- Molina Healthcare (Cincinnati, OH)
- …Responsible for accurate and timely auditing of critical information on claims databases. Maintains critical auditing and outcome information. Synchronizes data ... among operational and claims systems and application of business rules as they...to meet changing business requirements, strong commitment to high quality , on time delivery + Previous process improvement experience… more
- Molina Healthcare (Akron, OH)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- AIG (Jersey City, NJ)
- …and efficiency. How you will create an impact + This position will ensure high quality claims handling within the Healthcare Professional Liability ("HPL") ... Claims Complex Director - Healthcare Professional...analyst will investigate losses, orchestrate defense strategies for healthcare provider insureds, conduct independent assessments as to exposures… more
- Sharp HealthCare (San Diego, CA)
- …Do** Under the direction of the Manager of EDI Management, the Systems Analyst -EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, ... mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst -EDI Mgmt will work with general Health Plan operational data sets including, but… more
- Elevance Health (Indianapolis, IN)
- **Senior Healthcare Economics Analyst ** **Location:** Chicago, IL; Atlanta, GA; Indianapolis, IN; Richmond, VA (preferred). This role requires associates to be ... position is not eligible for current or future visa sponsorship._ The **Senior Healthcare Economics Analyst ** (Advanced Analytics Analyst Senior) creates… more
- Molina Healthcare (NY)
- …Knowledge of healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to...related to cost, utilization and revenue for multiple Molina Healthcare products. Designs and develops reports to monitor health… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …protected characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Senior Healthcare Analyst Location: Hybrid | Eagan, Minnesota Career Area: Data ... Intelligence The Impact You Will Have As a Senior Healthcare Analyst , you will be responsible for...include but are not limited to provider, health management, quality , product development and client/member analytics. Your Responsibilities *… more
- Genesis Healthcare (Roosevelt, NY)
- …and possible career growth opportunities. POSITION SUMMARY: The Licensed Behavior Analyst will provide services designed to facilitate improved behavior and skill ... a related field. 2. Must hold and maintain BCBA certification from the Behavior Analyst Certification Board (BACB). 3. Must hold a Licensed Behavior Analyst … more
- Molina Healthcare (Sioux City, IA)
- JOB DESCRIPTION Job Summary Provides entry level analyst support for provider configuration activities including accurate and timely maintenance of critical provider ... information on all claims and provider databases. Synchronizes data within multiple ...accordance with department standards related to turnaround times and quality . * Maintains department standard for loading provider demographic… more
- Robert Half Technology (Florham Park, NJ)
- Description A Senior Software Business Analyst is needed to play a crucial role in connecting business requirements to technical solutions. This role involves ... products, and tailored services to optimize patient outcomes and improve healthcare delivery. ** Qualified candidates should have experience with pharmacy insurance,… more