- AmeriHealth Caritas (Manchester, NH)
- **Role Overview:** ;The Senior Provider Network Operations Analyst is responsible for maintaining current provider data and setting up provider reimbursement, as ... Hampshire (NH) location.; **Responsibilities:** + Reviewing and auditing provider billing, claims processing and accuracy. + Develops the Pricing Agreement Templates… more
- Mount Sinai Health System (New York, NY)
- … 1 . Analyzes data requests using information technology, enrollment, claims , pharmacy, clinical, contract, medical management, financial, administrative and other ... **Job Description** The Supply Chain Analyst (Data Science Analyst I) collaborates...care EMR such as Epic/Clarity, aCW, etc.; a payor claims system such as Facets, Amisys, etc.; or a… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The Financial Analyst of Pharmacy Services Revenue Integrity supports pharmacy services financial performance across the delivery system through ... financial reporting, data analysis financial planning, contract proposal evaluations, claims payment accuracy reconciliation and pharmacy payer contract liaison… more
- Sharp HealthCare (San Diego, CA)
- …Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree **Hours** **:** ... Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing,… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- **Quality Analyst ** **Category:** Testing/Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 **Employment Type:** ... **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance platforms like Applied...automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. *… more
- City of New York (New York, NY)
- …critical services effectively and meet DOHMH's objectives. Position Summary: The Revenue Analyst will report to the Assistant Director of State Aide Claiming along ... with three other Revenue Analyst . Job Duties and Responsibilities: Responsible for the monitoring...for all contract, budget, and payment data to ensure claims are efficiently processed and meet due dates. Maximize… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Business Analyst - Behavioral Health Location: Hybrid | Eagan, Minnesota Career Area: ... and Blue Shield of MN is hiring a Business Analyst on our Behavioral Health (BH) team in Eagan,...experience with a strong understanding of business operations and claims processes, with proven experience in gathering and analyzing… more
- Hawaii Pacific Health (Honolulu, HI)
- …billing requirements, collection laws and reimbursement procedures. As the Senior Project Analyst , your role will be to build and implement revenue cycle related ... approval of all system changes affecting revenue cycle operations, procedures, and claims . We are looking for someone with excellent analytical and planning skills… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Charge Solutions Analyst Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is East Tennessee's top-performing ... billing edits. + Maintains knowledge and understanding of CMS NCCI Policies, Claims Processing Manual, CPT coding, and modifiers to ensure compliance with Medicare,… more
- Capgemini (New York, NY)
- … analyst will support optimization initiatives for policy servicing claims management and customer engagement platforms Key Responsibilities Collect and analyze ... Experience Analyst Choosing Capgemini means choosing a company where...Strong understanding of insurance workflows such as policy issuance claims processing and customer onboarding Ability to work with… more