- UCLA Health (Los Angeles, CA)
- Description Under the direction of the Workers' Compensation Analyst and department manager, you will manage workers' compensation claims by supporting employees ... benefits and can return to work safely. As our Leave Analyst , your responsibilities include reviewing treatment progress, recommending medical treatment… more
- Highmark Health (Sacramento, CA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, and ... and driving system enhancements to improve efficiency and compliance. The analyst will also support testing, report generation, and documentation efforts related… more
- UCLA Health (Los Angeles, CA)
- …a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements specifications ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design and delivery requirements + work… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- The Healthcare Quality Analyst - Population Health plays a key role in driving improvements in patient outcomes, quality performance, and operational effectiveness ... initiatives, track performance, and support population health strategies. The analyst ensures data accuracy, provides actionable insights, and supports compliance… more
- Cedars-Sinai (Beverly Hills, CA)
- …care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and ... Healthcare Data systems is needed. Knowledge of electronic health records (EHR), claims data, and health information systems (e.ge., Epic, Cerner); Familiarity with… more
- Highmark Health (Sacramento, CA)
- …Degree **EXPERIENCE** **Required** + 3 - 5 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational ... area (eg claims , billing, customer service, etc.) **Preferred** + 1 - 3 years in the Health Insurance Industry **LICENSES OR CERTIFICATIONS** **Required** + None… more
- CVS Health (Sacramento, CA)
- …with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider ... and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth research to… more
- CVS Health (Sacramento, CA)
- …to join our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives to continuously innovate ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
- 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 ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more