- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the ... them to the appropriate department or team for further research or correction. + Leverages knowledge of claims... research or correction. + Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to… more
- NJM Insurance (Trenton, NJ)
- NJM Insurance Group's Claims & Medical Services Analytics group is seeking a Claims Insights Analyst . The Claims Insights Analyst applies a strong ... dashboards and visualizations to drive strategic decision making. The Claims Insights Analyst is a highly motivated,...models. Compensation: This role may be filled at an Associate Insights Analyst , Insights Analyst ,… more
- Molina Healthcare (Houston, TX)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system ... for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and claims systems and… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan is seeking a full-time Operations Analyst , Associate to support the Medicare HCC Department. This position will be home-based; however, it ... Local candidates to Allegheny and Westmoreland County will be considered. The Associate Operations Analyst oversees administrative, system processes, and special… more
- NJM Insurance (Trenton, NJ)
- …Associate Insights Analyst (the official NJM Title is Business Insight Analyst Associate ). This position applies an understanding of data sources and ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...and visualizations to drive strategic decision-making. The Business Insights Analyst , Associate is a motivated, creative thinker… more
- Highmark Health (Washington, DC)
- …intake of operational objectives and information gathering. May perform routine research and evaluate basic output requirements and formats. Communicate business ... 1 - 3 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** + 0 -… more
- Citigroup (New Castle, DE)
- The Loan Documentation & Processing Associate Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- City of New York (New York, NY)
- Job Description APPLICANTS MUST BE PERMANENT IN THE ASSOCIATE STAFF ANALYST CIVIL SERVICE TITLE, OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE ... CHANGE The Revenue Analyst performs research and analysis per the...Associate Staff Analysts to function as a Revenue Analyst in the Division of Revenue Control & Analysis… more
- Citigroup (Irving, TX)
- The Loan Doc & Proc Assoc Analyst is a developing professional role. This role identifies policy and applies specialty knowledge in monitoring and assessing ... + Possible interaction with other counterparties around positions and outstanding balances/ claims + Supports an expansive and/or diverse array of products (risk… more
- Atlantic Health System (NJ)
- …and practices to resolve claim discrepancies and initiate necessary corrections. + Research and resolve claims not paid within industry standards, ensuring ... and correct provider-related issues in the database, ensuring accurate information for claims processing. + Engage with practices and billing vendor to review … more
- City of New York (New York, NY)
- …ONLY PERMANENT EMPLOYEES IN THE TITLE AND THOSE THAT ARE REACHABLE ON THE ASSOCIATE STAFF ANALYST CIVIL SERVICE LIST ARE ELIGIBLE TO APPLY. Division/Program ... services effectively and meet DOHMH's objectives. Position Summary: The Associate Staff Analyst will report to the...contract, budget, and payment data to ensure Mental Hygiene claims are efficiently processed and meet all due dates.… more
- University of Miami (Miami, FL)
- …IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists Associate Epic Analysts on the team and collaborates with key ... to optimize the application's configuration, function, and access. The Epic Analyst 2 facilitates day-to-day application support and resolving application issues and… more
- Lowe's (Mooresville, NC)
- **Your Impact** The Sr Analyst -Workers Compensation Claims will provide insight and support to drive the operational excellence of the Workers Compensation ... performance while recommending innovative strategies or tactics to enhance the associate experience, mitigate risks and increase visibility into key drivers of… more
- Dollar Tree (Chesapeake, VA)
- …Position:** This position supports the risk management department by providing analytics, claims and loss control reporting of various types for internal and ... external stakeholders. The analyst will develop regular metrics for leadership and will...as insurance brokers and carriers for renewals, audits, and claims . This role is the subject matter expert on… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject...for further investigation or configuration updates. + Document all research , findings, and outcomes in claims systems… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …considered. * 3 years of relevant health plan or provider office medical coding/ claims and/or Business Analyst experience in a healthcare setting applicable to ... and Blue Shield of Minnesota Position Title: Healthcare Coding Analyst Location: Hybrid | Eagan, Minnesota Career Area: Customer...our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Healthcare Analyst Senior Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & ... our vision of transforming healthcare. As a Blue Cross associate , you are joining a culture that is built...us. The Impact You Will Have The Senior Healthcare Analyst is responsible for contributing to and supporting the… more
- Fair Haven Community Health Care (New Haven, CT)
- …, Google Data Analytics Professional Certificate, Microsoft Certified: Power BI Data Analyst Associate , AHIMA Certified Health Data Analyst , Coursera ... of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights...data across EHR, population health tools, 340B program, and payer/ claims . + Define and implement data quality checks, lineage,… more
- Beth Israel Lahey Health (Charlestown, MA)
- …remote based role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all ... commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Compliance Coding Analyst position is responsible for supporting accurate billing and coding compliance with Medicare and third-party ... potential risk areas and revenue potential. The Sr Compliance Coding Analyst position partners with stakeholders to provide feedback regarding documentation and… more