- State of Colorado (CO)
- …expert in the technical aspects of Decision Support Systems portfolio modules including claims , eligibility and enrollment data , financial payment data , ... CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5148793) Apply CO Medicaid Enterprise… more
- AmeriHealth Caritas (Manchester, NH)
- …Network Operations Analyst is responsible for maintaining current provider data and setting up provider reimbursement, as well as addressing provider and ... skills are required.; + Ability to focus on technical claims processing and Provider data maintenance knowledge....focus on technical claims processing and Provider data maintenance knowledge. + Understanding of and experience with… 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...across insurance applications This role requires strong proficiency in data analysis user experience metrics and domainspecific workflows The… more
- Southern Company (Birmingham, AL)
- **Human Resources Data Analyst , Southern Nuclear** **This position may be filled at either an exempt level 4 or exempt level 5 depending on experience.** The HR ... Analyst serves as a member of the HR Delivery...including delivery, labor relations, and talent management. Responsibilities include data reporting and analysis, compiling key performance indicators and… more
- Tutor Perini (Sylmar, CA)
- …or in the future. Tutor Perini Corporation is seeking a **Risk Management Analyst ** to join our office in **Sylmar, CA** **About Tutor Perini Corporation:** ... **_Extraordinary Projects need Exceptional Talent_** **DESCRIPTION:** The Risk Management Analyst is responsible for identifying, assessing, and mitigating operational,… more
- Brighton Health Plan Solutions, LLC (Westbury, NY)
- … data workflows. + Validate end-to-end business processes such as claims adjudication, provider data updates, enrollment transactions, pricing, and benefits ... Role We are seeking a detail-oriented and proactive QA Analyst to support quality assurance efforts across Brighton Health...knowledge of EDI X12 transactions (834, 837, 835, 270/271), Claims , Enrollment, and Provider data workflows. +… more
- Geisinger (Danville, PA)
- …system, including the areas of billing, accounts receivable, capitation payable, claims payable, weekly check processing, new product development, and the ... assigned areas of financial systems and business operations. + Audits financial data and configuration plans prepared by other Finance personnel. + Coordinates… more
- Elevance Health (Louisville, KY)
- **Performance Quality Analyst II** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... is granted as required by law. The **Performance Quality Analyst II** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- HUB International (Irvine, CA)
- …order to find the best solutions to meet client's needs. + Examines benefits and claims data for inclusion in RFPs, organizes carrier & vendor bids received and ... them with innovative solutions. The purpose of the Benefit Analyst II is to support the Account Executives, Advisors...claims analysis and contribution modeling. + Interprets census data and evaluates it for accuracy. + Communicates with… more
- University of Michigan (Ann Arbor, MI)
- Revenue Chrg Intgrty Analyst Apply Now **Job Summary** The Charge Integrity Analyst plays an essential role in Michigan Medicine's Revenue Cycle. Analysts ... Analysts must demonstrate the ability to pull and analyze data and documentation, determine root causes, and recommend solutions...and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules +… more