- Elevance Health (Los Angeles, CA)
- …to track HR/AR business performance. + Develop and analyze business performance reports (eg for claims data , provider data , utilization data ). + Collect ... **HR/Associate Relations Business Information Analyst I** **Location:** This role requires associates to...responsible for collecting, analyzing, and reporting on HR/Associate Relations data related to one or several but very similar… more
- Evolent (Sacramento, CA)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make...of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant findings. +… 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 documenting business and system requirements, analyzing and interpreting data to support cross-functional operations, and driving system enhancements to… more
- Cedars-Sinai (Beverly Hills, CA)
- … Data systems is needed. Knowledge of electronic health records (EHR), claims data , and health information systems (e.ge., Epic, Cerner); Familiarity with ... for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design,...management. Responsibilities include, but are not limited to, accessing data through a variety of databases and the creation… more
- Highmark Health (Sacramento, CA)
- …business unit needs. May troubleshoot errors, conduct impact analyses, and/or solve data rejection. Performs business analyses in one or more operational areas. ... 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
- 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
- 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
- City National Bank (Los Angeles, CA)
- *FRAUD TEAM SUPPORT ANALYST * WHAT IS THE OPPORTUNITY? Responsible for analytical and project support for Fraud operations, including: conducting analysis of ... transactional data for fraud trend evaluations, queries to analyze compromises,...hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and… 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 ... core function and advancing our analytical capabilities. You'll help drive data -informed insights that guide actuarial decisions, contribute to the evaluation of… more
- Actalent (Redlands, CA)
- Job Title: Provider Data Analyst - Credentialing & Claims Support Position Overview: We are seeking a detail-oriented and collaborative Provider Data ... Analyst to support our credentialing and claims operations. This role involves converting and interpreting...supporting team goals. Qualifications: + Basic understanding of provider data and healthcare claims processes. + Familiarity… more