- Adecco US, Inc. (Phoenix, AZ)
- **Position Summary** The Claims Analyst III works on the full range of claims , correspondence, quality assurance and escalations to ensure the ... satisfaction of the goals and priorities of the team. The CAIII also does their part to meet expectations of internal and external clients with respect to claim handling and Service Level Agreements. **Location:** AZ, Remote **Compensation:** $21/hr **Top 5… more
- Montrose Memorial Hospital (Montrose, CO)
- Montrose, CO, USA | Patient Financial Services | Hourly | 21.88-34.57 per hour 21.88 - 34.57 | Full Time 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… more
- Centene Corporation (Jefferson City, MO)
- …in healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or ... claims and knowledge of provider reimbursement methodologies. Knowledge of...provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred.… more
- Centene Corporation (Raleigh, NC)
- …of implementation barriers and user acceptance testing of various systems + Claims Analysis with a focus on Recoveries/Recoupments and Negative Balance analysis + ... years of business process or data analysis experience, preferably in healthcare. Claims experience preferred. Strong Excel skills preferred. Experience with AMYSIS … more
- The County of Los Angeles (Los Angeles, CA)
- TALENT ASSESSMENT CONSULTANT (HUMAN RESOURCES ANALYST III ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4883967) Apply TALENT ... ASSESSMENT CONSULTANT (HUMAN RESOURCES ANALYST III ) Salary $97,552.32 - $131,464.32 Annually...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… 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 (HEDIS, Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... 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
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III Job Category: Accounting/Finance Department: Encounters Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 11810 ... required to achieve that purpose. Job Summary The Business Analyst III facilitates business process improvement via...quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …you to apply! Job Description: Summary: The Reimbursement Configuration Programmer Analyst is responsible for utilizing system development methodologies to analyze, ... to high level business requirements. The Reimbursement Configuration Programmer Analyst is expected to understand requirements, develop work plans, translate… 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
- The County of Los Angeles (Los Angeles, CA)
- RESEARCH ANALYST III , BEHAVIORAL SCIENCES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4165348) Apply RESEARCH ANALYST III , ... of reasonable accommodations to applicants. Department Contact Name: Exam Analyst Department Contact Phone:### Department Contact E-mail:###@ph.lacounty.gov Exam Number:… more
- Elevance Health (Latham, NY)
- **Benefits Analyst III ** **Location:** **This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of our** ... **Latham-NY location** . The **Benefits Analyst III ** responsible for identifying complex business...related field and minimum of 3 years experience in claims processing, previous medical health care, analytical experience, or… more
- Elevance Health (Mason, OH)
- **FEP Business Analyst III ** **Locations: GA-Columbus, OH-Mason, VA-Roanoke, NY-Latham, ME-South Portland, OH-Cincinnati** This position will work a hybrid model ... drive the future of health care. The **FEP** **Business Analyst III ** will be Responsible for serving...systems capabilities and business operations is strongly preferred. + Claims Experience preferred If this job is assigned to… more
- Elevance Health (Columbus, OH)
- **Business Analyst III ** **Location:** This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our ... Woburn, MA; Columbus, OH and Norfolk, VA. The **Business Analyst III ** is responsible for serving as...with data mining techniques and tools. + Background in claims , coding, auditing, clinical edits and investigations strongly preferred.… 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 (Tallahassee, FL)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management + Develop… more