- 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 ... data analytic strategies focused on lowering the cost of healthcare for our managed populations by providing actionable data...to the Population Health team. The Health Plan Data Analyst engages clients (finance team, senior leaders,… more
- Insight Global (Norfolk, VA)
- …. Skills and Requirements -7+ years of experience working as a technical analyst -Business knowledge of healthcare claims , provider, network, and ... -Collaborate with the analytics team to develop solutions for data related to claims , membership, and HEDIS -Analyze the data warehouse and create solutions using… more
- Commonwealth Care Alliance (Boston, MA)
- … Sr . Director, TPA Management and Claims Compliance, Healthcare Medical Claims Coding Sr . Analyst will be responsible for developing prospective ... 011250 CCA- Claims **Position Summary:** Working under the direction of...Degree **Required Experience (must have):** + 7+ years of Healthcare experience, specific to Medicare and Medicaid + 7+… more
- Molina Healthcare (Flint, MI)
- …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
- Molina Healthcare (NY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare data, including… more
- CVS Health (Wellesley, MA)
- …outcomes and reporting to ensure proper functionality and de-collisioning when needed. The Sr Analyst will work cross functionally with both internal and ... to the adjudication and processing of pharmacy and medical claims and newly expanded healthcare services. Create...to support our store colleagues. The Retail Adjudication Solutions Sr Analyst will work cross functionally with… more
- Insight Global (Tallahassee, FL)
- Job Description Insight Global is searching for a Sr . Healthcare Economics Analyst to join their Tallahassee based health insurance company. They will be ... Once finished reviewing these reports, this individual will be manually analyzing claims to look for patterns and behavior variations to find cost-saving… more
- Molina Healthcare (Bellevue, NE)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... healthcare operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) + Knowledge of healthcare financial terms… more
- Molina Healthcare (Bellevue, WA)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... Hospital payment methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule knowledge is… more
- Norstella (Oklahoma City, OK)
- Sr . Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Apr 4, 2025 Employment Type: Full Time Job ID: R-1070 **Description** **Why ... and support patients in need. We are seeking a Senior Medical Analyst to join our team...related field. + Experience working with and querying large healthcare databases, including claims , EMR/EHR, and laboratory… more