DESCRIPTION OF POSITION: The Payer Response Analyst posts payments both electronically and manually, maintains... appropriate area to assign claims needing additional follow up and assigns those based on each areas guidelines. Analyzes...
reports and synopses of customer delinquency. Reviews unallocated cash receipts and works with customers and banking analyst... coding and process non-inventory invoices (claims, obsolete inventory, etc.) in Infor LN system. Responsible daily...
Partners. Systems Analyst will also configure code in our Claims Pro. Essential Functions and Responsibilities: Client...The Systems Analyst recommends approaches for the design of a business solution by interacting with Business Partners...
together. You won't be any ordinary Business Process Analyst. You'll be hitting on all cylinders every moment of every day... and/or Business Insight/ODS Reporting experience Experience leading project plans Supplemental Health Claims experience...
Partners. Systems Analyst will also configure code in our Claims Pro. Essential Functions and Responsibilities: Client...The Systems Analyst recommends approaches for the design of a business solution by interacting with Business Partners...
a skilled and motivated Sr. Principal Data Analyst to join our team. We need an Sr. Principal Data Analyst... and Data Quality components of the solution. This role requires detailed knowledge of healthcare claims processing and member...
Anticipated End Date: 2025-02-10 Position Title: Actuarial Analyst II Job Description: Location: This position..., and connection. The Actuarial Analyst II is responsible for completing projects and performing complex actuarial studies...
Anticipated End Date: 2025-02-14 Position Title: Grievance/Appeals Analyst I Job Description: Title: Grievance.../Appeals Analyst I Location: This position will work a hybrid model (remote and office). Ideal candidates will live within 50...
Anticipated End Date: 2025-02-14 Position Title: Grievance/Appeals Analyst I (California... Only) Job Description: Title: Grievance/Appeals Analyst I Location: This position will work a remote model. Ideal candidates will live within 50...
has a full-time opportunity for a Revenue Recovery Analyst in Anaheim, CA. The Revenue Recovery Analyst identifies, collects..., and determines root causes of underpaid claims by auditing payor performance and analyzing actual payments of payors to ensure...
Coding Analyst researches and interprets healthcare correct coding using regulatory requirements and guidance related to CMS... through medical record review. The Coding Analyst possesses an overall understanding of all coding principles, including...
Coding Analyst researches and interprets healthcare correct coding using regulatory requirements and guidance related to CMS... through medical record review. The Coding Analyst possesses an overall understanding of all coding principles, including...
Medical Economics Analyst is to use data science, actuarial principles, and proprietary applications to enhance patient health... and collaborates with the Director of Network Contracting to design, produce, validate, and distribute key analytics related to claims...
and we will reach out if a role is available that matches your qualifications and interests! As a Senior Scientific Analyst... healthcare claims and/or electronic health records (EHR) data. Outstanding attention to detail and organization...
shape our future. As a Senior Actuarial Analyst, you will be empowered, supported, and encouraged to use your actuarial... models and summarized revenue and claims reports Preferred Qualifications: 1+ years of experience in SQL and/or SAS...
shape our future. As a Senior Actuarial Analyst, you will be empowered, supported, and encouraged to use your actuarial... models and summarized revenue and claims reports Preferred Qualifications: 1+ years of experience in SQL and/or SAS...
a highly motivated Data Analyst to join the Data team within the Concept Research and Development department. As a Data Analyst... ideal candidate will have experience in claims processing or claims analysis, solid analytical skills, and the...
together. The Senior Business Analyst conducts and manages outcomes of various studies that include analyzing, reviewing... claims data Advanced level of proficiency in Microsoft Excel (Pivot Tables, VLookups, etc.) Preferred Qualifications...
Analyst, this position is responsible for UAT (User Acceptance Testing), test plan preparation and test execution of new... flow Health Plan or Health Industry Background (Clinical, Claims, Enrollment) *All employees working remotely...
Dispute Resolution Analyst is responsible for reviewing, researching, investigating, and resolving Out of Network regulatory... dispute Utilize expert knowledge of claims, benefits, eligibility, reimbursement policies, and compliance requirement...