- Molina Healthcare (Dallas, TX)
- …of critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and facilitate system update(s) as necessary. + Works… more
- Elevance Health (Norfolk, VA)
- **Rating/ Claims Systems Analyst Senior** **Hybrid 1:** This...of study and a minimum of 4 years systems analyst or business analyst experience; or ... an accommodation is granted as required by law. The **Rating/ Claims Systems Analyst Senior** is responsible for...will make an impact:** + Translates complex and varied business needs into application software functionality. + These needs… more
- Banner Health (Phoenix, AZ)
- …opportunity for you. Banner Health is seeking a Senior Risk & Insurance Analyst to join the department and assist with risk identification, mitigation, transfer, and ... claims management to protect one of the nation's largest non-profit healthcare systems. In this role you will be revieing new claims , such as property or… more
- TEKsystems (Moorestown, NJ)
- …are seeking a highly analytical and detail-oriented professional to join our team as a Claims Data Analyst . This role is ideal for someone who thrives on digging ... services in the Accident & Health space. They specialize in claims processing, enrollment, compliance, and data-driven solutions that help clients navigate… more
- Prime Therapeutics (Phoenix, AZ)
- …future of pharmacy with us. **Job Posting Title** Specialty & Home Delivery Program Claims Analyst - Remote **Job Description** The Specialty & Home Delivery ... Program Claims Analyst is responsible for serving as...as assigned **Minimum Qualifications** + Bachelor's degree in IT, Business , Science or related area of study, or equivalent… more
- Corewell Health (Grand Rapids, MI)
- Job Summary We are seeking an Epic Application Analyst to join our Resolute Revenue Cycle Billing team. This role is ideal for someone passionate about improving ... healthcare through technology and collaboration. Under minimal supervision, responds...Associate's Degree or equivalent + Epic Professional Billing and Claims Certification + 2 years of relevant experience planning,… more
- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network ... utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the career opportunities as a Benefits Analyst you want with your current employer? We have an exciting opportunity for ... you to join HCA Healthcare which is part of the nation's leading provider...Do you want to work as a Vendor Relations Analyst where your passion for creating positive patient interactions… more
- Molina Healthcare (Racine, WI)
- …and work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... numbers, assess business impacts, and make recommendations through use of healthcare analytics, etc. + Analysis of trends in medical costs to provide analytic… more
- Molina Healthcare (Columbus, GA)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and...+ At least 6 years of experience as a Business Analyst or Program Manager in a… more
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