- Zelis (TX)
- …who you are. Position Overview We are seeking a detail-oriented and technically skilled analyst to support healthcare claims repricing and data validation ... data-driven insights. Success in this role requires deep familiarity with healthcare claims data, strong SQL proficiency, and a solid understanding of… more
- Commonwealth Care Alliance (Boston, MA)
- …under the direction of the Sr. Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr. Analyst will be responsible for ... 011250 CCA- Claims Hiring for One Year Term **Position Summary:**...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- AdventHealth (Altamonte Springs, FL)
- …being spent to close the most critical gaps in lowering the cost of care. The Analyst uses healthcare data ( claims , labs, EHR data) analytics to gain ... **Health Plan Data Analyst ** **Location:** Virtual **All the benefits and perks...data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data… more
- Molina Healthcare (Cleveland, OH)
- **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams with reviewing claims to ensure regulatory requirements are ... appropriately applied. Manages and leads major claims projects of considerable complexity and volume that may be initiated through provider inquiries or complaints,… more
- Molina Healthcare (IA)
- …solution or configuration during warranty period. **KNOWLEDGE/SKILLS/ABILITIES** + Knowledge of healthcare claims and claim processing from receipt through ... queries for impact analysis + Writes complex ad-hoc reports + Understanding of Healthcare EDI Claims transactions preferred + Understanding of complex claim… more
- Providence (Renton, WA)
- …we must empower them.** **Providence St Joseph Health operates a self-administered claims program for General and Healthcare Professional Liability, Directors ... and Officers, Employment Practices, Fiduciary, Property, Cyber, Managed Care, and Auto Claims . The Senior Quality Analyst assists the Claims leaders in… more
- Molina Healthcare (Austin, TX)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- TEKsystems (Minneapolis, MN)
- … Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit, support, analysis, workflow, claim, Healthcare , Medical Terminology Top ... Skills Details Claims , RxClaims, Pharmacy benefits, Health insurance, Claims Analyst , Audit,Support, analysis Additional Skills & Qualifications High school… more
- CenterLight Health System (NY)
- JOB PURPOSE: The Claims and Encounter Analyst enhances the efficiency and effectiveness of the claims department by analyzing data, refining processes, and ... and contractual guidelines. This role requires knowledge of Government Programs medical claims systems, encounter process, and a strong focus on data-driven process… more
- TEKsystems (Menasha, WI)
- Description As a Claims Analyst II you will be tasked with the following: - Examine and process paper claims and/or electronic claims . - The person in ... & Qualifications MUST: - More than two years of claims processing experience required ( healthcare related) -...two years of claims processing experience required ( healthcare related) - Knowledge of current procedural terminology (CPT)… more
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