- 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 ... system requirements, analyzing and interpreting data to support cross-functional operations , and driving system enhancements to improve efficiency and compliance.… 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 and delivery requirements + work… more
- Humana (Sacramento, CA)
- …They will work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations , claims operations , and other business teams involved in the ... 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… 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 ... implementation of reporting systems for business operations and management. Responsibilities include, but are not limited to, accessing data through a variety of… more
- Highmark Health (Sacramento, CA)
- …process improvement meetings and/or discussions. + Analyze the functions and operations of a business area/function and identify problem areas. Create process ... 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
- 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
- Evolent (Sacramento, CA)
- …into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based on relevant ... findings. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate raw unadjudicated claims data.… 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 ... require ad hoc rule implementation; research and respond to escalated fraud claims ; malware alerts; review of department audit reports and other support activities… more
- UCLA Health (Los Angeles, CA)
- …You will: + Analyze complex financial data + Identify trends in revenue cycle operations + Summarize data and present reports to leadership + Serve as liaison with ... compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors,… more
- UCLA Health (Los Angeles, CA)
- …and more at UCLA Health. As a key member of our Medicare Advantage Operations team, you will develop detailed requirements specifications to meet our business needs. ... documentation + Generate ad hoc reports to support the operations team Salary Range: $78,500 - $163,600/annually Qualifications We're...+ Five or more years of experience managing enrollment, claims , or encounters in a Medicare or managed care… more