- Highmark Health (Denver, CO)
- …efforts. Daily responsibilities will involve the in-depth analysis of complex healthcare claims data utilizing advanced analytical techniques to detect ... analytical strategies. - Develop and optimize SQL queries to extract data from healthcare claims databases. - Analyze large datasets of healthcare claims … more
- Evolent (Cheyenne, WY)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... to our culture. **What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to… more
- Texas Health Resources (Arlington, TX)
- …methodologies and their impact across different provider types, Experience with healthcare claims (Facility and Professional), knowledge of physician ... methodologies and their impact across different provider types, Experience with healthcare claims (Facility and Professional), knowledge of physician… more
- Stanford Health Care (Palo Alto, CA)
- …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... interpret, and evaluate claims data to identify trends, discrepancies, and opportunities for...completion. + Regulatory Compliance Stay updated on changes in healthcare regulations, payor policies, and industry best practices related… more
- UPMC (Pittsburgh, PA)
- …of relevant experience OR equivalent combination of education & work within healthcare payers/ claims payment processing will be considered + Previous experience ... you passionate about ensuring accuracy and driving efficiency in healthcare reimbursement? At UPMC Health Plan, we're looking for...Analyst to play a critical role in shaping how claims are processed and paid. This is your opportunity… more
- Pfizer (New York, NY)
- …industry and healthcare environment, specifically with an understanding of healthcare claims data and its application to marketing optimization + ... We look for prior experience in media analytics, healthcare claims data, and HCP data, especially digital media, with an understanding of what type of data… more
- Molina Healthcare (Bowling Green, KY)
- …with various internal customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- CenterWell (Grandview, MO)
- …**ust live within the greater Kansas City metropolitan area.** Responsible for healthcare claims accounts receivable operations in accordance with Company ... and divisional leadership, and external payers to effectively manage end-to-end claims processing activities. Performs all duties inherent in a managerial role… more
- AmeriHealth Caritas (Manchester, NH)
- …Provider data maintenance knowledge. + Understanding of and experience with healthcare claims payment configuration processes/systems and their relevance/impact ... + Requests/runs queries to identify root causes of claim denials, incorrect payments, and claims that are not correctly submitted for payment + Act as the resource… more
- BJC HealthCare (St. Louis, MO)
- …**Additional Information About the Role** **Director, Revenue Cycle Management for BJC HealthCare ** _Oversight of the claims /billing team to include 3 direct ... reports and a total of 85 FTE's._ **Overview** **BJC HealthCare ** is one of the largest nonprofit health care organizations in the United States, delivering services… more