- State of Minnesota (St. Paul, MN)
- **Working Title: T-MSIS Data Quality Analyst ** **Job Class: Agency Policy Specialist** **Agency: Human Services Dept** + **Job ID** : 89686 + **Location** : St. ... claims , encounters, and enrollment-is accurately extracted, transformed, and quality -checked to meet federal specifications and submission requirements. This role… more
- Mount Sinai Health System (New York, NY)
- …processes, and related regulations. ? Familiarity with contract terms, NYS regulations, claims processing, and healthcare reimbursement models. ? Experience in ... largest US health systems with a strong reputation for quality of care and research. We have over 38,000...System. MSHP seeks a Senior Contract Compliance (Professional Billing) Analyst who will primarily be responsible for tracking, trending,… more
- MVP Health Care (Schenectady, NY)
- … data highly preferred + Subject matter expertise in healthcare data- claims , coding, HIE's etc. Experience with quality metrics, (NCQA HEDIS and NYS ... improvement. To achieve this, we're looking for a **Professional, Quality Analyst ** to join #TeamMVP. This is...opportunity for you if you have a passion for healthcare , innovation, and collaboration. **What's in it for you:**… more
- The Cigna Group (Morristown, NJ)
- …of communication with matrix partners, including but not limited to Claims Operations and Medical Management. Credentialing, Legal, Medical Economics, Compliance, ... + Creates and manages initiatives that improve total medical cost and quality . + Drives change with external provider partners by assessing clinical informatics… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(RHIA or RHIT) or a Nursing Degree. . Three (3) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for ... II (in addition to Level I Qualifications) . Five (5) years' experience in claims auditing, quality assurance, or recovery auditing, of (MS/APR) DRG coding for… more
- Commonwealth Care Alliance (Boston, MA)
- …at this time._** **Position Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr. Analyst plays a critical role ... billing-related certifications **Required Experience (must have):** + 3+ years in healthcare claims processing, provider reimbursement, or payment integrity. +… more
- Fair Haven Community Health Care (New Haven, CT)
- …clean, and reconcile data across EHR, population health tools, 340B program, and payer/ claims . + Define and implement data quality checks, lineage, and ... choices. As we grow and are able to bring high- quality health care to more areas that need access,...of ability to pay. Job purpose The Senior Data Analyst turns clinical, operational, and financial data into insights… more
- The County of Los Angeles (Los Angeles, CA)
- GEOGRAPHIC INFORMATION SYSTEMS ANALYST Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5047863) Apply GEOGRAPHIC INFORMATION SYSTEMS ... of the strongest public-sector benefits packages in the country, including diverse healthcare choices, and strong retirement plans. For more information about the… 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...operational stakeholders, IT teams, and Epic representatives to deliver high- quality solutions that enhance revenue cycle performance. + Experience… more
- 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 opportunities for… more