- New York State Civil Service (New York, NY)
- …as well as quality assurance issues; * Case management, MDS 3.0 Resident Assessment, and/or managed care ; * Prior experience as a legal nurse consultant; and * ... HELP No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst :Medicaid Fraud Control Unit (6388) Occupational Category Legal Salary Grade NS… more
- Walgreens (Deerfield, IL)
- …on vendors or operationsissues requiring a solution + May perform as "Level 3" support in the event Managed Service provider is unable to resolve anissue. ... and coordinateswith internal teams or external agencies as needed, including managed service providers. + Develops and executes security controls, defenses and… more
- COOLSOFT (Columbia, SC)
- …claims towards a program and policy driver for health outcomes primarily through managed care programs. The programs strategy supports significant innovation in ... Documentation Hands On Development Analyst (Jobs in Columbia, SC) Requirement id 154471...cases to requirements and designs/software components * Design and support user interface testing of applications and regression testing.… more
- Insight Global (Boston, MA)
- … Analyst -5+ years of experience working within community-based health and/or managed care -Experience and understanding of Medicare and Medicaid, knowledge ... , to join a not-for-profit community based healthcare organization. The HEDIS Network Analyst will support the organizations ability to meet and surpass critical… more
- Evolent (Juneau, AK)
- …analytics or utilization management within a payer, provider, clinical vendor, managed care , or healthcare consulting environment. + Strong understanding ... and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented...for the culture. **What You'll Be Doing:** **Senior Scope Analyst , Scope Management** The Specialty Scope Management team is… more
- Molina Healthcare (Columbus, OH)
- …facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Proficiency with Microsoft ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and...medical coding/billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts and provider reimbursement principles… more
- Ascension Health (Austin, TX)
- …items and to recognize and resolve billing inconsistencies. + Collaborate with managed care department to code billable items for reimbursement. Collaborate ... specific experience required. **Additional Preferences** Charge Capture & Clinical Data Analyst - Surgical Services We're looking for a highly motivated,… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …or related field. + 5-7 years of experience in healthcare analytics, preferably in a managed care setting. + Proficiency in SQL and Microsoft SQL Server Suite of ... About The Role The Senior Data Analyst , Population Health will be an analytically driven...processes to identify opportunities for improvement. This role will support BHPS Population Health Management, Utilization Management and Complex… more
- NTT DATA North America (Raleigh, NC)
- …join our team in remote in the US. **Summary:** Looking for a senior data analyst to support the team responsible for generating HEDIS quality metrics/ care ... ingest and integrate claims and clinical data to produce quality metrics and associated care gaps + Helping support the submission of clinical data to respective… more
- Stryker (Irvine, CA)
- …technical estimation, data conversion, system integration, system testing, quality assurance, hyper care & managed support , and overall system cutover ... processes, and standard operating procedures to sustain knowledge sharing, user training, managed support , and operational excellence + Collaborate within IT and… more