Provide data driven analytics to Clinical COE, Finance, Claims, Medical Management, Network, and other departments to enable...Job Title: Sr Analyst, Medical Economics (Clinical Analytics UM/CM) - REMOTE Job Location: New York, NY, USA...
support for the WC organization, specifically focusing on medical data. We are seeking an energetic and strong analyst.... Responsibilities: Analyzes internal claims data, industry trends, and medical regulation information to identify trends, patterns...
and outpatient documentation to ensure the accuracy, timeliness, and integrity of medical record data in accordance with regulatory... completion and good customer service. Supports coding by following up on claims held, data integrity/other issues, and providing...
as requested. Additional responsibilities include: Medical claims data and the health care industry, convert detailed data files.... Become familiar with and be able to use systems such as EPIC and IDX to investigate claims and utilization data. Understand...
problems within their assigned units and may lead project teams of Data Scientists and other analyst staff. 10. Ensures... analysts who will be providing data collection, analytic, and billing support for CalAIM services tracking and Medi-Cal billing...
. They will supervise and support a team of data scientists who will provide data collection, analytic, and billing support for CalAIM.... ESSENTIAL FUNCTIONS 1. Management and Supervision Provides administrative and technical supervision to their team of data...
. claims data, specialty pharmacy data, Veeva CRM) strongly preferred. Strong command of SQL and Microsoft Excel...Position Overview: The Analyst/Sr. Analyst will join a growing Internal Strategy team whose main goal is to help...
with Medicare/Medicaid claims data Benefits: Medical, Dental, Vision plans Life, LTD and STD paid by the employer 401... Integrity, Medical Review, and Data Analysis or other teams, as necessary. Develop reports to provide a comprehensive overview...
science, health informatics, or a related field. A master's degree is preferred. Proven work experience as a Data Analyst..., including electronic health records (EHR), claims data, and healthcare terminology (e.g., ICD-10, CPT). Proficiency in data...
and accepted findings. Uses social determinants of health data sets in conjunction with administrative claims and electronic health... Minimum Experience: 3 years of enterprise experience as a data scientist, informaticist, statistician, senior analyst...
within the QISM scope. Computer system validation, Data integrity, Medical device 510K, Predicate rules, ECTD,21 CFR Part 11...Responsibilities: Facilitate holistic data integrity reviews by partnering with QA and stakeholders to conduct end...
Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient... by connecting people with the care, pharmacy benefits, data and resources they need to feel...
Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical Necessity Edits on accounts of all patient... by connecting people with the care, pharmacy benefits, data and resources they need to feel...
Butterfly Effects is seeking to add a Medical Billing Specialist to support the national billing needs of the Billing... claims, and proper follow up of claim denials. The Billing and Collections team works together on insurance issues so the...
scanning and appropriately routing to medical appeals analyst or clinical staff for review. Alerts staff when expedited appeals... appeals ensuring appropriate notification and communication to members and providers, data retention and claims adjudication...
experienced medical economics analyst will use data from various sources to holistically analyze and communicate health plan...Overview: Now hiring a Medical Economic Manager Remote: Open to remote applicants in the United States...
experienced medical economics analyst will use data from various sources to holistically analyze and communicate health plan...Overview Now hiring a Medical Economic Manager Remote: Open to remote applicants in the United States...
. Connecting. Growing together. As a Senior Medical Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical... by connecting people with the care, pharmacy benefits, data and resources they need to feel...
. Connecting. Growing together. As a Senior Medical Coder/Claims Analyst you will work remotely to correct CCI, MUE, and Medical... by connecting people with the care, pharmacy benefits, data and resources they need to feel...
billing office, or medical claims/customer service; with understanding of medical and health insurance terminology. Knowledge... organization. Let’s be better together. Position Summary We are currently seeking a Provider Configuration Analyst. This position...