• Medicare (PPS) Provider Hospital Reimbursement…

    Humana (Honolulu, HI)
    …community and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved...Outpatient Code Editor (I/OCE) logic (ie grouping rules, OCE data files, editing, etc.) + Analyzing and interpreting CMS… more
    Humana (10/18/25)
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  • Reinsurance Business Architect

    Cognizant (Sarasota, FL)
    …Creek implementations. **These will help you stand out** - Duck Creek-specific Business Analyst certifications (eg, Duck Creek Reinsurance, Duck Creek Policy). ... **Description - External** **About the role** As a Reinsurance Business Architect you will make an impact leading the design and implementation of Duck Creek's… more
    Cognizant (09/18/25)
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  • Mental Health Program Manager II / Emergency…

    The County of Los Angeles (Los Angeles, CA)
    …implements reporting procedures to ensure that program services utilization and revenue data are reported accurately and in a timely manner. Coordinates the delivery ... Work, Sociology, Public Health, Nursing, Health Administration, Human Services, Business Administration, Public Administration, or a closely-related field from an… more
    The County of Los Angeles (10/09/25)
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  • Nursing Director, Education

    The County of Los Angeles (Los Angeles, CA)
    …objectives. + Directs the development of educational programs based on quality assurance data to evaluate and monitor quality and appropriateness of care. + Directs ... your online applicationat the time of filing, or via email to the Exam Analyst within 15 calendar days of filing your application online. **For this examination,… more
    The County of Los Angeles (09/03/25)
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  • Charge Integrity Coordinator

    Nuvance Health (Danbury, CT)
    …to ensure CDM data is interfaced appropriately and consistent. 9.The CDM Analyst provides support for special projects which includes but is not limited to, ... the Charge Integrity team as well as the CDM Analyst role. Assists the Charge Integrity Team in the...and Charge Capture preferred. .In depth knowledge of electronic data interchange and claims processing, third party… more
    Nuvance Health (09/19/25)
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  • Employee Benefits Strategic Account Executive

    HUB International (Omaha, NE)
    …and influencing strategic decisions across diverse stakeholder groups + Proficiency with data analysis related to premiums, claims , and plan performance; comfort ... to evaluate provider networks. + Maintains a current, working knowledge of the business organization of the assigned clients. + Proactively seeks to provide options… more
    HUB International (10/23/25)
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  • Director Of Revenue Enhancement And Analysis

    City of New York (New York, NY)
    …from HRA's Enterprise Data Warehouse, Medicaid Data Warehouse, Passport and other data sources - Develop new claims to maximize revenue - Conduct ad hoc ... Job Description APPLICANTS MUST BE PERMANENT IN THE ADMINISTATIVE STAFF ANALYST CIVIL SERVICE TITLE OR BE PERMANENT IN A COMPARABLE TITLE ELIGIBLE FOR 6.1.9 TITLE… more
    City of New York (09/27/25)
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  • Insurance Specialist II - Corporate Patient AR…

    Guthrie (Towanda, PA)
    …adjustments. 11. Performs testing and monitoring of new system logic or process with Business Analyst and/or Manager. Other Duties: 1. Answers phone calls and ... I and related support staff. Works closely with Director, Manager, Supervisor and Application Analyst on day to day priorities and to maintain a high level of… more
    Guthrie (10/22/25)
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  • Network Relations Representative

    CVS Health (Frankfort, KY)
    …within a timely manner. Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly ... and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation...& Availability monthly monitoring process. + Responsible for reviewing claims data in QNXT when provider's inquiry… more
    CVS Health (10/13/25)
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  • Capital Projects Management Assistant, PW

    The County of Los Angeles (Los Angeles, CA)
    …memos, project schedules, and total project cost estimates. + Gathers and prepares data related to scheduling of project segments for simulation purposes for cost ... procurement and management of professional consultant services. + Assembles status data of current capital project budgets, records capital project budget… more
    The County of Los Angeles (10/22/25)
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