- Molina Healthcare (IA)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding network ... provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques...**Required Experience** + 6+ years of progressive responsibilities in Data , Finance or Systems Analysis + Expert knowledge on… more
- Molina Healthcare (MI)
- …California and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... provides guidance to team members in their analysis of data sets and trends using statistical tools and techniques...**Required Experience** + 6+ years of progressive responsibilities in Data , Finance or Systems Analysis + Expert knowledge on… more
- Bausch + Lomb (Bridgewater, NJ)
- …and resolve discrepancies with providers. + Conduct regular audits of benefits data to ensure accuracy in employee enrollments, payroll deductions, and vendor ... + Utilize Microsoft Excel to generate reports, track trends, and perform data analysis (using pivot tables, VLOOKUP, advanced formulas, and charting). + Research… more
- Molina Healthcare (Kenosha, WI)
- …Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data , pharmacy data , and lab data regarding ... + Helps to oversee development, organization, and ongoing maintenance of data representing a wide range of healthcare information. + Identifies and… more
- Centene Corporation (Austin, TX)
- …and implementation. Documents development requirements. + Analyze and interpret complex claims , configuration, and appeals data to identify business trends, ... issues, and opportunities. + Develops ad-hoc reports to conduct data analysis and validation. + Confers with area/department to analyze current operational… more
- Insight Global (Raritan, NJ)
- …of such payments on a timely basis and resolution of any disputes on rebate claims . Key Responsibilities: * Review and analyze data to process payments for ... metrics and the Medicaid Operational Guidelines. * Use various sources of data , state updates and industry knowledge to collectively integrate, evaluate and provide… more
- Rochester Regional Health (Rochester, NY)
- …related field required. PREFERRED QUALIFICATIONS: + Proficient in utilizing Excel for data analysis, reporting, and visualization. + Strong ability to interpret ... data , identify trends, and make data -driven decisions....with an understanding of medical terminology, CPT/ICD codes, insurance claims , and billing procedures. + Healthcare experience preferred. EDUCATION:… more
- Highmark Health (Montpelier, VT)
- …project lifecycle. + Run system reports and/or create ad-hoc reports, pulling data from various sources. Analyze reports to ensure system performance and/or results. ... **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
- Virtua Health (Mount Laurel, NJ)
- …This position will help optimize Revenue Cycle by evaluating, validating and trending data for presentation to all levels of the organization. Will support the ... Financial Services staff for reporting problems and denials on individual claims . Assist in researching coding issues, provide guidance and recommend solution… more
- The Estee Lauder Companies (Melville, NY)
- …of Research and Development and/or Brands as it relates to study execution, data checking, data analysis, aspects of project management including the purchase ... Support manager in the management of all aspects of consumer product testing/ claims testing both domestically and internationally. Handle aspects of projects during… more
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