- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Electronic Processing Operations Analyst you want with your current employer? We have ... Do you want to work as a Electronic Processing Operations Analyst where your passion for creating...on imaging storage system Analyzes daily service center clean claim rates ( claims submitted to billing system… more
- Amazon (Nashville, TN)
- …* Research and implement cost reduction opportunities. About the team Logistics Claims Management and Operations (LCMO) provides insurance and risk expertise, ... the world in innovative technologies and services. This Business Analyst role will help business leaders make sense of...Key job responsibilities * Retrieve and analyze insurance and claim data using Excel, SQL, Access, Tableau, and other… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a Senior Benefits Financial Analyst ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... We are looking for a dedicated Senior Benefits Financial Analyst like you to be a part of our...allocation database that includes facility level detail on self-insured claims , fully insured premiums and ASO administration expense for… more
- Prime Therapeutics (Nashville, TN)
- …combined pharmacy and PBM experience to include:##1 year of work experience in claims processing in an operations , audit or quality assurance environment##1 year ... and drives every decision we make. **Job Posting Title** Recovery & Resolution Analyst **Job Description** The Recovery & Resolution Analyst is responsible for… more
- Highmark Health (Nashville, TN)
- …Must Be Able to Read and Comprehend Spanish Medical Terminology The Quality analyst is responsible for compiling and analyzing data relevant to the handling of ... all types of complex adjusted claims ; conducting reviews of all organizational or functional activities...remediation and Regulatory and legal guidelines. In addition, the Analyst will identify potential areas of processing vulnerability through… more
- WelbeHealth (Nashville, TN)
- The Lead Data Analyst is an analytically heavy hands-on role, utilizing processed business information points as the basis to further define and build out metrics, ... modeling to find ways to improve key metrics, optimize operations and clinical efficacy. + Partner closely with the.... + Minimum three years' of experience working with claims data and provider network data. + Preferred experience… more
- CVS Health (Nashville, TN)
- …and external customers. **Position Summary** + Performs routine quality audits for network operations and claim testing for PPO Network creation. + Conduct ... measuring and monitoring the quality and effectiveness of work processes in claim processing and/or customer service that impact customer satisfaction, medical cost… more
- Evolent (Nashville, TN)
- …Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst ... challenges in healthcare. By working closely with Data Science, Product, and Operations , you'll help identify opportunities to further Evolent's mission to change… more
- Metro Nashville Government (Nashville, TN)
- Human Resources Analyst Senior Print (https://www.governmentjobs.com/careers/nashville/jobs/newprint/4062625) Apply Human Resources Analyst Senior Salary ... FMLA, IOD, STD compliance processes; analyzes and processes invoices for health claims and cafeteria plans; conducts open enrollment for the employee benefit… more
- Intermountain Health (Nashville, TN)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Evolent (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides a unique ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Community Health Systems (Antioch, TN)
- …preferred + 1-2 years of experience in medical billing, patient accounts, insurance claims processing, or revenue cycle operations required + Experience working ... **Job Summary** The Patient Accounts Analyst I is responsible for managing all aspects...corporate teams to optimize financial performance. The Patient Accounts Analyst I also tracks, reviews, and reports on billing… more
- Humana (Nashville, TN)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral… more
- Highmark Health (Nashville, TN)
- …process improvement meetings and/or discussions. + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or...role or experience in a related operational area (eg claims , billing, customer service, etc.) **Preferred** + 1 -… more
- Pearson (Nashville, TN)
- **Job Title: Vendor Management Analyst ** **Location: Remote** **At Pearson, we're committed to a world that's always learning and to our talented team who makes it ... to ensure accurate tracking of Medicaid-eligible services. + Monitor claims submissions to ensure they are accurate and submitted...vendors. **Key relationships** + Works closely with the Senior Operations Manager and the Operations Team to… more
- Cognizant (Nashville, TN)
- …world. Together, we're improving everyday life. **Job Title** **: Facets/QA System Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 63757471** **Role and ... development and QA teams. . Leverage knowledge of US Healthcare payer operations . . Participate in Systems/Integration Testing and support User Acceptance Testing. .… more
- Evolent (Nashville, TN)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... degree, preferably with a quantitative major (eg actuarial, statistics, operations research, mathematics, economics) or healthcare focus (health administration,… more