- Molina Healthcare (Long Beach, CA)
- …current and emerging technologies. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr . Analyst , Data is responsible for data compilation, data ... to research and analyze data using SQL is required. + Experience with QNXT is preferred. + Medicare/ medicaid membership exp required Required soft skill include… more
- CVS Health (Boise, ID)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Network Relations Analyst is responsible for the accurate and timely validation ... manner. Staff may be responsible for reviewing claims data and information. The Senior Network Relations Analyst is responsible for monthly Access and… more
- Commonwealth Care Alliance (Boston, MA)
- …Summary:** Reporting to the Director, Claims Operations and Quality Assurance, the Claims Sr . Analyst plays a critical role in ensuring accurate, compliant, and ... issues - including underpayments, overpayments, and disputes. The Claims Sr . Analyst serves as a subject matter...+ Experience with core claims platforms such as Facets, QNXT , or Amisys. **Desired Experience (nice to have):** +… more
- Fallon Health (Worcester, MA)
- …membership report from Business Objects and manipulates per process and sends to Senior Accounting Analyst , designated long term care facilities, and NaviCare ... documentation system as well as Fallon Health's core system QNXT + In coordination with the Administrative Assistant, manages...in Outlook and communicates such to interdepartmental teams via QNXT Call Tracking + Receives requests for ACO member… more