- Providence (CA)
- …insurance codes, regulations, and our department's policies and procedures + Secure monthly claims data reports and provide quality assurance recommendations to ... Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the...files for quality assurance purposes + Experience working with claims data analytics + Experience in project… more
- Fluor (Fresno, CA)
- …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
- LA Care Health Plan (Los Angeles, CA)
- Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical Department: Quality Improvement Location: Los Angeles, CA, US, 90017 Position Type: Full ... the safety net required to achieve that purpose. Job Summary The Clinical Data Analyst III supports Healthcare metrics, quality and process improvement… more
- Lyric (Sacramento, CA)
- …other immigration support are not available for this position. **Job Summary:** The Clinical Data Analyst - Staff plays a pivotal role in advancing our products ... By leveraging advanced coding, analytic reporting, and predictive modeling, the Clinical Data Analyst - Staff uncovers actionable insights that drive innovation… 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 ... detailed written and verbal specifications, ensuring a comprehensive understanding of data relationships across encounters, claims , membership, and provider… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing, design...in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of five (5)… more
- NTT DATA North America (Merced, CA)
- …and maintaining competitive advantages when executed as part of an overall sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in ... At NTT DATA , we know that with the right people...Analyst with specialized knowledge in Medicare and D-SNP claims processing. The ideal candidate will bring a strong… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under… more
- Cedars-Sinai (Los Angeles, CA)
- …operations, to ensure alignment on revenue cycle initiatives. + Monitor and analyze claims data sent to the clearinghouse, including resolution of discrepancies ... be doing in this role?** The Financial Business System Analyst will have the primary responsibility of assisting in...the claims process. Conduct regular audits of claims data to ensure accuracy and compliance.… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $119,111.04 - $160,518.72 Annually Location Los Angeles County, CA Job Type… more