- AmeriHealth Caritas (Newtown Square, PA)
- …ten (10) years of relevant Healthcare Claims experience as a Business Systems Analyst in a fast-paced environment. + HealthCare Claims experience ... administrative services. Discover more about us at www.amerihealthcaritas.com. The **Business Systems Analyst Lead** is critical to helping businesses implement… more
- The Cigna Group (Bloomfield, CT)
- …improves our business solutions? Do you have a high degree of technical expertise in claims systems ? EviCore, a line of business within the Cigna Group, is ... hiring a Claim Systems , Business Solutions Lead Analyst to provide...work closely with external clients, internal stakeholders, project managers, claims systems , claims product and… more
- The Cigna Group (Bloomfield, CT)
- …and data validation + work closely with external clients, internal stakeholders, project managers, claims systems , claims product and planning and claims ... of business within the Cigna group, is hiring Claim Systems , Technical Lead Analyst . For this highly...in understanding the impact of requested changes to end-to-end claims adjudication processes + Use your technical proficiency to… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 19, 2025 Location: Parsippany, United States, New Jersey, 07054 Company: Teva Pharmaceuticals Job Id: 60414 **Who we are** Teva ... us on our journey of growth! **The opportunity** **Position Summary:** The Medicaid Claims Analyst is responsible for Medicaid Drug Rebate process which includes… more
- Teva Pharmaceuticals (Parsippany, NJ)
- Medicaid Claims Analyst Date: Apr 16, 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
- New York State Civil Service (Albany, NY)
- …DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office Occupational Category ... State NY Zip Code 12208 Duties Description Primary PurposeSenior Cost Control Analyst reviews and recommends approval of construction change orders, analyzes … more
- Mount Sinai Health System (New York, NY)
- **Job Description** **_Roles & Responsibilities:_** The Health Plan Claims Analyst I is responsible for multiple components of specific health plan operations. ... + 2 years experience in medical billing or health claims , with experience in IDX billing systems ...education, and innovation as we work together to transform healthcare . We encourage all team members to actively participate… more
- Centene Corporation (Austin, TX)
- … healthcare (ie documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or ... of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience… more
- VNS Health (Manhattan, NY)
- …those needs. Gathers requirements, performs analysis, designs new or enhanced systems to meet operational, business, and clinical needs. Collaborates with Business ... and financial wellness programs + Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care + Generous tuition reimbursement for qualifying degrees… more
- Cognizant (Columbus, OH)
- …and validate requirements for changes to business processes, policies, and information systems ; Assist in the analysis of business problems and opportunities in the ... and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge...as well as an understanding of the IT organization's systems and capabilities in order to participate in project… more
- Molina Healthcare (Columbus, OH)
- …pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience desired + Multiple data systems and models + BI tools ... **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization… more
- Sharp HealthCare (San Diego, CA)
- …eligibility, claims , provider, billing, capitation, financial and structural. The Systems Analyst -EDI Mgmt will work to streamline processes, create ... the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and...ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s,… more
- State of Massachusetts (Quincy, MA)
- …* * . Three (3) years of experience in an IT Business/ Systems Analyst role, preferably with a focus on Pharmacy/ Healthcare claims processing, is ... IT Team (EOHHS IT) supporting the MassHealth program is seeking a*Pharmacy Systems Analyst *responsible for supporting the pharmacy system, MassRx. MassRx is… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Bloom Healthcare (Lakewood, CO)
- …Python, or other database management tools. + Experience working with large healthcare datasets, including claims , eligibility, and encounter data + Demonstrated ... Job Title: Data Analyst , Value Based Care Location: Denver, Colorado; Hybrid...Based Care Location: Denver, Colorado; Hybrid About Bloom: Bloom Healthcare is a pioneering and employee-owned primary care and… more
- VNS Health (Manhattan, NY)
- OverviewFunctions at the most senior level Business Systems Analyst role. Works directly with senior management on highly visible projects to understand business ... operational, business and clinical needs. Acts as lead Business Systems Analyst on team; coordinates exchanges of...as primary technical expert and principal designer of information systems for the managed healthcare business. Collaborates… more
- Prime Therapeutics (Eagan, MN)
- …or Resource Manager to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across ... every decision we make. **Job Posting Title** Sr. Business Systems Analyst **Job Description** The Sr. Business...define, and document the requirements for changes to Prime's claims systems . **Responsibilities** + Ensure understanding of… more
- Hartford HealthCare (Farmington, CT)
- …experience in a Healthcare environment required * Bachelor's degree in Information Systems , Business or a Clinical area is preferred * At least 5 years relevant ... matters. And this is *your moment*. **Job:** **Information Technology* **Organization:** **Hartford HealthCare Corp.* **Title:** *ITS Application Analyst I / IS… more
- The County of Los Angeles (Los Angeles, CA)
- …Information Systems Analyst II with knowledge and experience performing information systems analysis and design in healthcare related systems in a ... SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print...part of a project team or provide expertise in healthcare information systems analysis, including the definition… more
- The County of Los Angeles (Los Angeles, CA)
- …at the level of Los Angeles County's class of Senior Information Systems Analyst with knowledge and experience in healthcare related systems in a ... PRINCIPAL INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print...related information technology organization with knowledge and experience in healthcare related systems at a medium-to-large public… more
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