- Cognizant (Sacramento, CA)
- About the role As a ** Quality Analyst with Healthcare - Claims & Membership experience** . You will make an impact by designing and executing end-to-end ... test strategies that ensure the quality and reliability of healthcare claims and membership applications. You will be a valued member of the Quality … more
- Molina Healthcare (San Diego, CA)
- **JOB DESCRIPTION** **Job Summary** The Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. This position designs ... on how to use reports related to Risk and Quality /HEDIS for Medicaid, Marketplace and Medicare/MMP. **Job Duties** +...plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and… more
- Evolent (Sacramento, CA)
- …**What You Will Be Doing:** + **Data Analytics & Insights** : Analyze healthcare claims and authorization data to identify cost drivers, utilization trends, ... working seamlessly with diverse teams and stakeholders. + Familiarity with healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including… more
- Amazon (San Francisco, CA)
- … healthcare delivery. Key job responsibilities * Lead complex analysis efforts using healthcare data (EMR, claims , clinical quality ) to inform strategic ... Description As a Business Analyst II on the Amazon One Medical At-Risk...experience with large datasets - Experience with EMR data, claims data, and clinical quality metrics -… more
- The Cigna Group (Walnut Creek, CA)
- …with local healthcare providers-physicians, hospitals, clinics, and other healthcare facilities-to help deliver high- quality , cost-effective healthcare . ... and negotiate contracts, initiate new agreements, and contribute to building strong healthcare provider networks. **As a Network Contracting Analyst , you will:**… more
- Cedars-Sinai (Beverly Hills, CA)
- …field of study **About Us** Cedars-Sinai is a leader in providing high- quality healthcare encompassing primary care, specialized medicine and research. Since ... care we strive for. **What will you be doing:** The Senior Financial Analyst is responsible for assisting with the development, design, maintenance, coordination and… more
- UCLA Health (Los Angeles, CA)
- …building and maintaining Tableau dashboards + Proven experience generating reports using healthcare data, with a focus on encounter/ claims , membership, and ... Description As the Business Data Analyst for our Medicare Advantage Risk Adjustment team,...internal and external reporting. You will: + Ensure data quality and accuracy through rigorous assurance checks. + Develop… more
- Highmark Health (Sacramento, CA)
- …BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, proactively ... identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational processes, and implement… more
- Dignity Health (Bakersfield, CA)
- …support across a variety of functions, including credentialing, contracting, claims , provider relations, quality /risk, care coordination, utilization management, ... to work PST business hours.** **Position Summary:** The Business Analyst (BA) III will serve as the internal consultant...in one or more of the following areas: contracting, claims management, UM or care coordination. - Bachelor's degree… more
- Evolent (Sacramento, CA)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... and estimate Evolent's ability to reduce costs and improve quality . + Develop models to quantify and articulate value...health, biology) + 1+ years of professional experience in claims -based healthcare analytics with a payer, provider,… more
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