- Cognizant (Harrisburg, PA)
- 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
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Senior (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly accomplished team ... and providing services to meet client IT and business needs. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- UPMC (Pittsburgh, PA)
- UPMC is hiring a Systems Analyst -Technical Lead (Epic PB Claims and Remittance) who had healthcare experience. If you are looking to join a highly ... within a client group. Serves as a mentor for other analysts. Responsibilities: + PB claims IT analyst . Ability to quickly diagnose claims issues, apply… more
- Evolent (Harrisburg, PA)
- …**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
- Prime Therapeutics (Harrisburg, PA)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... passion and drives every decision we make. **Job Posting Title** Sr. AI Business Analyst - Remote **Job Description** **Are you a Business Systems Analyst with… more
- Prime Therapeutics (Harrisburg, PA)
- …our passion and drives every decision we make. **Job Posting Title** Business Systems Analyst - Remote **Job Description** The IT Business Systems Analyst is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Penn State Health (Hershey, PA)
- …discrimination._ **Union:** Non Bargained **Position** Risk Analyst Senior - Risk Management **Location** US:PA: Hershey | Quality | Full Time **Req ID** 79875 ... Responsible for administrative support of the litigation process for claims . Additionally, responsible to maintain information related to insured defendants… more
- Highmark Health (Harrisburg, PA)
- …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
- Prime Therapeutics (Harrisburg, PA)
- …and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior Compliance ... Analyst assists in the implementation of Prime's compliance programs,...stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement. Works directly with business… more
- Evolent (Harrisburg, PA)
- …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