- Carle Health (Champaign, IL)
- …response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration ... with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters...leadership as requested Works with Manager to analyze denied claims and identify trends for education. Serves as subject… more
- Motion Recruitment Partners (Birmingham, AL)
- Appeals and Grievance Analyst Birmingham, Alabama **Onsite** Contract $18/hr - $28/hr Are you detail-oriented, highly organized, and passionate about making a ... difference in healthcare ? We are seeking several Appeals and Grievances Consultants...A minimum of 2 years of related experience in claims , health, and clinical engagement and/or customer service +… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- About The Role We are seeking a passionate, results-oriented Business Analyst in the healthcare payer domain with Multi-employer Trust or Health Plan ... for client or product. The ideal candidate will have worked in-depth in healthcare payer domain in Multi-employer Trust (Hours & Eligibility management), Health Plan… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- Ready to help us transform healthcare ? Bring your true colors to blue. Position Summary: This person will identify fraudulent provider/member activity and develop ... the development of investigation targets, proposes new methods of data analytics and healthcare informatics to discover Fraud, Waste and Abuse activities as well as… more
- Humana (Nashville, TN)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Amazon (CA)
- …of the Amazon One Medical Senior Health Revenue Cycle team, the Revenue Cycle Analyst I will be responsible for supporting Amazon One Medical Revenue Cycle teams in ... providing transparent, educational and ethical healthcare Revenue Cycle practices along with easy to understand payment solutions, ensuring that our patients receive… more
- Prime Therapeutics (Austin, TX)
- …data consolidation and modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... decision we make. **Job Posting Title** Data & Reporting Analyst - REMOTE **Job Description** The Data & Reporting... - REMOTE **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …Work and Improve People's Lives** Our purpose, to improve customers' lives by making healthcare work better, is far from ordinary. And so are our employees. Working ... have the opportunity to drive real change by transforming healthcare . To better serve our customers, we are fostering...the heart of our organization's success? As a **Forecast Analyst ** , you'll be the driving force behind our… more
- Norstella (Augusta, ME)
- …(MD/DO), or a related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory data, in an academic ... Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States...In this role, you will leverage your expertise in ** healthcare data analytics** to extract meaningful insights from **real-world… more
- Beth Israel Lahey Health (Charlestown, MA)
- …a job, you're making a difference in people's lives.** The Revenue Cycle Denial Analyst is charged with coordinating the analysis and effective resolution of denied ... claims with the purpose of reducing overall denials and...analysis and maintain databases. **Preferred Qualifications:** 3 -5 years Healthcare related experience. **Competencies:** **Decision Making:** Ability to make… more