- Humana (Columbia, SC)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- DriveTime (Tempe, AZ)
- …which provides quality warranty and ancillary products, and a customer-friendly claims process. SilverRock offers a variety of ancillary products and administrative ... contracts, products, and warranties, and over $300 million in claims . **That's Nice, But What's the Job?** **_This is...for hire at this time._** In long, our Senior Analyst , Strategic Analytics are responsible for: + Innovate on… more
- ChenMed (Miami, FL)
- …great people to join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for proactively tracking the risk ... planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data. Assists markets to identify factors driving claims cost… more
- UIC Government Services and the Bowhead Family of Companies (Aurora, CO)
- **Overview** Bowhead seeks a Counter-Space Intelligence Analyst and Instructor to support theSBIRS Operations Support contract at Buckley SFB,CO. ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The Senior Medicare Encounters Risk Adjustment Analyst assumes a pro-active approach in ensuring the accuracy and integrity of ... score methodology, risk score calculation, enrollment, premiums, medical and pharmacy claims , and provider data. Incumbent is responsible for performing complex… more
- AmeriHealth Caritas (Newtown Square, PA)
- …Under the general supervisor of the Manager Accounts Receivable, the analyst is responsible for identifying, validating, submitting and reconciling all maternity ... required. + 1 to 3 years knowledge of medical billing ICD-10, CPT DRG claims coding Revenue Code Mapping, Data Analysis, Data warehousing, translated 5010 EDI files,… more
- Sedgwick (Baton Rouge, LA)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive reporting and ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- Port Authority of New York and New Jersey (New York, NY)
- …insurance programs and contractual risk transfer strategies. As a Principal Risk Analyst , you will mentor analysts, conduct and coordinate contract/scope reviews to ... internal and external requirements. Your collaboration with various teams including claims , legal, safety, security, brokers, and other support service providers is… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Sr** **Epic Professional Billing Application Analyst ** role will provide technical expertise and leadership, including configuring, ... to the role + Epic Certification in Hospital Billing / PB Claims / HB Claims would be ideal. **Benefit Overview** Fairview offers a generous benefit package… more
- UIC Government Services and the Bowhead Family of Companies (Aberdeen, MD)
- **Overview** Bowhead seeks a Program Analyst to perform a variety of program support functions to the CECOM SecurityAssistanceManagement Directorate (SAMD). ... and other protected characteristics EOE/D/V. In furtherance, pursuant to The Alaska Native Claims Settlement Act 43 USC Sec. 1601 et seq., and federal contractual… more