- ChenMed (Miami, FL)
- …planning, process improvement, solution assessment, etc. + Analyzes and validates payer claims data . Assists markets to identify factors driving claims ... join our team. Working with limited guidance, the Senior Analyst VBC (Value Based Care) Performance is responsible for...probability, statistics, and principles of business to enhance the data models and analytics within the Actuarial and Health… more
- Evolent (Salem, OR)
- …data using industry-standard metrics. + Process and validate raw unadjudicated claims data . **Qualifications Required and Preferred:** + Bachelor's degree, ... Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing… more
- CVS Health (Denver, CO)
- …Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including health ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to,… more
- MVP Health Care (Schenectady, NY)
- … healthcare quality data highly preferred + Subject matter expertise in healthcare data - claims , coding, HIE's etc. Experience with quality metrics, ... To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is the opportunity for...opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**… more
- Commonwealth Care Alliance (Boston, MA)
- …relational database modeling concepts and practices + Demonstrated experience with data or statistical analysis in healthcare industry/operations Demonstrated ... maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical Operations Support.… more
- UPMC (Pittsburgh, PA)
- Do you have exceptional analytical skills and healthcare experience? If so, then this may be a great fit for you! We are hiring a Payor Contracts Analyst - ... of the UPMC hospitals and physician contracts. The Payor Contracts Analyst - Intermediate is responsible for evaluating and providing recommendations regarding… more
- Health Care Service Corporation (Nashville, TN)
- …Cloud computing / SaaS / IaaS / PaaS technologies * Experience in data management assessment, analysis, and implementation * Healthcare / Healthcare insurance ... **Job Summary** We are seeking a motivated and collaborative Systems Analyst to provide skilled leadership on complex assignments/projects. This position is… more
- AdventHealth (Altamonte Springs, FL)
- …Springs, FL **The role you will contribute:** The Managed Care Analyst applies technical, analytical, and problem-solving skills to provide solutions/improvements ... person demonstrates competences in decision support and reporting through converting raw data into useful and actionable information. This person is responsible for… more
- CTG (CA)
- **CTG is seeking to fill an Epic Professional Billing Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** + ... module for Ambulatory and Behavioral Health settings. + Design and build claims logic, charge capture workflows, fee schedules, charge routers, billing rules, and… more
- Fairview Health Services (Minneapolis, MN)
- **Job Overview** The **Epic Professional Billing Sr Application Analyst ** role will provide technical expertise and leadership, including configuring, documenting, ... Configure code, test and troubleshoot existing programs. Analyze end user data and business needs to assure user-orientation and optimal program/system performance.… more