- World Insurance Associates, LLC. (Syosset, NY)
- …multiple offices throughout the region. Position Overview + This position will provide support and manage employee benefits for clients, with a focus on: Medical, ... cases + Create monthly financial reporting packages including detailed premium, claims , membership, commission, and cash reconciliation information + Create weekly,… more
- Evolent (Washington, DC)
- …Be Doing:** + **Strategic Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, and population ... + Pulling and analyzing data from internal systems to support client needs, identify trends, monitor performance, and drive...25% travel + Recognize when action is required to support a client without being prompted + Effectively manages… more
- NTT DATA North America (Warren, NJ)
- …and validation of migrated data to ensure accuracy and integrity. 5. Training and Support : - Train team members and clients on new systems and data handling ... processes post-migration. - Provide ongoing support and troubleshooting for data-related issues. Qualifications: - Bachelor's degree in information technology,… more
- City of New York (New York, NY)
- …and tools to support public health research and analysis to ensure claims submitted to the Grantors are accurate and timely. - Maintain research cost records ... of programs and services focused on food and nutrition, anti-tobacco support , chronic disease prevention, HIV/AIDS treatment, family and child health, environmental… more
- Centene Corporation (Sacramento, CA)
- …projects and acts as a lead for other Data Analysts. + Provide advanced analytical support for business operations in all or some of the following areas: claims , ... provider data, member data, clinical data, HEDIS, pharmacy, external reporting + Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources + Review data to determine operational impacts and needed actions; elevate… more
- Molina Healthcare (Akron, OH)
- …in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... of special projects as requested, by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external… more
- UnityPoint Health (Moline, IL)
- …and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment ... and others for high deductible, out-of-pocket expenses, unresolved or pending claims , out-of-network procedures and other financial risk issues + Counsels patients… more
- Highmark Health (Montpelier, VT)
- …actively participating on project teams based upon experience and need. + Support various aspects of requirements testing (eg testing plan, testing scenarios, ... **Required** + 3 - 5 years in a relevant operational area (eg customer service, claims , enrollment and billing, etc.) to include 1 - 3 years of technical application… more
- Veterans Affairs, Veterans Health Administration (San Diego, CA)
- …provides oversight for the Service to include: Administrative Supervisors, Program Support Analyst , Budget Analysts, Contract Nursing Home Coordinator, State ... of Community Care, VA San Diego Healthcare Systems (VASDHS) This position provides support to the Community Care Program. This position is responsible for assisting… more
- BAYADA Home Health Care (Pennsauken, NJ)
- …providing consultative support to service offices; legal research and policy support ; incident management of in-house claims ; and assistance with third-party ... and regulatory investigations of any nature. The Senior Paralegal or Senior Legal Analyst collaborates with other internal support offices to accomplish these… more