- Centene Corporation (Jefferson City, MO)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... opportunities for automation + Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or… more
- NTT DATA North America (Oklahoma City, OK)
- …organization, apply now. We are currently seeking a HC and Insurance Operations Analyst to join our team. **Posisition:** ** Claims Case Manager** **This position ... + **Record Keeping:** Maintain accurate records and reports throughout the claims process. + ** Data Analysis:** Compile and analyze data to identify trends… more
- Dollar Tree (Chesapeake, VA)
- …for insurance applications collaborating with other internal departments. + Prepare loss runs and claims data both scheduled and ad hoc, from the TPA and various ... of various types for internal and external stakeholders. The analyst will develop regular metrics for leadership and will...environment. + Analytical skills required to assemble and interpret claims , metrics, and loss data . + Strong… more
- Center For Health Information And Analysis (Boston, MA)
- …to work with an extensive range of health care enrollment, spending, quality, and claims data . You will be at the forefront of executing analyses, utilizing ... and Analysis (CHIA), we serve as stewards of Massachusetts health data , employing multifaceted datasets and cutting-edge analytics to ensure transparency in… more
- Centene Corporation (Austin, TX)
- …for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party ... data . + Support execution of large-scale projects with limited...visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, ... resolution of complex reimbursement issues - including underpayments, overpayments, and disputes. The Claims Sr. Analyst serves as a subject matter expert on… more
- Sacramento County (Sacramento, CA)
- Liability and Property Insurance Analyst Level I/II Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/5084047) Apply Liability and Property ... Insurance Analyst Level I/II Salary $77,318.64 - $117,450.00 Annually Location...years of full-time paid experience providing technical support for claims administration, developing and/or administering insurance programs for a… more
- Molina Healthcare (Dayton, OH)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... Provides lead level support as a highly capable business analyst who serves as a key strategic partner in...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- The County of Los Angeles (Los Angeles, CA)
- HEALTH CARE FINANCIAL ANALYST /COMMUNITY PROGRAMS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4827547) Apply HEALTH CARE FINANCIAL ... ANALYST /COMMUNITY PROGRAMS Salary $76,615.68 - $103,240.32 Annually Location Los...our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under… more
- AdventHealth (Maitland, FL)
- …from various sources using knowledge of healthcare managed care contracts and administrative claims data . + Employs existing complex models and implements them ... Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… more
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