- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III serves as a senior member of the Pharmacy Analytics team, advancing Mount Sinai's mission through high-impact data ... deliver data products that inform strategic decisions across the Health System. The Analyst plays a key role in developing interactive dashboards and optimizing SQL… more
- University of Miami (Miami, FL)
- …of Miami Health System IT Department has an opportunity for a full-time Business Systems Analyst 3 - Revenue Integrity. The Business Systems Analyst 3 - Central ... overall performance, reduce costs, and increase efficiencies. The Business Systems Analyst 3 - Central (H) analyzes established operations, systems, methods,… more
- HCA Healthcare (Nashville, TN)
- …integrity. We care like family! Jump-start your career as a Benefits Operations Analyst today with HCA Healthcare. **Benefits** HCA Healthcare offers a total rewards ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...location._** Come join our team as a Benefits Operations Analyst . We care for our community! Just last year,… more
- Millerbernd Manufacturing Co. (Winsted, MN)
- NOW HIRING: Millerbernd Manufacturing is hiring a Senior Compensation & Benefits Analyst to join our team in Winsted, MN! The Senior Compensation & Benefits ... Analyst is an onsite role responsible for administering and...accurate pay, and timely communications + Administer workers' compensation claims and return-to-work programs, coordinating with managers, third-party administrators,… 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
- CVS Health (Bloomington, IL)
- …County IL area. Schedule is Monday-Friday, standard business hours, 8:00am-4:30pm CST. Analyst Case Manager is responsible for telephonically and/or face to face ... all case management activities with members to evaluate the medical needs of the member to facilitate the member's...and multiple diagnoses that impact functionality. - Reviews prior claims to address potential impact on current case management… more
- CGI Technologies and Solutions, Inc. (Columbus, OH)
- **Financial Analyst ** **Category:** Business Analysis (functional and technical) **Main location:** United States, Ohio, Columbus **Position ID:** J0825-1828 ... Description:** Under the management of the Finance Manager, the Financial Analyst carries out processing and financial administration for the assigned contracts.… more
- MVP Health Care (Rochester, NY)
- …data and providing root cause analysis of rejections with member eligibility, provider, medical & pharmacy data elements, and claim payment information with high ... and continuous improvement. To achieve this, we're looking for a Technical Business Analyst Encounter Data Integrity & Delivery to join #TeamMVP. If you have a… more
- CVS Health (St. Paul, MN)
- …and external customers. + Track requests, maintain status reports, and investigate claim /file failure trends. + Configure EDI setups and support implementation leads ... during testing phases. + Attend meetings with clients to discuss claim /file failures, conduct root cause analysis, and provide education as needed. + Assist clients… more
- CVS Health (Phoenix, AZ)
- …of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review ... pharmacy submitted Medicare claims , make independent decisions, and call network pharmacies to...may include: -Telephone outreaches to network pharmacies to verify claim information. -Transmission of audit requests to pharmacies. -Review… more