- 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
- 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
- Herbalife (Torrance, CA)
- Sr . Analyst , Benefits Category: Human Resources Position Type: Regular Full-Time External ID: 18592 Location: Torrance, CA, United States Date Posted: Jan 13, ... facebook Share on LinkedIn share to linkedin Apply Now **Overview** **THE ROLE:** As Sr . Benefits Analyst , you'll lead the strategic oversight of our global… more
- 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
- Elevance Health (Los Angeles, CA)
- **Proposal Development Analyst Sr ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law._ The **Proposal Development Analyst Sr ** is responsible for providing technical and consultative support… more
- 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
- 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
- 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
- WelbeHealth (Sacramento, 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
- 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