• Sr . QNXT Configuration Analyst

    Cognizant (Sacramento, CA)
    **Job Title: Sr . QNXT Configuration Analyst ** **Location:** **Remote** **Job ID:** **00067091141** **About the role** As a ** Sr . QNXT Configuration ... make an impact by configuring and maintaining QNXT systems to ensure accurate claims processing and compliance with client requirements. You will be a valued member… more
    Cognizant (01/06/26)
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  • Sr . Medicare (PPS) Provider Hospital…

    Humana (Sacramento, CA)
    **Become a part of our caring community and help us put health first** The Sr . Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the...under the Provider Process and Network Organization (PPNO). **The Sr . Provider Hospital Reimbursement Analyst will be… more
    Humana (12/19/25)
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  • Sr Data Governance Analyst 3

    Baylor Scott & White Health (Sacramento, CA)
    **JOB SUMMARY** The Sr . Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across ... enabling timely, data-driven decisions built on trusted information. The Senior Data Governance Analyst is a key...work environment. + Knowledge of healthcare and health insurance claims processing domains. + Ability to write complex SQL… more
    Baylor Scott & White Health (12/25/25)
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  • Sr . Medical Analyst , RWD

    Norstella (Sacramento, CA)
    Sr . Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
    Norstella (10/28/25)
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  • Senior Stop Loss Claims…

    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 ... and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs,… more
    Highmark Health (12/23/25)
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  • Sr . Consultant, Data Analyst…

    Cardinal Health (Sacramento, CA)
    …data from multiple sources (eg, Salesforce, Trella Insights, Definitive Healthcare, claims feeds, internal CRM/ERP) to deliver clear, actionable insights that ... gaps + Ensure HIPAA/privacy safeguards and appropriate minimum necessary use of PHI/ claims . + Define and operationalize Reach (# of targeted HCPs/accounts touched)… more
    Cardinal Health (12/05/25)
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  • Claims Audit Analyst

    WelbeHealth (Los Angeles, CA)
    …Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays a pivotal role in ensuring timely and accurate ... At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option...pre-payment or denial of claims while meeting federal/state regulations, provider agreements terms, and/or… more
    WelbeHealth (01/11/26)
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  • Senior Forensic Claims…

    Fluor (Fresno, CA)
    …direction of the Director and Deputy Director of the PMO/forensics & Claims , this role is responsible for developing forensic analyses and providing oversight ... also responsible for reviewing and analyzing Contractors' Time Impact Analyses and claims and assisting with the rebuttal responses. In addition to forensic analysis… more
    Fluor (11/28/25)
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  • Senior Information Systems Analyst…

    The County of Los Angeles (Los Angeles, CA)
    SENIOR INFORMATION SYSTEMS ANALYST /EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4765385) Apply  ... SENIOR INFORMATION SYSTEMS ANALYST /EMERGENCY APPOINTMENTS HOMELESSNESS Salary $106,081.20 - $142,953.84 Annually Location Los Angeles County, CA Job Type Full… more
    The County of Los Angeles (11/20/25)
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  • Health Payer Business Analyst…

    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 ... firms * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management and people management experience… more
    Cognizant (12/02/25)
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