- Highmark Health (Sacramento, CA)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for… more
- Cedars-Sinai (Beverly Hills, CA)
- …standard of patient care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, ... people throughout Los Angeles and beyond. **Req ID** : 12414 **Working Title** : Senior Financial Analyst (Managed Care) - Hybrid **Department** : MNS Accounting… more
- Cognizant (Sacramento, CA)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... consulting firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management… more
- Otsuka America Pharmaceutical Inc. (Sacramento, CA)
- …so that others can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments ... to support implementation of the S&OP (Sales & Operations Planning) process. You will assist in managing a...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… 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 ... state business processes. + Act as subject matter expert/technical operations expert. Recommend process efficiencies, strategies for improvement, and/or...5 - 7 years of experience in a Business Analyst or Business Process Analyst role or… more
- CVS Health (Sacramento, CA)
- …knowledge of configuration management tools and systems to support organizational operations . + Codes and/or writes custom configurations or extensions to tailor ... and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Baylor Scott & White Health (Sacramento, CA)
- …BSWH Data Strategy and enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key contributor to the data ... **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH...SUCCESS FACTORS** + Deep understanding of healthcare data and operations . + Knowledge of Data Warehousing, ODS, or other… 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 ... community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be… more
- Humana (Sacramento, CA)
- …facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations , and other business teams involved in the administration of ... health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer...Medicare business at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise… more