- Highlight Health (Philadelphia, PA)
- …Health is a mission-driven company that protects consumer rights and controls healthcare costs exclusively for self-funded employers and their stop loss carriers. We ... are looking for a health coverage large and complex claims analysis expert - an expert who has scrutinized...engineers new ways to protect consumer rights and control healthcare costs for self-funded employers. Nearly every American has… more
- Molina Healthcare (Long Beach, CA)
- Job Description Job Description Job Summary The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops ... Develops custom health plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates Assists and collaborates with the national Risk… more
- Ballad Health (Johnson City, TN)
- JOB DESCRIPTION: The Senior Planning Analyst plays a key role in supporting enterprise strategy, service line growth, and business planning efforts across Ballad ... Serve as subject matter expert in using market analytics tools (eg, Sg2, claims -based datasets) and provide market share data and insights. Regulatory & Reporting… 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
- Harbor, Inc. (Toledo, OH)
- …: Bachelors of Science in business administration, finance/accounting or other healthcare related area or an equivalent combination of education and experience. ... Demonstrated understanding of grant reporting. Previous experience in a healthcare environment is desirable. Proficiency in Microsoft application suite, particularly… 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 utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant… more
- Molina Healthcare (Grand Island, NE)
- …Nebraska Health plan SLT by providing subject matter expertise on complex claims related issues and service recovery efforts.** Analyzes complex business problems ... product meets the intended functional and operational requirements. + Provide Level II claims support to internal teams and directly with providers as needed +… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency DASNY - Dormitory Authority of the State of New York Title Senior Construction Claims Analyst (Cost Control) - Albany, NY or NYC Office ... and/or construction complexity, environmental issues and other non-traditional project variables. Senior Cost Control Analyst also reviews and provides comments… more
- Molina Healthcare (Roswell, NM)
- …Adjustment Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk ... adjustment to provide analytic support for finance, pricing and actuarial functions + Healthcare Analyst I or Financial/Accounting Analyst I experience… more
- Commonwealth Care Alliance (Boston, MA)
- …not be considered at this time._** Position Summary: Working under the direction of the SVP Claims , the Senior Data Analyst - Payment Integrity & Claims ... 011250 CCA- Claims **_This position is available to remote employees...* 3-5 years Data Analysis * 3+ years of Healthcare experience * 3+ SQL Desired Experience (nice to… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Senior Financial Analyst ? At HCA Healthcare , you come first. HCA ... members over the course of three years. **Benefits** HCA Healthcare , offers a total rewards package that supports the...make a difference. We are looking for a dedicated Senior Financial Analyst like you to be… more
- Cognizant (Cincinnati, OH)
- …any qualified applicant in the United States. Cognizant Technology Solutions is looking for a **" Senior QA Analyst - Healthcare Facets Testing"** to join in ... advisory and Digital Business Assurance in Gartner Magic Quadrant! ** Senior QA Analyst - Healthcare ...of its functionalities. . Have a strong background in healthcare domains particularly in Enrollment and Claims … more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- Staffing Solutions Organization (Albany, NY)
- …workforce, which is a reflection of our clients and the people they serve. ** Senior Healthcare Data Analyst ** **(Location - Albany, NY)** **Summary:** The ... and business context of various elements related to Medicaid claims . Related efforts will include the production of reports...reports in support of the intake and management of healthcare data. The ideal candidate will be able to… more
- Mount Sinai Health System (New York, NY)
- …and Ancillary Contracts across the Mount Sinai Health System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be ... processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in… more
- Molina Healthcare (ID)
- **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina… more
- Stryker (Mahwah, NJ)
- **What you will do:** As a Senior Legal Analyst you will be responsible for scheduling and matter management; drafting and updating legal contracts, agreements ... assisting with legal presentations; and improving internal processes. The Senior Legal Analyst must prepare accurate and...purposes. + Billing Guideline Reviewer for EPL and Investigation claims . + Monitor CT Corporation mailbox for service of… more
- Molina Healthcare (Columbus, OH)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Elevance Health (Chicago, IL)
- …passionate about transforming American healthcare delivery. The **Advanced Analytics Analyst Senior ** measures financial performance of core Carelon products ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...leveraging claims , authorization, and membership data to tell a detailed… more
- ChenMed (Miami, FL)
- …leadership and will make data-driven strategy recommendations in the Medicare Advantage and healthcare industry. This senior -level analyst position has the ... we need great people to join our team. The Senior Health Economics Analyst is responsible for...prioritize opportunities, and spot trends + Extensive knowledge of healthcare /medical economics data such as hospital/physician /ASC claims… more
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