- OCHIN (Portland, OR)
- …Full-time Description MAKE A DIFFERENCE AT OCHIN Position Overview The Epic Resolute PB/PB Claims Application Analyst on our Install team supports the mission of ... team support model. Serve as internal advisor to other analyst as the lead working sessions with OCHIN members...of 2 years of build experience. Work history in Healthcare IT is required Bachelor's Degree preferred or a… more
- Convey Health Solutions (Chicago, IL)
- …creating and updating stored procedures. Familiarity with healthcare payer/provider claims , clinical, or quality data . Risk Adjustment experience is ... SUMMARY The Sr. Data Analyst will be responsible for...Economics, Finance, Marketing Analytics, MIS, Computer Science, Engineering, or Healthcare Analytics with proven experience exhibiting data … more
- RIT Solutions, Inc. (Atlanta, GA)
- Sr. Data Analyst (Mainframe, healthcare data ) | TELECOMMUTE Eden Prairie, MN - Remote Interview Process: 1 round via video. Will be very technical. TOP ... a data warehouse. Five (5) years' experience as an analyst -programmer performing various system development life cycle functions including project planning,… more
- Molina Healthcare (Long Beach, CA)
- …Marketplace and Medicare/MMP Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates Assists and ... Job Description Job Description Job Summary The Sr Analyst , Risk and Quality Reporting role supports Molina's...reports as requested to track HEDIS performance and supplemental data monitoring Develops and QA custom health plan reports… more
- Sentara Healthcare (Richmond, VA)
- City/State Richmond, VA Work Shift First (Days) Overview: The Senior Business Analyst is responsible for the implementation, analysis, and support of quality ... conduct testing, and ensure the successful implementation of business solutions. The analyst provides subject matter expertise in operational areas such as claims… more
- CGS Administrators, LLC (Nashville, TN)
- …experience in SQL server, Power BI. Proficiency in Excel. Previous experience in healthcare , claims , prior authorization, supporting DME. What Blue Can Do for ... leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of… more
- Nationwide Mutual Insurance Company (Milwaukee, WI)
- …for a student or recent graduate pursuing actuarial credentials who is passionate about data , reporting, and problem-solving. The analyst will play a key role in ... Benefits (Stop Loss), we empower self-funded employers to take control of their healthcare costs with confidence. Backed by the strength and stability of the… more
- RxSense (Princeton, NJ)
- …healthcare (PBM) 1+ year's of experience in formulary operations, pharmacy claims adjudication, or related healthcare analytics. Demonstrated expertise in ... RxSense is a leading healthcare technology company delivering innovative solutions for pharmacy...configuring and maintaining formulary data within claims systems. Excellent working knowledge… more
- MetroPlusHealth (New York, NY)
- …Qualifications Bachelor's degree required A minimum of 5 years' working experience within claims in the healthcare or insurance industry Extensive knowledge of ... About NYC Health + Hospitals MetroPlus Health provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island… more
- ShiftCode Analytics (Los Angeles, CA)
- We need a Business Analyst with Health Plan / Managed Care experience for a 6+ month contract role for a Healthcare client in Los Angeles, CA. This role will be ... a US Citizen . Job Summary The Enterprise Portfolio Management Office Solutions Analyst is accountable for intake, execution, and managing the oversight of strategic… more
- Ballad Health (Johnson City, TN)
- …Excellent analytical skills, with the ability to manage, merge and interpret multiple data sources (eg, claims data , EMR, socio-demographic, workforce, ... JOB DESCRIPTION: The Senior Planning Analyst plays a key role in supporting enterprise...matter expert in using market analytics tools (eg, Sg2, claims -based datasets) and provide market share data … more
- Vital Care Infusion Services (Jacksonville, FL)
- …and reports to accomplish work deliverables. Communicates with pharmacies to ensure claims data verification and request claim adjustments from Vital Care's ... documentation for pharmacy payer audits as appropriate. Performs follow-up inspection of claims data based on extrapolations from initial audit results. Prepares… more
- Serigor Inc. (Richmond, VA)
- Job Title: Business Analyst 4 (Hybrid) Location: Richmond, VA Duration: 12+ Months Responsibilities: Support the Electronic Health Records program. Posses experience ... family of standards including V@, Clinical Document Architecture, and Fast Healthcare Interoperability Resources. Supports the health IT Unit in the implementation… more
- Harbor, Inc. (Toledo, OH)
- …software. Work with Revenue Cycle to develop understanding of revenue cycle process, data needs, and coding of claims . Monitor the collection of statistics ... the direct supervision of the Chief Financial Officer, compile and analyze data used in budget planning, decision support, productivity, variance analysis, economic… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …improvements for Core back-Office systems including but not limited to: Core Healthcare Claims Processing Platform including Eligibility & Enrollment (Group, ... and defines quality program (process and objectives) for end-to-end claims core processing to assure data and...ongoing auditing of system changes. Works with Technical Business Analyst and Programmer Analyst to support day… more
- County of Los Angeles, CA (Los Angeles, CA)
- …level of Custodian Supervisor** *Institutions are defined as but not limited to healthcare facilities, schools, or gyms. **Experience at the level of the County of ... Excel: including but not limited to creating and editing documents and reports, data entry, and managing worksheets. Additional points will be awarded for additional… more
- UHS (Richmond, VA)
- …One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of ... denial trends to identify documentation and charging opportunities. Additionally, the analyst acts as a liaison between facility administration, the Shared Services… more
- County of Los Angeles, CA (Los Angeles, CA)
- …of the strongest public-sector benefits packages in the country, including diverse healthcare choices, and strong retirement plans. For more information about the ... and recommends new or revised programs and policies by analyzing statistical data and reports prepared by subordinate staff. Represents the Environmental Health… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... to support the department's goals. + Strong knowledge of provider data /processes/requirements related to provider contracting, credentialing, claims processing… more
- Molina Healthcare (Grand Island, NE)
- …practices, and procedures applicable to job-related subject areas to include Provider Data , Claims Configuration, Claims Adjudication and Encounters. ... Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems… more
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