- Excellus BlueCross BlueShield (Rochester, NY)
- …of potential fraud, waste and abuse (FWA) for all lines of business . The scope of accountability includes investigating and remediating allegations of FWA ... concise manner. + Analyzes proactive detection reports and claims data to identify red flags/aberrant billing patterns. + Manages...and/or internal referral for quality review by the applicable business area. + Acts as primary point of contact… more
- SMX (Baton Rouge, LA)
- …support our federal customer's multi-domain technology platform which offers military and business decision makers, analysts , and users at all levels ... unprecedented access to authoritative enterprise data and structured analytics in a scalable, reliable, and...the DoD to highly assured and compliant solutions for healthcare , we understand that digital transformation is key to… more
- Sutter Health (Sacramento, CA)
- …interprets financial performance across multiple HMO products, extracting and synthesizing data from various sources to identify risks, trends, and opportunities. ... reviews of capitation. We are seeking a candidate with a strong healthcare finance foundation and solid understanding of provider reimbursement principles-such as… more
- CACI International (Aurora, CO)
- …working with data transformation outputs (eg, collaborating with data engineers/ analysts , shaping how complex datasets are visualized).** **Current ... position offers a unique opportunity to directly impact military readiness through data visualization and user experience design. You'll transform complex data … more
- UTMB Health (Galveston, TX)
- …complex system with a minimum of five (5) years of informatics or data /analytics experience. + Prior experience in clinical nursing practice and / or management. ... clinical science, computer science, and information science to manage andcommunicate data , information, knowledge, and wisdom in nursing and health professions… more
- Capgemini (Dallas, TX)
- …and developers on the team + Collaborating with cross-functional teams including business analysts , developers, and project managers to ensure successful ... RAC, and other Teamcenter development technologies + Deep knowledge of Teamcenter data models, business objects, workflows, and integration capabilities + Proven… more
- Houston Methodist (Houston, TX)
- …of positive language principles. + Expert knowledge and skill in multiple healthcare applications or clinical or business workflows. + Demonstrated leadership ... scripts for system administration, task automation, monitoring, and reporting. + Support data migration and loading into the environment from internal and external… more
- Penn Medicine (Philadelphia, PA)
- …and internal performance, the analysis of data in collaboration with experienced data analysts and the production of written reports and oral presentations. ... + Bachelor of Arts or Science (Required) + Education Specialization:in Healthcare , Finance, Business Administration or Management FieldEquivalent Experience:*And… more
- MyFlorida (Tallahassee, FL)
- …to fraud, abuse, and waste through research and analysis of complex health and business -related data . Included in the functions of this position are activities ... am to 5 pm This position is not a Data Analysis position. This position will be hired at...(MPI) does this specifically through audits and investigations of healthcare providers, including managed care plans. This OPS Government… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to ... Your impact will be felt across the organization as you enable business expansion, safeguard digital assets, and continuously improve operational efficiency. **What… more