- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") Claims … more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare . **Benefits** HCA Healthcare offers a ... Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with...location._** Come join our team as a Benefits Operations Analyst . We care for our community! Just last year,… more
- HCA Healthcare (Largo, FL)
- …a Billing Integrity Analyst Credentialed? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team ... of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following...difference. We are looking for a dedicated Billing Integrity Analyst Credentialed like you to be a part of… more
- The Cigna Group (Bloomfield, CT)
- The Quality Review & Audit Senior Analyst exhibits expertise in evaluating complex medical documentation for diagnosis code accuracy and compliance in support of the ... (RA) program and Risk Adjustment Data Validation (RADV) audits. The Senior Analyst is responsible for all aspects of auditing medical documentation for diagnostic… more
- Molina Healthcare (Racine, WI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... of new and existing health plans. + Executes retroactive claims reports + Runs fee schedule & MRDT update...submission mailbox, submit RFCs in iServe, and notify the Analyst of completion. + Researches and reviews MRDT issues… more
- Elevance Health (Indianapolis, IN)
- **Senior Healthcare Economics Analyst ** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
- Molina Healthcare (NY)
- … healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Molina Healthcare (Miami, FL)
- **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and outbound encounter processes and ensuring timely, accurate, ... rejection inventory, and works with other areas including IT, health plan, claims , provider, enrollment, regulators, and external vendors, as needed, to remediate… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... Intelligence The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for...analytics. * Knowledge of managed care and health care claims preferred * Experience using SQL or Python for… more