- UCLA Health (Los Angeles, CA)
- …building and maintaining Tableau dashboards + Proven experience generating reports using healthcare data, with a focus on encounter/ claims , membership, and ... Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team,...+ Write clear specifications and design data queries for healthcare performance measures. + Apply technical expertise to gather… more
- Evolent (Sacramento, CA)
- …analyses into succinct presentations. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based ... RVUs, bundled payments, etc. is preferred + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- CVS Health (Sacramento, CA)
- …evaluating and responding to provider participation and pricing inquiries. + Analyze post-paid healthcare claims as it relates to pricing needs. + Apply in-depth ... with heart, each and every day. **Position Summary** The Dispute Repricing Analyst will be responsible for the accurate analysis and resolution of provider… 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 ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- CVS Health (Sacramento, CA)
- …Linux OS, GCP/ AWS/ Azure. + Experience working with medical and/or pharmacy claims data. + Experience in healthcare industry, including health insurance, PBM ... our PBM Customer Reporting group as a Senior Reporting Analyst within our Compliance Pharmacy Payments. CVS Health strives...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Highmark Health (Sacramento, CA)
- …and/or create analytics and reporting solutions aligned to the Quadruple Aim of Healthcare : lower per capita health care costs, improved outcomes from and quality of ... to identify, develop and/or monitor actionable opportunities for improving health and healthcare outcomes and clinical quality and costs of care, efficiently and… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …in collaboration with the Risk Management team. * Assist with claims documentation and reporting requirements. * Maintain insurance-related records, reports, and ... 2+ years of prior administrative, paralegal, or coordination experience in a healthcare , corporate, or insurance setting is an asset. **Pay Scale Information**… more
- The County of Los Angeles (Los Angeles, CA)
- … healthcare law. Experience may include laws and regulations relating to healthcare providers; False Claims Act; Anti -Kickback Statute; consent and ... have a thorough knowledge of legal principles and their application . In addition, incumbents must possess the ability to...Describe in detail your experience in the practice of healthcare law pertaining to False Claims Act.… more
- The County of Los Angeles (Los Angeles, CA)
- …or friend's user ID and password may erase a candidate's original application record. DEPARTMENT CONTACT: Tanisha Buggs, Exam Analyst ### ###@dhs.lacounty.gov ... HEALTHCARE INTERPRETER Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2805990) Apply HEALTHCARE...shows the language for which certified with your online application , at the time of filing. If you are… 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 . Applications indicating c ... contact associated with the financial screening and/or registration of patients or claims billing and collection for hospital or medical services. Option III :… more