- CareOregon (Portland, OR)
- …Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Healthcare Analyst Manager Exemption Status Exempt Department Informatics & Evaluation ... tailored to the customer needs and specifications. + Collaborate with department manager and staff in planning, designing, and implementing new data systems. +… more
- Mount Sinai Health System (New York, NY)
- …Contracts across the Mount Sinai Health System. MSHP seeks a **Senior Contract Manager Analyst ** will play a critical role in testing, coding, modeling, ... + In-depth knowledge of healthcare revenue cycle processes, including billing, claims management, and payment reconciliation. + Familiarity with **Stratajazz** ,… more
- Amazon (New York, NY)
- Description Amazon One Medical is hiring a Actuarial Manager Analyst . Actuarial rigor is one of the keys to our success. This candidate will responsible ... of actuarial reserving, forecasting and medical economics -Expertise in working with medical claims data and using programming languages such as SQL, R, SAS, Python,… more
- Robert Half Technology (Lexington, MA)
- Description Data Analyst Manager (2) Roles & Responsibilities Oversee an offshore team of Healthcare Data Analysts and QA engineers under the direction of the ... healthcare data compliance, including HIPAA, GDPR, and HITECH Act. Claims & Billing Data - Experience analyzing claims... Claims & Billing Data - Experience analyzing claims from Medicare, Medicaid, and private insurers. HEDIS Quality… more
- Robert Half Technology (Golden Valley, MN)
- Description Job Overview: We are searching for an experienced Sr. Business Analyst /Project Manager (BA / PM) for our Corporate & Operations Applications team. ... and 5+ years of experience working as a Business Analyst in ERP with Finance or a similar role,...Testing, Agile Scrum, Business Process Functions, Business Requirement Document, Claim Administration, SAP, SAP Finance and Controlling, Supply Chain… more
- CVS Health (Roanoke, VA)
- …to travel 70-75% of the time to meet with members face to face. Case Manager Analyst is responsible for face to face and telephonically assessing, planning, ... we do it all with heart, each and every day. **Position Summary** This Analyst , Case Management position is with Aetna's Long-Term Services and Supports (LTSS) team… more
- CVS Health (Des Moines, IA)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… more
- Zurich NA (Chicago, IL)
- …in Schaumburg, Illinois. This role will have a hybrid schedule. The Business Systems Analyst will work with the claims business and Chief Data Office, providing ... Business System Analyst OR Sr Business Systems Analyst level. The hiring manager will determine...to business leads/stakeholders. + Commercial insurance background, preferably with claims + Advanced Excel skills. + Good SQL and… more
- Prime Therapeutics (Eagan, MN)
- …and assumptions to define additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments ... requirements for requested software changes + Actively engage in Claim systems solutioning discussions with project teams to ensure...within project + Educate and advance business systems analyst practice within the Claims IT team… more
- Insight Global (Eden Prairie, MN)
- Job Description Join the Claim Experience Enablement (CEE) team to transform the end-to-end claim experience, making it nimble and frictionless for all ... modernizing pricing capabilities and increasing automation to ensure accurate claim pricing and alignment with provider contracts. Project Management… more
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