- Humana (Sacramento, CA)
- …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 ... part of the Pricer Business and System Support team responsible for administering complex Medicaid provider...IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the… more
- Coinbase (Sacramento, CA)
- …build the emerging onchain platform - and with it, the future global financial system . To achieve our mission, we're seeking a very specific candidate. We want ... of crypto and blockchain technology to update the financial system . We want someone who is eager to leave...fully supported. *Team/ Role Paragraph:* As a Pull Payments Analyst on the Payments Risk Analytics team, you'll be… more
- Highmark Health (Sacramento, CA)
- …standard to moderately complex problem solving and in-depth understanding of system functionality. The incumbent reviews significant amounts of information and ... 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
- UCLA Health (Los Angeles, CA)
- Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team, you will be responsible for producing accurate and insightful department ... ensuring a comprehensive understanding of data relationships across encounters, claims , membership, and provider databases. + Develop or apply technical… more
- DoorDash (San Francisco, CA)
- …About the Role We are looking for a motivated and detail-oriented Senior Actuarial Analyst who will be a member of DoorDash's Corporate Risk & Insurance function ... automation of recurring workflows + Collaborate with cross-functional teams-including Claims , Finance, and Legal-to incorporate operational insights into actuarial… more
- Warner Bros. Discovery (Burbank, CA)
- …government auditor. + Retrieves all required support (from digital and physical filing systems ) required to compile the claim /application and to defend the ... production incentive from audit/review. + Reviews incentive coding in GL to ensure accuracy. + Tracks and reviews required support needed to fulfill incentive requirements. + Assists with ad hoc projects / analysis. Qualifications & Experience + Minimum 1-2… more
- Molina Healthcare (Long Beach, CA)
- …developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues ... related to core systems processing, and coordinates and manages project teams in...and manages project teams in the development of large multi- system , multi-platform projects. This position is responsible for implementing… more
- UCLA Health (Los Angeles, CA)
- …a world-class health organization. Elevate the operational effectiveness of a complex health system . Take your professional expertise to the next level. You can do ... individual with: + Required Bachelor's degree in business, information systems , healthcare, or a related field + Five or...+ Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care… more
- Centene Corporation (Sacramento, CA)
- …support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting + ... Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed… more
- Highmark Health (Sacramento, CA)
- …progressive scope and complexity + 2 years of Coding languages, analytical software, systems , tools and processes using claims , clinical, enrollment and provider ... data + 1 year of Project leadership in a complex, matrixed environment (payer and/or provider preferred) + 1 year of Providing analytical consultation to clinical, administrative, operational and financial stakeholders **Preferred** + None **SKILLS** +… more