- Healthfirst (NY)
- … business rules within the claims processing system. + Identify claims configuration and contract implementation defects and improve departmental performance ... are adequately implemented based on technical planning documents. + Ensure post implementation accuracy of claims configuration implementations and mass claim… more
- UTMB Health (Galveston, TX)
- Senior EHR Clin Apps Analyst (Resolute Hospital and Professional Claims ), Remote - ITS-Clin Revenue Cycle **Galveston, Texas, United States** Information ... Qualifications:** + Certified or Accredited in Epic Resolute Hospital Billing Claims and Remittance Administration and Epic Resolute Professional Billing Claims… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: May 15, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 61400 **Who we are** ... people to make a difference with. **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which… more
- Amazon (Austin, TX)
- …of leading the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of complicated insurance data ... cross-functional teams on the day-to-day execution of new and existing program implementation . * Drive small to medium operational enhancement projects. * Research… more
- Molina Healthcare (IA)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Molina Healthcare (Austin, TX)
- **JOB DESCRIPTION** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains ... critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each… more
- Cognizant (Frankfort, KY)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... communication between business unit's) and IT from initial requirements to final implementation ; From a project perspective, owns the entire DM and ensure it… more
- DISH Network (El Segundo, CA)
- …and connected world for all. We are seeking a dynamic and creative Lifeline Sales Implementation Analyst to join our team as we seek to build a stronger ... shipments to distributors and teams, including returned shipments and claims , to ensure product was delivered properly or ...long-term success of our company. As a Lifeline Sales Implementation Analyst , you must dedicate your efforts… more
- Walgreens (Deerfield, IL)
- …in development, facilitation, and execution of Client Implementations. The 340b Implementation Analyst will interact with Pharmacy Services, Pharmacy/Store ... information is available at www.walgreensbootsalliance.com. **Job ID:** 1599821BR **Title:** Analyst Implementation 340b **Company Indicator:** Walgreens **Employment… more
- Centene Corporation (Baton Rouge, LA)
- …of provider setup within the provider information system to ensure accurate contract implementation and subsequent claims processing + Review and price contract ... related pends to ensure claims payment accuracy + Ensure accurate contract implementation and subsequent claims processing through provider setup, UAT… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $119,111.04 - $160,518.72...Analysts and other technical staff engaged in the development, implementation or maintenance of highly complex systems. Develops systems… more
- San Jose State University (San Jose, CA)
- …Resources Analyst Apply now (https://secure.dc4.pageuppeople.com/apply/873/gateway/default.aspx?c=apply&lJobID=547913&lJobSourceTypeID=837&sLanguage=en-us) Job no: ... (COSS) and receiving work direction from the Senior College Financial Resource Analyst and the College Administrative Analyst , the Associate College Resources… more
- Elevance Health (Cincinnati, OH)
- …position is not eligible for current or future VISA sponsorship._ The **Rating/ Claims System Analyst Sr** is responsible for providing support, configuration, ... **Pre-Pay Editing Analyst Sr** **Location:** This role requires associates to...design, testing and implementation for claims systems. Ensures accurate adjudication… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR ... INFORMATION SYSTEMS ANALYST (Electronic Health Record) Salary $106,081.08 - $142,953.84 Annually...user requirements, feasibility studies, design, program specifications, testing, and implementation of one or more of the following Electronic… more
- LA Care Health Plan (Los Angeles, CA)
- Business Analyst III Job Category: Claims Department: Claims Data and Support Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... IT on a day-to-day department related efforts. The Business Analyst III manages and coordinates the implementation ...quantitative role as a Business Analyst , Data Analyst , Programming Analyst , Claims processing,… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3121047) Apply PRINCIPAL ... INFORMATION SYSTEMS ANALYST (Electronic Health Record) Salary $119,110.92 - $160,518.60 Annually...identifying and resolving potential problems, and assisting in the implementation and conversion project plans for new information systems… more
- Mount Sinai Health System (New York, NY)
- …Care Contracting Team within MSHP is responsible for the negotiation, implementation and contract compliance related to Facility Contracts for all Commercial, ... Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending, and analyzing… more
- NTT DATA North America (Lincoln, NE)
- …organization, apply now. We are currently seeking a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager** **This position ... or legally required benefits.** **Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Strategy, the Payment Integrity Reimbursement Policy Quality Assurance (QA) Analyst is responsible for completing invoice and reconciliation claim audits ... Quality assurance audit reviews and core functions include reconciling vendor invoiced claims against finalized paid claims to identify and document payment… more
- MTA (New York, NY)
- …provides varying levels of support and analysis to Senior OCIP Administration Claims Analyst , Assistant Director and Deputy Director; actively contributes to ... Analyst , Owner Controlled Insurance Programs Job ID: 10997...Owner Controlled Insurance Programs (OCIP) including oversight of safety, claims and administrative services provided by the insurance broker… more