- Stanford Health Care (Palo Alto, CA)
- …assignments, while identifying instances of overpayments and underpayments. Proficiency in healthcare claims analysis, including the ability to review, ... Health Care job.** **A Brief Overview** Clinical Government Audit Analyst and Appeal Specialist II plays a critical role...interpret, and evaluate claims data to identify trends, discrepancies, and… more
- University of Miami (Miami, FL)
- …a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central (H) collects detailed data and provides analysis to ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- University of Miami (Miami, FL)
- …Systems, or related field. + Minimum 3 years of experience as an Epic HB Analyst in a healthcare setting. + Epic HB certification required; additional Epic ... IT Department has an opportunity for a full-time Epic Analyst 2. The Epic Analyst 2 assists...tickets, implement s requested application changes, and retrieves requested data promptly. + Collaborate s with trainers on application… more
- Robert Half Management Resources (Indianapolis, IN)
- …and maximizes reimbursement. Claims Review and Denial Prevention: Regularly analyze claims data to identify trends in denials and missed reimbursements; ... in healthcare revenue cycle processes, including medical billing and claims . * Proficiency in coding standards and familiarity with regulatory compliance… more
- Evolent (Carson City, NV)
- …that fosters expertise and cooperation + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data regarding health plan ... healthcare quality reporting, and benchmarking + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional… more
- St. Luke's Health System (Boise, ID)
- …-driven insights and actionable analytics. **Senior Population Health Analyst :** Support network performance, value-based contracts, and operational improvement ... care, risk-based contracts, and population health initiatives. Using SQL and enterprise data platforms, the analyst develops models, dashboards, and reports to… more
- Insight Global (Nashville, TN)
- …within the Healthcare industry, specifically dealing with CMS and/or Payer data feeds. This individual must have experience with the data ... experience, with predominant experience within Healthcare Strong healthcare domain expertise and data integration experience... data integration experience with CMS and/or Payer data feeds, including Medical Claims , Eligibility, Rx… 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
- University of Michigan (Ann Arbor, MI)
- …interpret data related to managed care programs, including reimbursement rates, claims data , and provider performance metrics. + Collect and maintain ... Health-Sparrow and UM Health-West and a wide range of healthcare delivery options. The Managed Care Payer Analyst... healthcare delivery options. The Managed Care Payer Analyst will report to the Manager, Managed Care Operations,… more
- Evolent (Nashville, TN)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends,...health, biology) + 1-3 years of professional experience in claims -based healthcare analytics with a payer, provider,… more