- Providence (CA)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
- LA Care Health Plan (Los Angeles, CA)
- Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise Configuration Location: Los Angeles, CA, US, 90017 Position ... achieve that purpose. Job Summary The Quality Configuration Assurance Analyst III is responsible for the more complex technical...root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF RESEARCH ANALYST , BEHAVIORAL SCIENCES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4891039) Apply CHIEF RESEARCH ANALYST , ... career-minded individuals to fill the position of Chief Research Analyst , Behavioral Sciences. To view classification standards for the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- UCLA Health (Los Angeles, CA)
- …Maintain compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve ... Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim … more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4955623) GEOGRAPHIC INFORMATION SYSTEMS ANALYST ... day of filing. POSITION DESCRIPTION: The Geographic Information Systems Analyst p erforms a variety of professional duties in...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- CVS Health (Sacramento, CA)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies,… more
- Insight Global (Los Angeles, CA)
- …requirements as well as business needs are being met. The Tapestry Application Analyst will have a complete working knowledge of assigned application, to include an ... department workflows for the associated system build/configure, upgrade and release process. The Analyst will act as a support contact for the application and will… more
- Curtiss-Wright Corporation (Santa Clarita, CA)
- **Defense Program Financial Analyst -Onsite Position** We have a great opportunity for a Program Financial Analyst to join our team in **_Santa Clarita, CA!_** As ... our Program Financial Analyst , you will support our family of programs with...by program + Prepare adhoc analyses such as termination claims for programs under a stop work notification **What… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... and keep you moving through the process. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### ###@dhs.lacounty.gov CALIFORNIA RELAY SERVICES PHONE : ### COUNTY OF LOS… more
- Sharp HealthCare (San Diego, CA)
- …direction of the Manager of Benefits Administration, the Benefits Administration Analyst provides operational support to ensure benefit plans are designed ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or… more