- Centene Corporation (Austin, TX)
- …of care for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including claims , provider, member, and encounters ... and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of… more
- Molina Healthcare (Iowa City, IA)
- …all claims and provider databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims ... systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and… more
- HCA Healthcare (Nashville, TN)
- …Do you have the career opportunities as a Electronic Processing Operations Analyst you want with your current employer? We have an exciting opportunity ... which is part of the nation's leading provider of healthcare services, HCA Healthcare . **Benefits** Parallon, offers...you want to work as a Electronic Processing Operations Analyst where your passion for creating positive patient interactions… more
- Molina Healthcare (Dayton, OH)
- …coordination, and shared ownership of high-value deliverables-distinct from a pure data analyst role. **Job Duties** **Business Leadership & Operational ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...the role. + Validates findings and tests assumptions through data , but leads with contextual knowledge of claims… more
- Centene Corporation (Jefferson City, MO)
- …for members and improve their clinical outcomes. + Interpret and analyze data from multiple sources including healthcare provider, member/patient, and ... of experience working with large databases, data verification, and data management experience. Healthcare analytics experience preferred. Experience with… more
- Evolent (Helena, MT)
- …**What You Will Be Doing:** + ** Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as... data from Epic, QS1, Oracle Cloud, 340B claims data , and wholesaler purchase feeds. + ... systems, and other vendor sources. A strong understanding of pharmacy workflows, healthcare finance, and medication data is essential, as this position… more
- Molina Healthcare (NY)
- …from various systems to support executive decision-making + Mine and manage information from large data sources. + Analyze claims and other data sources to ... evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical...building dashboards in Excel, Power BI, and/or Tableau and data management + Knowledge of healthcare operations… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency Health, Department of Title Data Analyst 3 - 63440 Occupational Category Administrative or General Management Salary Grade 27 Bargaining Unit ... Albany State NY Zip Code 12237 Duties Description The Data Analyst 3 (DA3) will direct the...of health data related to hospital discharge data , insurance coverage, demographics, billing claims and… more
- Molina Healthcare (Louisville, KY)
- …follow up, and performance monitoring. + Understands provider, member, and, inbound claims data compliance in relation to encounters submission requirements + ... **Job Description** **Job Summary** The Sr Analyst , Encounters is responsible for monitoring inbound and...and Operations Reviews + Performs root cause analysis of claims and encounter data and develops recommendations… more