- Molina Healthcare (Omaha, NE)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Omaha, NE)
- … 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 database. Validate data to be housed on databases and ensure adherence...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Omaha, NE)
- … systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to identify ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical… more
- Two95 International Inc. (Omaha, NE)
- …creation * Backend data validation - Strong SQL * Medical insurance systems such as: Healthedge / Health Rules Requirements Note: If interested please send your ... Title: Senior QA Tester Location: Omaha, NE Position: Contract...defects. * Healthcare testing experience is required. * Backend data validation - Good SQL skills. * Knowledge of… more