- Providence (CA)
- …we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors ... and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims leaders in… more
- Evolent (Sacramento, CA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Sharp HealthCare (San Diego, CA)
- …direction of the Manager of Benefits Administration, the Benefits Administration Analyst provides operational support to ensure benefit plans are designed ... investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. **Required Qualifications** + 3 Years in HMO or… more
- Elevance Health (Costa Mesa, CA)
- **Title: Grievance/Appeals Analyst I** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law._ " The **Grievance/Appeals Analyst I** is an entry level position in the Enterprise Grievance & Appeals… more
- The County of Los Angeles (Los Angeles, CA)
- …accept password-protected documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst . IMPORTANT NOTICE: Prime ... Emergency Management or Homeland Security. + Experience in a healthcare , public health or an emergency medical services provider...documents. Ensure documents are unlocked before attaching to your application or sending to the exam analyst .… more
- Insight Global (Burbank, CA)
- …implementing solutions; addressing unresolved problems - Review and research incoming healthcare claims by navigating multiple computer systems and platforms ... customer service representative for the Health Fund. The Senior Participant Service Specialist/ Analyst will process health insurance claims and answers calls… more
- Norstella (Sacramento, CA)
- …seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you will leverage your expertise in healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… 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
- Evolent (Sacramento, CA)
- …mission. Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem ... exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across...work experience + General knowledge of data flow and healthcare end to end system landscape + Good knowledge… more
- Cedars-Sinai (Beverly Hills, CA)
- …10-the most prestigious level of certification-among more than 300 surveyed healthcare organizations. Cedars-Sinai netted high scores across multiple verticals and ... innovation. **What will you be doing in this role:** The Epic Tapestry Analyst facilitates end-user meetings and provides level of operational and application … more