- NTT DATA North America (Merced, CA)
- …DSNP Business Analyst with specialized knowledge in Medicare and D-SNP claims processing . The ideal candidate will bring a strong understanding of ... sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in remote in the...and maintain test plans with a focus on D-SNP-related claims processing scenarios. + Assess downstream implications… more
- Cedars-Sinai (Los Angeles, CA)
- …solution definition, applications development and maintenance and enhancements for finance, claims processing , revenue management, and billing systems. Primary ... be doing in this role?** The Financial Business System Analyst will have the primary responsibility of assisting in...for partners. + Address inquiries and provide support regarding claims processing and clearinghouse operations. + Implement… more
- Insight Global (Burbank, CA)
- …to each claim by using the appropriate processes and procedures (eg claims processing policies and procedures, grievance procedures, federal mandates, ... representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and...work experience - Minimum of four (4) years of claims processing - Minimum of four (4)… more
- LA Care Health Plan (Los Angeles, CA)
- …Advanced understanding of managed care operations (including but not limited to, claims processing , population health, appeals and grievances, etc.) and the ... Quality Configuration Assurance Analyst III Job Category: Information Technology Department: Enterprise...root causes, etc. that impact member access to care, claims payments, etc.; and assessment and roll-out of key… more
- Evolent (Sacramento, CA)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- NTT DATA North America (San Francisco, CA)
- …overall sourcing strategy. NTT DATA Services currently seeks a **Senior QNXT Configuration Analyst ** to join our team in **Remote in the USA** . **Role ... key modules in QNXT and module integration. + Partner with Lead Configuration Analyst on complex changes. + Recommend configuration best practices to peers and… more
- Norstella (Sacramento, CA)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 30, 2025 Employment Type: Full Time Job ID: R-1370 **Description** **Why ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- CVS Health (Sacramento, CA)
- …analytical, critical-thinking, and problem-solving skills. **Preferred Qualifications** + Claims processing experience. + Customer service experience. ... and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and...provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply… more
- Humana (Sacramento, CA)
- …of experience researching MS-DRG, APR-DRG and/or EAPG grouper logic + Experience processing or reviewing facility claims + Prior professional experience ... 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
- UCLA Health (Los Angeles, CA)
- …Excel + Knowledge of Tableau Reporting dashboards + Understanding of Medicare/Medi-Cal claims processing guidelines + Experience with EPIC EHR, Cirius Claim ... compliance with government regulations, reimbursement issues, etc. + Analyze hospital billing claims within the EHR and claim scrubber system + Resolve claim errors,… more