- University of Michigan (Ann Arbor, MI)
- Business Systems Analyst Senior / Intermediate Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached ... The CRC team is highly relied upon across the healthcare system and collaborates with operational partners to provide...is seeking a candidate to fulfill the role of Business Systems Analyst to support the Michigan… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …Able to thrive in a complex, high-pressure environment + Bachelor's degree in Business , Healthcare Administration or related field + High-degree of computer ... Position Purpose: The Analyst - Fraud, Waste & Abuse (FWA) provides...regulatory requirements + Maintain process integrity and ensure legitimate claims are processed efficiently + Implement and track corrective… more
- Molina Healthcare (New York, NY)
- …health, more affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...business impacts, and make recommendations through use of healthcare analytics, predictive modeling, etc. + Experience with industry… more
- Molina Healthcare (Spokane, WA)
- …analysis for Provider, member and claims data + Prior experience working as a Business or Data or Systems Analyst is preferred. + Experience working on SQL, ... used for data/text mining, analysis, modeling, and predicting to enable informed business decisions. Gains insight into key business problems and deliverables… more
- Molina Healthcare (Dayton, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Caldwell, ID)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... and audit data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior… more
- Centene Corporation (Jefferson City, MO)
- …and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to ... clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business… more
- University of Miami (Miami, FL)
- …UHealth-University of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business ... strategies that enhance overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established… more
- Molina Healthcare (Yonkers, NY)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more