- Stanford Health Care (Palo Alto, CA)
- …Overview** Under the direction of ACO Operations Management, the Eligibility and Enrollment (E&E) Data Analyst performs specialized functions to maintain ... prioritization and maintain assigned process and procedure documents. The Eligibility and Enrollment (E&E) Data Analyst is the intermediate working level in… more
- AmeriHealth Caritas (Manchester, NH)
- **Provider Network Operations Claims Analyst Sr (hybrid)** Location: Manchester, NH Primary Job Function: Provider Network ID**: 34151 **Job Brief** The Provider ... Network Operations Data Analyst Sr. will be responsible for supporting Provider Enrollment and Credentialing. Your career starts now. We are looking for the next… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …with data collection and maintenance and providing Medical Staff support * Manage provider enrollment claims work queues * Build and maintain metrics reports and ... *_SUMMARY:_* We are currently seeking a *Medical Staff Ops Analyst *to join our Medical Administration team. This position is...projects as the "expert" o Identify and resolve provider enrollment issues to reduce related claims denials… more
- CVS Health (Scottsdale, AZ)
- …and verbal communication skills + Strong knowledge of mainframe applications for pharmacy enrollment and claims processing for Recap &, RxClaim ) + Proficient ... personal, convenient and affordable. Position Summary The Pharmacy Network Quality Control Analyst position is responsible for the timely and accurate delivery of… more
- CDPHP (Albany, NY)
- …CDPHP's core claims systems and any integrated systems. The Configuration Analyst II will recommend system and configuration solutions and alternatives that meet ... an in depth understanding of the processes and rules, including benefits, pricing, enrollment , provider structure, payment and/or claims processing for each line… more
- CareOregon (Portland, OR)
- …data loss and encounter rejections; research return codes and coordinate with IS, claims , enrollment and provider data to enable complete and accurate encounter ... must reside in Oregon or Washington. Job Title Medicare Encounter Data Analyst Exemption Status Exempt Department Finance Manager Title Risk Adjustment Manager… more
- CDPHP (Albany, NY)
- …have an understanding of the structure and impacts of member benefits, pricing, enrollment , provider structure, payment and/or claims processing, for each line ... values and invites you to be a part of that experience. The Configuration Analyst I is responsible for analysis, maintenance, and configuration of CDPHP's core … more
- CDPHP (Albany, NY)
- …CDPHP's core claims systems and any integrated systems. The Configuration Analyst III will be responsible for the technical oversight of all departmental audit ... in depth understanding of the processes and rules, including benefits, pricing, enrollment , billing, provider structure, payment and/or claims processing for… more
- HUB International (San Diego, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... them with innovative solutions. The purpose of the Benefit Analyst is to support the Account Executives and Advisors...50+ eligible. + Responsible for financial, analytic, benchmark and claims reporting. + Coordinates the RFP process, such as… more
- CareOregon (Portland, OR)
- …data structures and data products to facilitate production of insights from healthcare claims , enrollment , and other related data. The core function of this ... Nevada, Texas, Montana, or Wisconsin. Job Title Data Science Analyst II Exemption Status Exempt Department Business Intelligence Manager...with at least one healthcare data domain (eg, medical claims , pharmacy claims , dental claims ,… more
- CDPHP (Albany, NY)
- …you to be a part of that experience. The Special Investigative Analyst will be responsible for researching, investigating, and resolving instances of healthcare ... medical record review to identify suspicious trends and patterns and enrollment and billing aberrancies. They will work collaboratively with other departments… more
- HUB International (San Diego, CA)
- …provide critical support to our customers through account management, claims management, day-to-day client oversight, and underwriting services that make ... them with innovative solutions. The purpose of the Benefit Analyst is to support the Account Executives, Advisors and...solutions to meet client's needs. + Examines benefits and claims data for inclusion in RFPs, organizes carrier &… more
- General Dynamics Information Technology (Fairfax, VA)
- …analytic studies using statistical techniques, formulas, and calculations against a variety of claims and enrollment data to support program decision making. + ... Deliver insights to help our clients turn data into action as a Statistical Analyst at GDIT. Your work will provide transformative solutions to our clients' big-data… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …will have worked in-depth for top payers across one or more domains ( Enrollment & Benefit Administration, Claims processing & Reimbursements, Member & Provider ... Insurance Payer in one of more of the following areas: Claims Administration, Enrollment & Eligibility, Benefit Administration, Contribution Accounting,… more
- Proofpoint (Sunnyvale, CA)
- …of the Fortune 100 trust us as a security partner. **The Role** The Benefits Analyst position will handle a range of duties related to the pension and disability ... end-to-end administration of pension, retirement, and disability plans, including enrollment , eligibility plans, and communication with plan participants. + Oversee… more
- Takeda Pharmaceuticals (Exton, PA)
- …from the People Resource Hub and other HR Business Partners related to enrollment , claims , payroll benefit deductions, coverage changes and detailed plan ... and Europe, Takeda Business Solutions (TBS) is now hiring a **Senior Benefit Analyst ** with a passion for ensure program effectiveness and optimal service delivery,… more
- MyFlorida (Tallahassee, FL)
- 68900069 - OPS HUMAN SERVICES ANALYST Date: May 30, 2024 Location: TALLAHASSEE, FL, US, 32308 The State Personnel System is an E-Verify employer. For more ... for Health Care Administration Working Title: 68900069 - OPS HUMAN SERVICES ANALYST Pay Plan: Student/Gradte Assnt Position Number: 68900069 Salary: $15.75 hourly… more
- HUB International (Sandy, UT)
- …_Sandy, Ut_ **SALARY RANGE** $25.00-$33.00 **Job purpose** The purpose of the Benefit Analyst is to support the Account Executives, Advisors and Sr. Benefit ... Analyst with quoting, reporting and other strategic analytic processes....Responsible for the creation and deployment of Benefit and Enrollment guides. + Responsible for updating Benefit Point with… more
- Henry Ford Health System (Troy, MI)
- …Medicare Advantage, Medicare-Medicaid Program (MMP), and Medicaid lines of business. Analyst must identify trending issues on an ongoing basis and provide ... root/cause analysis when required. The Analyst will work with HAP's medical directors, nurses, pharmacists,...direct pay programs and rates. + Demonstrated knowledge of billing/ claims and customer service functions in a healthcare environment.… more
- Center For Health Information And Analysis (Boston, MA)
- …Insights: Seize the opportunity to work with an extensive range of health care enrollment , spending, quality, and claims data. You will be at the forefront ... in health policy impact! We seek a Health Policy Analyst to support projects, share content expertise, and provide...Health Informatics and Reporting team. As a Health Policy Analyst at CHIA, you will have the opportunity to:… more