- Ochsner Health (Jefferson, LA)
- …1942, but one thing has never changed - our commitment to serve, heal, lead , educate,** **and innovate. We believe** **that every award earned, every record broken ... knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility… more
- CareFirst (Baltimore, MD)
- …and reporting tools technology. **ESSENTIAL FUNCTIONS:** + Fulfill complex regulatory reporting requirements by understanding the external request and working ... priorities. + Able to effectively provide direction to and lead technical teams. + Must be able to meet...+ Understanding of federal, state, and local legislative and regulatory processes, public policy analysis and reporting requirements. +… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Data Analyst Lead ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... a difference. We are looking for a dedicated Data Analyst Lead like you to be a...you will become a subject-matter specialist in database and claims analysis who actively participates in the development and… more
- AON (IL)
- Reinsurance Business Analyst Aon are looking to recruit an experienced Reinsurance Business Analyst to join our team in the US. This is a Hybrid position and can ... experience will not be considered for this position. The DXC SICS Application Analyst is responsible for maintaining and enhancing the DXC SICS (Swiss Insurance … more
- The City of Rochester, MN (Rochester, MN)
- …analytical studies; prepares and assists in the preparation of financial and regulatory reports, statements, and claims for reimbursement according to prescribed ... Senior Financial Analyst - RPU Print (https://www.governmentjobs.com/careers/rochester/jobs/newprint/5147764) Apply Senior...and assign codes in accordance with state reporting and regulatory requirements. + Review documents and claims … more
- AIG (Jersey City, NJ)
- Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class ... claims function. Make your mark in Claims ...determinations, investigations, and trial and resolution strategies. + The analyst will investigate losses, orchestrate defense strategies for healthcare… more
- Elevance Health (Cerritos, CA)
- …non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: Summary: The Payment Integrity DRG Coding & Clinical Validation Analyst position has an extensive background in acute facility-based clinical ... Essential Accountabilities: Level I . Analyzes and audits acute inpatient claims . Integrates medical chart coding principles, clinical guidelines, and objectivity in… more
- Prime Therapeutics (Lansing, MI)
- …interpreted, and presented by various levels within the organization + Serves as the lead analyst in producing reports, scorecards, or other data using Pharmacy ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- Aston Carter (Salem, OR)
- Job Title: Medical Coding Analyst Job Description The Medical Coding Analyst plays a critical role in ensuring accurate medical coding and compliance with ... a subject matter expert in coding workflows, documentation standards, and regulatory requirements, contributing to quality and efficiency across the organization.… more