- Morley (CA)
- …case details? If so, this role could be a perfect fit for you! As a Legal Claims Analyst at Morley, you'll play a key role in managing small automotive claims ... **About the Role** **Location*: Southern California / Los Angeles area** **_( remote , periodic area travel required)_** Are you confident speaking in public, a… more
- Commonwealth Care Alliance (Boston, MA)
- …order to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical Operations ... 011330 CCA-Clin Operations & Implementation **_This position is available to remote employees residing in Massachusetts. Applicants residing in other states will not… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance **Position Summary:** The HEDIS Network Analyst will support CCA's ability to meet and surpass critical Quality ... relevant Network Providers, including those with delegated arrangements + Review YTD claims files on a monthly/quarterly basis to identify errors and address… more
- Warner Music Group (New York, NY)
- …and virtual days. These work arrangements will be periodically reviewed based on business needs. We currently have a fantastic opportunity to join our highly ... attention to detail + It's important that you develop an expertise in the business , you dive into legal agreements and the interpretation of contractual terms, and… more
- Jobleads-US (Washington, DC)
- …as well as Microsoft Office Suite software. Work jointly with the Program Analyst assigned to the Workers' Compensation program and the Health Unit (HU) staff. ... Assist the Program Analyst in collecting, assembling, and managing documents and forms...assistance to injured employees filing and/or on workers' compensation claims . Provide technical advice and assistance to injured employees… more
- Prime Therapeutics (Des Moines, IA)
- …and drives every decision we make. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home ... Delivery Program Claims Analyst is responsible for serving as...as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business , Science or related area of study, or equivalent… more
- UPMC (Pittsburgh, PA)
- …modifications to complex reports. Mentor less experienced team members. Communicate effective with business , act as business analyst . Ensure data governance ... UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and...backgrounds and great chemistry, APPLY NOW! Hybrid, but predominately remote . One week per month we have mandatory meetings… more
- NTT DATA North America (Merced, CA)
- …to join our team in remote in the USA. **Job Overview:** The Application Analyst III - Core Systems is the advanced working level position in the Application ... DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With...currently seeks a Application Analyst III - Core… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …related experience. + Prior PC experience to include advanced Excel, Word and Access. Claims Analyst I At Fifth Third, we understand the importance of ... -days a week. We are unable to hire for remote on this opening. GENERAL FUNCTION: Responsible for completing...risks of all types. DUTIES & RESPONSIBILITIES: + All Claims started within five business days of… more
- Catholic Health (Buffalo, NY)
- …and technology method of transformation. Supports the organizations Revenue Cycle claims and remittance process. Identifies and implements EPIC and/or 3rd Party ... to systems. Provides support for specific projects. Knows the business and/or clinical processes and the technical mechanics to...technical mechanics to support the work. A level II Analyst does so at a intermediate complexity and competency,… more
- Insight Global (Mayfield Heights, OH)
- …container, and all its pieces and parts. Other Responsibilities include: * The Business Analyst III is responsible for understanding the stakeholder's ... Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * 5+ years of Business Analyst experience with business requirement… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
- Prime Therapeutics (Helena, MT)
- …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Insight Global (Virginia Beach, VA)
- Job Description Insight Global is looking for a Senior Business Systems Analyst . This role includes analyzing and optimizing complex business processes and ... and drive results in meetings with strong Health Plan expertise ( Claims , Enrollment, Provider, Clinical). Liaison between internal/external customers and Information… more
- Prime Therapeutics (Little Rock, AR)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Molina Healthcare (Racine, WI)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update… more
- Prime Therapeutics (Austin, TX)
- …Reporting Analyst - REMOTE **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Beth Israel Lahey Health (Charlestown, MA)
- …Director of Epic Patient Financial Services - PB, the Senior Epic Operations Analyst serves as the preeminent Epic analytical resource tasked with improving revenue ... back-end billing functions and workflows, charge generation and capture, claims generation and reconciliation, remittance posting processes, retro adjudication and… more
- Fairview Health Services (Minneapolis, MN)
- …translating the business requirements into software specifications. This position is ** remote ** and requires on call rotation 1 week after hours and weekends ... **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting,… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
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