- 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
- Robert Half Management Resources (Indianapolis, IN)
- …in healthcare revenue cycle processes, including medical billing and claims . * Proficiency in coding standards and familiarity with regulatory compliance ... We are seeking a few highly skilled and detail-oriented Revenue Integrity Analyst (s)/Senior Analysts to join our consulting team with a possible permanent position… more
- Baylor Scott & White Health (Austin, TX)
- … Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with Healthcare claims , enrollment and pharmacy data is preferred + Knowledge of ACA, ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Fair Haven Community Health Care (New Haven, CT)
- …dental care, regardless of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights that improve patient ... Reporting to the Director of Data, the Senior Data Analyst will effectively prioritize and execute tasks in a...data across EHR, population health tools, 340B program, and payer/ claims . + Define and implement data quality checks, lineage,… more
- HTC Global Services Inc (Troy, MI)
- …and a variety of other perks. The Epic Revenue Cycle Applications Analyst is responsible for the design, build, configuration, optimization, and support of ... claim submission to payment posting and account resolution. The analyst acts as a subject matter expert (SME) in...Hospital Billing (HB) systems to support accurate charge capture, claims generation, and account management. + Design and optimize… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- Fairview Health Services (St. Paul, MN)
- …**Job Overview:** Fairview is looking for a Revenue Integrity Charge Description Master Analyst to join our team. The Revenue Integrity Charge Description Master ... Analyst serves as a liaison between organizational leadership, end-users,...updates to the CDM that contribute to generating clean claims , enabling the collection of expected payments. + Participates… 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 Health Plan administration experience of ... healthcare payer domain within Group, member, Benefits & Claims Administration, Claims Payment & Vendor integration...product in Multi-employer Trust or Health Plan Administration. + Healthcare industry knowledge + Familiar with claims … more
- Beth Israel Lahey Health (Charlestown, MA)
- …remote based role. Reporting to the Manager, Patient Financial Services, the Clinical Analyst plays an important role in a high-profile team tasked with handling all ... commercial and government clinical appeals and audit processes. The Clinical Analyst will perform high-level clinical appeal for services in the inpatient and… more
- Elevance Health (Wilmington, DE)
- **Research Programmer/ Analyst ** **Location:** Wilmington, DE (preferred). This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... provide real-world evidence in support of a wide variety of healthcare decisions. **Carelon Research** provides the health care system, biopharmaceutical industry,… more