- Elevance Health (Ashburn, VA)
- …cycles. + Provide subject matter expertise in US healthcare, especially in claims adjudication, encounter submissions, and resolution of transaction rejections ... and insightful analytics to improve the delivery of care.** **Title:** Business Analyst III **Location(s):** Latham, NY, Richmond, VA, Ashburn, VA, Indianapolis, IN,… more
- Molina Healthcare (Covington, KY)
- …to manage various sources of information and large data sets including pharmacy, claims and encounter data + Proficiency in compiling data, creating reports ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and… more
- System One (Dayton, OH)
- Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month ... Data & Advanced Analytics, and Agile Transformation Services. The Encounters System Analyst IV is responsible for overall State and Federal(CMS) level Encounters… more
- St. Luke's Health System (Boise, ID)
- **Overview** **Position Summary:** The Epic Tapestry Analyst - Health Plan AP Claims is responsible for supporting the build, configuration, maintenance, and ... Tapestry module, with a specialized focus on the Health Plan Accounts Payable (AP) Claims functionality. This role ensures the integrity and efficiency of claims … more
- Seton Education Partners (Bronx, NY)
- Elementary School Special Education Compliance and Billing Analyst Bronx, New York Seton Education Partners seeks a mission-driven, detail-oriented leader to serve ... as the Elementary School Special Education Compliance and Billing Analyst for the Brilla Public Charter Schools Network. This position reports directly to the… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... and driving system enhancements to improve efficiency and compliance. The analyst will also support testing, report generation, and documentation efforts related… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements + work… more
- UCLA Health (Los Angeles, CA)
- …Proven experience generating reports using healthcare data, with a focus on encounter / claims , membership, and provider datasets, required + Solid understanding ... Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team,...ensuring a comprehensive understanding of data relationships across encounters, claims , membership, and provider databases. + Develop or apply… more
- Molina Healthcare (GA)
- **Job Description** **Job Summary** The Analyst , Risk Adjustment-Predictive Analytics role will support Molina's Risk Adjustment Predictive Analytics team. Designs ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and related financial data like risk...Years of experience in Analysis related to Risk Scores, Encounter Submissions, Payment Models for at least one line… more
- AdventHealth (Burleson, TX)
- …a low-cost of living. **The role you'll contribute:** A Finance Analyst interacts with department directors, physicians, and hospital management in conjunction ... by maintaining a project plan and anticipating potential roadblocks that staff may encounter and taking corrective action so projects are completed on time. **The… more
- UCLA Health (Los Angeles, CA)
- …or a related field + Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care environment required + Five or ... with Microsoft Office, SQL, and data visualization tools + Knowledge of encounter regulatory reporting and compliance requirements + Experience managing vendors to… more
- LA Care Health Plan (Los Angeles, CA)
- …with cross-functional business partners. The Program Manager II engages the analyst team to continue to support, test and upgrade multi-functional software ... and accountabilities. Facilitate technical meetings related to encounters and claims data for risk adjustment for all product lines (Commercial,… more
- The County of Los Angeles (Los Angeles, CA)
- …other healthcare professionals during all aspects of the healthcare encounter and in various healthcare settings. Interprets/translates accurately and completely; ... of patient-related materials, including text that pertains to the medical encounter , such as discharge procedures, pharmaceutical instructions, consent forms, and… more
- Amazon (Seattle, WA)
- …A-to-z Guarantee is Amazon's primary mechanism for protecting customers when they encounter a negative order experience with a third-party seller. We focus on ... - this is an exciting opportunity for a Business Analyst to enter the team, take ownership of the...Design innovative solutions such as closed-loop mechanisms for warranty claims and cost-effective concession strategies. * Analytics & Reporting:… more
- The County of Los Angeles (Los Angeles, CA)
- …and effectively resolving any technical problems or difficulties they may encounter . These may be problems of microorganism identification, equipment malfunction, or ... listed above? Please contact us at: Department Contact Name: Exam Analyst Department Contact Phone: ### Department Contact E-mail: ###@ph.lacounty.gov California… more