- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs and ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...for the assigned state + Work in an agile business environment to derive meaningful information out of organizational… more
- Medical Mutual of Ohio (OH)
- … Analyst ** **Education and Experience:** + Bachelor's degree in healthcare administration, business administration,information technology or a related field ... strategies and goals in alignment with regulatory specification for the annual Healthcare Effectiveness Data and Information Set (HEDIS) lifecycle processes for all… more
- Staffing Solutions Organization (Albany, NY)
- …diverse workforce, which is a reflection of our clients and the people they serve. ** Business Analyst - Data Quality in Albany, NY** **Division of Data Services ... & Analytics (DDSA)** **Data Quality Team** **Item 1302** The ** Business Analyst ** will work within the Division of Data Services & Analytics (DDSA) Data Quality… more
- Molina Healthcare (NE)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Elevance Health (Roanoke, VA)
- ** Business Analyst III** **Location** : This role requires associates to be in-office **1-2** days per week, fostering collaboration and connectivity, while ... is determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Business Analyst III** is a member of our **Carelon Payment… more
- Centene Corporation (Jefferson City, MO)
- …Candidate must work** **between 9 am and 4 pm Central Time Zone business hours.** **Position Purpose:** Analyze integrated and extensive datasets to extract value, ... which directly impacts and influences business decisions. Work collaboratively with key business ...+ Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data. + Lead the… 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
- Corewell Health (Grand Rapids, MI)
- Job Summary A Provider Operations Analyst is responsible for identifying and solving issues relating to the performance of the provider operations business and ... cooperation of the provider network community and internal departments. The operations analyst is responsible for the oversight of the provider enrollment data and… more
- Insight Global (Nashville, TN)
- …data analysis, visualization, validation, profiling, and cleansing. 4Proven experience with Business Analyst deliverables, such as conducting JAD sessions, ... Job Description Insight Global is partnering with a Healthcare Start-Up based out of Nashville, TN who...out of Nashville, TN who is looking for a Business Systems Analyst . This individual can sit… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... care each year for millions of patients. We are accelerating a transition to a business model focused on population health management - our goal is to keep entire… more