- Corewell Health (Grand Rapids, MI)
- …cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment data and ... issue resolution arising throughout the entire Priory Health eco system. Operation Analyst must possess strong attention to detail along with business acumen fueled… more
- Molina Healthcare (GA)
- …**Preferred Experience** + 7-9 years project manager experience + Provider claims data experience + Experience working with complex, often highly technical ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Commonwealth Care Alliance (Boston, MA)
- …billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. + ... to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role in ensuring accurate, compliant, and timely… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5047863) Apply GEOGRAPHIC INFORMATION SYSTEMS ... of the strongest public-sector benefits packages in the country, including diverse healthcare choices, and strong retirement plans. For more information about the… more
- University of Miami (Miami, FL)
- …Systems, or related field. + Minimum 3 years of experience as an Epic HB Analyst in a healthcare setting. + Epic HB certification required; additional Epic ... IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists...Billing Administration along with proficiency in Charging, Contracts, and Claims /Remittance + Configure, build, and maintain Epic HB applications… more
- Zelis (Atlanta, GA)
- …to all key performance components to achieve goals and results for the Zelis Claims Cost Solutions department. The Client Inquiry Analyst will support the ... it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare...shape who you are. Position Overview The Client Inquiry Analyst is responsible for the resolution of inquiries for… more
- AdventHealth (Maitland, FL)
- …data. + Interprets and analyzes data from various sources using knowledge of healthcare managed care contracts and administrative claims data. + Employs existing ... Thursday) on-site **The role you will contribute:** A Senior Medical Economics analyst is responsible for analyzing and evaluating financial and economic data… 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, ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role...interpret, and evaluate claims data to identify trends, discrepancies, and opportunities for… more
- MyFlorida (Tallahassee, FL)
- HEALTH INSURANCE FRAUD ANALYST I - 72004151 Date: Oct 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... 864042 Agency: Management Services Working Title: HEALTH INSURANCE FRAUD ANALYST I - 72004151 Pay Plan: Career Service Position...data analytics to identify fraud, waste, or abuse in claims data. The Program Integrity Unit was established to… more