- Mount Sinai Health System (New York, NY)
- …II- Patient Accounts Corporate 42nd Street (100% on site) -Full-Time Days** The Financial Analyst Underpayment II is a senior level analyst who gathers ... the Assistant Vice President or Director. Does data mining, analyses of underpaid claims and detail report reviews. Prepare standard monthly reporting for the AVP. +… more
- General Dynamics Information Technology (Fairfax, VA)
- …skills + Knowledge of federal healthcare regulations and experience evaluating healthcare data including prescription drug claims The likely salary range for ... Services (CMS) Drug Price Negotiation Program as a Complaint Analyst I. Your work will support CMS by consistently...process improvements to enhance service delivery. + Collaborate with senior team members on referrals to the investigative team.… more
- Norstella (Salt Lake City, UT)
- …life-saving therapies to market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare ... Sr. Medical Analyst Company: MMIT Location: Remote, United States Date...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more
- Henry Ford Health System (Troy, MI)
- …Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide ... root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...from State and Federal agencies and speak before members, senior leaders and other key stakeholders to present appeal… more
- Terumo Medical Corporation (Somerset, NJ)
- …shape wherever we go next!** **_Advancing healthcare with heart_** **Job Summary** The Senior Tax Analyst , Indirect Tax will work with the Senior Tax ... Sr. Tax Analyst , Indirect Date: Aug 23, 2025 Req ID:...broad range of applications for numerous areas of the healthcare industry. TMC places a premium on providing customers… more
- Commonwealth Care Alliance (Boston, MA)
- …process improvement. As a senior individual contributor on the team, the Senior Analyst is expected to successfully lead projects of any size, scope, ... in order to maximize productivity and to ensure regulatory compliance. The Senior Business Analyst , Clinical Operations reports to the Director, Clinical… more
- Humana (Hartford, CT)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... it expands to accommodate the increased responsibilities. **Responsibilities:** The Senior Business Intelligence Engineer will be primarily responsible for… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …Waste and Abuse activities as well as provide program-wide trend analysis. The Senior Data Analyst will use advanced analytics, predictive modeling, and ... Ready to help us transform healthcare ? Bring your true colors to blue. Position...problems through communication and collaboration. + Knowledge of BCBSMA claims processing system is preferred. + Proficient analytical and… more
- University of Utah Health (Murray, UT)
- …and patient-level data. + Ability to perform complex research and analysis of healthcare claims , enrollment, and other related data, to report on network ... are integral to our mission. EO/AA_ + Risk Adjustment Analyst position provides support for our health plan's risk...program. + This role is responsible for analyzing medical claims , encounter, and risk adjustment targeting data to identify… more
- NTT DATA North America (Raleigh, NC)
- … to 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 ... Helping to maintain the processes that ingest and integrate claims and clinical data to produce quality metrics and...those measures + Minimum of 1 year knowledge of healthcare data formats and standards (eg, HL7, ICD-10, CPT,… more