- Acosta Group (Jacksonville, FL)
- **DESCRIPTION** This position will be responsible for processing and handling any claims that are incomplete or escalated for validation. This person will also be ... responsible for analyzing claims and making decisions about their validity. The position...position will be a communicator to internal and external business partners and a problem solver/agent for change to… more
- UCLA Health (Los Angeles, CA)
- Description The Business Data Analyst plays a key role within the Medicare Advantage Operations team, acting as a liaison between business units, IT teams, ... partners. This role is responsible for gathering and documenting business and system requirements, analyzing and interpreting data to...in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of… more
- LA Care Health Plan (Los Angeles, CA)
- …This position must comprehend the relationships between the field elements in encounters and claims , membership, and provider databases. This position supports ... Clinical Data Analyst III (HEDIS, Tableau, SQL) Job Category: Clinical...clear and sharable fashion. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions… more
- Maxim Healthcare Services (Columbia, MD)
- Maxim Healthcare Corporate Services is currently seeking a Compliance Analyst II. The Compliance Analyst II must maintain a comprehensive understanding of ... ethical principles and independence in their work. The Compliance Analyst II maintains the highest level of personal and professional conduct, duty, and… more
- University of Miami (Miami, FL)
- …System IT Department has an opportunity for a full-time Epic Senior Analyst - Resolute Professional Billing. The Epic Senior Analyst , Resolute Professional ... Epic Analysts and Epic Analysts on the team. The Epic Senior Analyst , Resolute Professional Billing initiates the implementation, builds, and modifies of the… more
- 3M (IN)
- …in service levels. Will have continuous internal interaction with the Relevant Business team, Supply and Demand Planners in all matters concerning service to ... general guidance within customer service areas, such as customer inquiries, claims and complaints, customer training, call center(s), invoicing and order management,… more
- UCLA Health (Los Angeles, CA)
- Description As a member of the Medicare Advantage Operations team, Business Data Analyst is instrumental in independently developing the detailed requirements ... non-functional requirements are understood and implemented consistent with the Business Data Analyst 's vision + perform testing,...in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of… more
- University of Miami (Miami, FL)
- …Department of SCCC has an exciting opportunity for a Full Time Remote Regulatory Analyst 1. CORE JOB SUMMARY: The SCCC department is seeking a Regulatory Analyst ... and testing the revised treatment matrix which will identify possible cancers from claims data. The RA1 will facilitate the process of preparing required regulatory… more
- Centene Corporation (Charleston, WV)
- …and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business impact of trends. + Develop, ... and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to… more
- Centene Corporation (Tallahassee, FL)
- …and analyze data from multiple sources including claims , provider, member, and encounters data. Identify and assess the business impact of trends + Develop, ... and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to… more