- 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 CMS ... sourcing strategy NTT DATA currently seeks a DSNP Business Analyst to join our team in remote in the...guidelines, particularly related to the implementation of claims solutions within the California D-SNP market. This role… more
- The County of Los Angeles (Los Angeles, CA)
- PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4678895) Apply ... PRINCIPAL INFORMATION SYSTEMS ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $119,111.04 - $160,518.72...over); ancestry; color; ethnicity; religious creed; protected family or medical leave status; disability; marital status; medical … more
- The County of Los Angeles (Los Angeles, CA)
- …assessment will be considered for permanent appointment to Health Care Financial Analyst . DEFINITION: Prepares reimbursement claims for health and/or mental ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4722417) Apply HEALTH CARE… more
- Elevance Health (Los Angeles, CA)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659553) Apply HEALTH CARE ... FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Salary $76,615.68 - $103,240.32...for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations… more
- Providence (CA)
- …within the PHP claims editing system. In addition, the Coding Policy Analyst will be responsible for replying to provider and member appeals and providing ... **Description** **Coding Policy Analyst ** **_Remote_** The Coding Policy Analyst ...and assists with implementation of such changes to the claims adjudication and editing software. **Providence Health Plan** caregivers… more
- The County of Los Angeles (Los Angeles, CA)
- CHIEF RESEARCH ANALYST , BEHAVIORAL SCIENCES Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4891039) Apply CHIEF RESEARCH ANALYST , ... career-minded individuals to fill the position of Chief Research Analyst , Behavioral Sciences. To view classification standards for the...steps to view correspondence, and we will not consider claims of missing notices to be a valid reason… more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4955623) Apply GEOGRAPHIC INFORMATION SYSTEMS ... met by the last day of filing. POSITION DESCRIPTION: The Geographic Information Systems Analyst p erforms a variety of professional duties in support of County and… more
- CVS Health (Sacramento, CA)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... are developed. **Required Qualifications** + 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical … more
- Cognizant (Long Beach, CA)
- …improving everyday life. **Job Title: Sr QNXT and NetworX Configuration Analyst ** **Applicants will be accepted till 9/26/2025** **Role and Responsibilities:** . ... Interpret paper contracts for reimbursement. . Troubleshoot and remediate/workaround for claim pend issues. . QNXT Configuration for New implementation and existing… more