- Morley (Saginaw, MI)
- …in a positive workplace that's close to home? As an experienced Business Analyst at Morley, you'll analyze and help implement both internal and client initiatives, ... systems, SQL and stored procedures + Able to use management skills and processes to achieve results **_Eligibility Requirements_**...vision insurance + Paid time off + Associate wellness program (earn a reward for getting your annual wellness… more
- CVS Health (Harrisburg, PA)
- …heart, each and every day. **Position Summary** The Medicare Executive Resolution Analyst is responsible for reviewing and responding to Medicare executive member ... ECHS, GPS, SCM, WEB CCI, Plan Sponsor Tool, AST, Claims X-ten, e.Policies, IOP, etc. -Must have background in...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Trenton, NJ)
- …Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation ... This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our… more
- Robert Half Accountemps (Las Vegas, NV)
- Description We are looking for a skilled Accounts Receivable Analyst to join our team in Las Vegas, Nevada. This long-term contract position is an excellent ... financial accuracy and compliance. Responsibilities: * Review and analyze chargeback claims from vendors, merchants, and financial institutions to ensure accuracy. *… more
- OhioHealth (Columbus, OH)
- …meeting per month in Columbus, Ohio. The Intermediate Informatics Data Analyst will support OhioHealth Pharmacy Services by analyzing and managing healthcare ... electronic medical record, decision support, clinical quality, clinical registries, and claims databases and understands architecture to allow for creative solutions… more
- Amazon (San Francisco, CA)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible primarily ... -Medical economics reporting and ad-hoc analysis relating to cost of care management -Medicare Risk score projections and premium estimation -Design and implement an… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …computer analysis of dentist practice patterns and to identify dentists submitting claims for payment that do not comply with corporate policy. Essential ... I + Interprets issues and applies coverage policy to effectively review claims for dental necessity, legitimacy of charges and interpretation of procedures. Refers… more
- Centene Corporation (Lansing, MI)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... support for business operations in all or some of the following areas: claims , provider data, member data, clinical data, HEDIS, pharmacy, external reporting +… more
- Centene Corporation (Tallahassee, FL)
- …pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management , provider/vendor contracts, risk ... of experience working with large databases, data verification, and data management , or 1+ years IT experience. Healthcare analytics experience preferred. Working… more
- City of New York (New York, NY)
- …of Finance has central responsibility and authority for policy analysis, program development, performance tracking and improvement, financial management , ... payments in compliance with financial policies and procedures. - Examine invoices, claims , fee collection or applications for recoupments, refunds and verify their… more
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