst , you will assist with feasibility analysis, estimating, planning, designing, developing, ... + 1 or more Epic Certifications (eg, Resolute Hospital Billing Administration, SBO, Claims , Charge Router, etc.) Our caregivers continue to create the best outcomes… more
- Centene Corporation (Tallahassee, FL)
- …clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business ... Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Centene Corporation (Columbus, OH)
- …trend analysis: + Inpatient Validation monthly valuation (inventory method for claims valuation for prior period development and current month valuation), quarterly ... inpatient validation reconciliation against paid lags, inpatient statistic reporting + Accounts payable accrual, provider incentive accrual, non-inpatient trending analysis utilizing Power BI + Financial reporting utilizing OneStream, enrollment reporting,… more
- Saint Luke's (Kansas City, MO)
- …in some or all of the following: Epic HB Admin, Epic HB Claims /Remittance or Epic Charge Router. **Job Requirements** Applicable Experience: 3-5 years Bachelor's ... Degree **Job Details** Full Time Day (United States of America) **_The best place to get care. The best place to give care_** **. Saint Luke's 12,000 employees strive toward that vision every day. Our employees are proud to work for the only faith-based,… more
- The County of Los Angeles (Los Angeles, CA)
- LIBRARIAN III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4908413) Apply LIBRARIAN III Salary $78,913.20 - $106,343.04 Annually ... of Los Angeles County's class of Librarian II** Option III : Two years p erforming professional library services in...attaching to your application or sending to the exam analyst . ** For a full description of LA County's… more
- The County of Los Angeles (Los Angeles, CA)
- SUPERVISING CLINICAL LABORATORY SCIENTIST III Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2918845) Apply SUPERVISING CLINICAL LABORATORY ... SCIENTIST III Salary $117,356.88 - $176,293.20 Annually Location Los Angeles...time of filing, or email it to the exam analyst , within fifteen (15) calendar days of filing online.… more
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