- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …cases, audit responses, and reporting. * Knowledge of managed care and healthcare claims preferred. * Bachelor's degree. Compensation and Benefits : Pay Range: ... and Blue Shield of Minnesota Position Title: Principal Risk Adjustment Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data Analytics & Business… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Payment Integrity Analyst is responsible for conducting research and analysis and reviewing billing requirements, provider ... new concepts that will target claim overpayment scenarios. Performs analysis on claims , provider data, enrollment data, medical policies, claim payment policies for… more
- HTC Global Services Inc (Berlin, NH)
- …and payer processes. A typical description emphasizes collaboration with Enrollment teams, Claims and provider domains , and IT teams to translate complex healthcare ... + Min 7+ years of experience in healthcare business analyst role, especially in data profiling and data management....adjudication and settlement. This includes both Medical and pharmacy claims . + Understanding of the provider domain and its… more
- Robert Half Management Resources (Jacksonville, FL)
- Description We are looking for a skilled Revenue Cycle Analyst to join our team on a contract basis in Jacksonville, Florida. This role involves working closely with ... revenue cycle processes to ensure accurate medical billing and claims management. If you have experience in healthcare revenue...We provide access to top jobs, competitive compensation and benefits , and free online training. Stay on top of… more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR DISASTER SERVICES ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4320334) Apply SENIOR DISASTER SERVICES ANALYST Salary ... Y1515H Department HEALTH SERVICES Opening Date 02/28/2024 + Description + Benefits + Questions Position/Program Information EXAM NUMBER: Y1515H Open Competitive Job… more
- Genesis Healthcare (Hauppauge, NY)
- …Powerback Rehab in an effort to provide employees with lower cost benefits , access to clinical support teams, and possible career growth opportunities. POSITION ... SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior...Compliance and Ethics Program, Standard/Code of Conduct, Federal False Claims Act and HIPAA. 2. Participates in required orientation… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …**It's Work That Matters.** **Overview** **Purpose Statement/Position Summary:** The Data Science Analyst III, under the direction and supervision of the Director of ... our Office of Enterprise Data (OED). The Data Science Analyst III is a senior-level analyst who...healthcare, including familiarity with hospital systems, healthcare data sets ( claims , EHR, clinical data, structured and unstructured data) and… more
- Cayuse Holdings (Austin, TX)
- **Overview** **_JOB TITLE:_** Business Analyst /Product Owner **_CAYUSE COMPANY:_** Cayuse Civil Services, LLC **_LOCATION_** Austin, TX **_SALARY:_** $108,888.03 - ... to be considered for similar upcoming roles** The Business Analyst /Product Owner will perform work on the PEMS project...Medicaid systems and processes. + 8 years' experience in claims processing. + Must be able to pass a… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- About The Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health Plan Solutions' core portfolios- ... Claims , Provider, and Enrollment. In this role, you will... adjudication, provider data updates, enrollment transactions, pricing, and benefits logic. + Participate in defect triage, root-cause discussions,… more
- Point32Health (MA)
- …of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulations for the professional and ... authorized representative and must demonstrate superior customer service and benefit interpretation skills in all interactions. This individual prepares cases… more