- Molina Healthcare (Dallas, TX)
- …Summary** Responsible for accurate and timely implementation and oversight of critical information on claims databases. Synchronizes data among operational and ... **KNOWLEDGE/SKILLS/ABILITIES** + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal… more
- Molina Healthcare (Iowa City, IA)
- …claim audits related to accurate and timely implementation and maintenance of critical information on all claims and provider databases, validate data housed on ... regarding updates/changes to member enrollment, provider contract, provider demographic information , claim processing guidelines and/or system configuration … more
- UIC Government Services and the Bowhead Family of Companies (Dahlgren, VA)
- **Overview** Configuration Management Analyst (E30-2025-23833) Bowhead seeksan experiencedConfiguration Management Analystwith a strong background in ... Center Dahlgren Division (NSWCDD), E Department. **Responsibilities** TheConfiguration Management Analyst willprovide comprehensive configuration management (CM) support… more
- Geisinger (Danville, PA)
- …+ Develops appropriate communication methods and standards for dissemination of pricing configuration information for new, modified, enhanced or fixed pricing ... Pricing, Billing and Dunning, Consumer Driven, Provider set up, Claims and Workflow and other areas of configuration... Claims and Workflow and other areas of configuration and operations. Assists in the configuration … more
- Molina Healthcare (Macon, GA)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
- Molina Healthcare (Madison, WI)
- …DESCRIPTION** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information ... + Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare… more
- Molina Healthcare (GA)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...+ Loads and maintain contract, benefit or reference table information into the claim payment system and other applicable… more
- Magellan Health Services (Albuquerque, NM)
- …and analyzing the systems and processes involved in member enrollment, provider information management, benefits configuration and/or claims processing. + ... which would provide an equivalent background may be considered. General Job Information Title Claims Resolution Analyst Grade 21 Work Experience - Required … more
- CTG (CA)
- **CTG is seeking to fill an Epic Hospital Billing Claims Analyst opening for our client in California.** **Location:** Remote **Duration:** 18 months **Duties:** ... Behavioral Health and Ambulatory services. + Design, build, and maintain Epic HB Claims configuration , including claim edit rules, claim definition rules, remit… more
- Molina Healthcare (ID)
- …Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be… more
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